<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153911739
Report Date: 03/03/2023
Date Signed: 03/03/2023 12:06:27 PM

Document Has Been Signed on 03/03/2023 12:06 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:RIVERA, DORA FAMILY CHILD CAREFACILITY NUMBER:
153911739
ADMINISTRATOR:RIVERA, DORAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 543-9624
CITY:MCFARLANDSTATE: CAZIP CODE:
93250
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
03/03/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Licensee, Dora RiveraTIME COMPLETED:
12:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 03/03/23, Licensing Program Analyst (LPA) Jose Penate conducted an unannounced case management - 90 day follow-up inspection. LPA was greeted by Licensee, Dora Rivera, LPA toured of the home. Present during today's inspection were four children in care. Days and hours of operation are Monday – Friday, 5:30AM - 4:30PM.

The purpose of today's inspection was to conduct a post-licensing 90-day follow-up. The areas of the home that are accessible to daycare children are the garage converted daycare room, bathroom, and fenced backyard. Entryway to the daycare is located on the NE side of the home to enter through the side wooden gate. LPA observed the home to be safe and clean. No potential risks to the health and safety of daycare children were observed. Licensee stated there are on firearms in the home. No "bodies of water" are present on the premises. LPA observed a working fire extinguisher, smoke detector, and carbon monoxide indicator. Licensee is conducting and documenting fire drills every six months. Licensee maintains a current roster of the children.

LPA reviewed two children's records during today's inspection. All children's records reviewed were complete with all required licensing documentation. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present in the home.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were cited.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE: DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/01/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1