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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153902921
Report Date: 01/05/2024
Date Signed: 01/05/2024 09:13:05 AM

Document Has Been Signed on 01/05/2024 09:13 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CHAVEZ, MARCELA FAMILY CHILD CAREFACILITY NUMBER:
153902921
ADMINISTRATOR:CHAVEZ, MARCELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 746-9345
CITY:SHAFTERSTATE: CAZIP CODE:
93263
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
01/05/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Marcela ChavezTIME COMPLETED:
09:15 AM
NARRATIVE
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On 1/5/2024, an Informal Office Meeting was conducted at the Fresno Regional Child Care Office. In attendance at this meeting was Licensee Marcela Chavez, along with Mikayla McCarthy and Theresa McCarthy, Licensing Program Analyst (LPA) Monica Lopez and Licensing Program Manager (LPM) Susie Fanning. The purpose of today's meeting was to discuss recently cited violations of Title 22 Regulations. The following issues/violations were discussed:

11/17/2023 - 102423(a)(2) - Personal Rights. Interviews revealed that multiple children are being cared for at a store and another home that is not licensed.

11/17/2023 - 1023706(d)(1) - Criminal Record Clearance. Interviews revealed children were being cared for by an uncleared adult. A $500.00 civil penalty was assessed.

Plan of Correction for deficiencies was due on 11/17/2023 and has not been received. Plan of Correction discussed and resolved during today's meeting and cleared as of this date.

Today, Licensee Chavez was reminded that she is required to ensure the health, safety, and personal rights of children in care. It was discussed that continued violations of Title 22 Regulations may result in a Non-Compliance meeting and/or a possible referral of the childcare facility to the Departments Legal Division for possible Administrative Action. Licensee was encouraged to contact the Department with any questions. A copy of this signed report was provided to licensee Chavez today.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Monica Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 01/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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