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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153909429
Report Date: 08/10/2023
Date Signed: 08/10/2023 11:30:21 AM

Document Has Been Signed on 08/10/2023 11:30 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:PIMENTEL, ANDREA FAMILY CHILD CAREFACILITY NUMBER:
153909429
ADMINISTRATOR:PIMENTEL, ANDREAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 770-6711
CITY:WASCOSTATE: CAZIP CODE:
93280
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
08/10/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Licensee, Andrea PimentelTIME COMPLETED:
11:40 AM
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On 08/10/2023, an Informal Office meeting was conducted in person. In attendance at this meeting were Licensee, Andrea Pimental, Assistant, Reynaldo Armendarez, Licensing Program Analyst, Jose Penate, and Licensing Program Manager, Duane Matsubara. The purpose of this meeting was to discuss recent violations of Title 22 Regulations.

The following incidents were discussed:

Type A deficiency

07/13/23- During a case management inspection, it was substantiated that a child wandered from the facility for approx. 10-15 minutes. Licensee was inside feeding another child but was watching them through the sliding door in the kitchen. Licensee went outside to check up on all the children and noticed a child was missing. Licensee stated that the child must have gone out the side gate and must have climbed a table she had next to the side gate to jumped over. Licensee stated her husband and son went searching for child and the cops were called due to not being able to find the child. After law enforcement conducted their search, they were able to locate the child and returned the child back to the facility.

Type A deficiency

Staffing Ratio and Capacity(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement was not met as evidenced by interview with licensee. Licensee stated that she had 12 children when the incident occurred and she was unaware that an assistant had to be present when the capacity went over 8 children.

Licensee is hereby reminded that she is required to ensure that the health, safety, and personal rights of children in care is protected at all times.

(Continued on LIC809-C)

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: PIMENTEL, ANDREA FAMILY CHILD CARE
FACILITY NUMBER: 153909429
VISIT DATE: 08/10/2023
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Facility will stay in compliance with California Code of Regulations Title 22 Division 12 Chapter 3 regulations, as well as California Health & Safety Code laws related to childcare homes, at all times. Licensee was informed of childcare training videos available on the Community Care Licensing website at www.ccld.ca.gov

Community Care Licensing will increase frequency of site inspection visits to the facility.

It was discussed that continued violation of California Code of Regulations and Health & Safety Code laws related to childcare homes may result in a Non-Compliance meeting and/or will be referred to the Legal Division for possible Administrative Action.



This report was read aloud to the Licensee today.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2023
LIC809 (FAS) - (06/04)
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