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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155620000
Report Date: 08/26/2022
Date Signed: 08/26/2022 10:31:17 AM

Document Has Been Signed on 08/26/2022 10:31 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:GARCIA, AUDRA FAMILY CHILD CAREFACILITY NUMBER:
155620000
ADMINISTRATOR:GARCIA, AUDRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 900-7225
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
08/26/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Audra GarciaTIME COMPLETED:
10:45 AM
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On August 26, 2022 Licensing Program Analyst (LPA) Kari McWilliams conducted an unannounced case management inspection and met with Licensee Audra Garcia. LPA toured the facility and a census was taken.

LPA McWilliams went over the Decision and Order for staff #1 with Licensee and ensured that staff #1 was not currently at the facility and no longer works at the facility. LPA provided a copy of the Decision and Order to the Licensee.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Exit interview conducted and report was reviewed with the licensee Audra Garcia.


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

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Kari McWilliams
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2022
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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