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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153908797
Report Date: 05/09/2024
Date Signed: 05/09/2024 01:51:33 PM

Document Has Been Signed on 05/09/2024 01:51 PM - 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:JIMENEZ, ELBA FAMILY CHILD CAREFACILITY NUMBER:
153908797
ADMINISTRATOR/
DIRECTOR:		JIMENEZ, ELBAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 720-9580
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
05/09/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Elba JimenezTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Jose Penate conducted a Case Management Incident inspection for a phone call/voicemail that was received to the Fresno Region office. LPA met with Licensee, Elba Jimenez. LPA toured facility inside and outside and took census.
On 05/08/2024 a voicemail was received to Fresno Regional office that a staff member from the school district visited or wanted to visit the daycare, and no other details were left. Upon interview with licensee on todays date, she stated that she was the person that called and she was inquiring if it was possible to have a speech therapist come to the facility from the school district to observe a child that is needing services. Licensee stated that due to no information being given in ample time the children’s representative chose not to have specialist come to the daycare but instead go to the child’s school.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today. Site Visit Notice posted on the parent board.

Exit interview was conducted with Licensee, Elba Jimenez.

SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2024
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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