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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155620052
Report Date: 10/03/2024
Date Signed: 10/03/2024 11:31:20 AM

Document Has Been Signed on 10/03/2024 11:31 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:HERNANDEZ, MIRIAN FAMILY CHILD CAREFACILITY NUMBER:
155620052
ADMINISTRATOR/
DIRECTOR:		HERNANDEZ, MIRIANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 229-6808
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
10/03/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:05 AM
MET WITH:Mirian HernandezTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 10/03/2024, Licensing Program Analyst (LPA) Jose Penate conducted an unannounced case management inspection due to recent inspection conducted with toileting and inaccessibility areas of the home. On today’s date LPA Penate observed a retractable child gate in the middle hallway that does not allow children access to the living room and kitchen. All other areas of the home are inaccessible with doorknob spinners. LPA confirmed with licensee that the daycare room is the only room in the home that is to be utilized for children in care and the hallway restroom will be used for daycare children. LPA instructed licensee to maintain the door to the daycare room open when children that will use the restroom be open so that visual supervision is maintained at all times. During inspection LPA confirmed that water to the toilet installed in the daycare room is no longer operational and licensee placed a child lock strap so it cannot be utilized by daycare children. Licensee requested to continue to utilize the sink that was installed in the daycare room for sanitary concerns, and after visual observations made by LPA it was confirmed and agreed to keep the commercial sink in the room for use. The sink is mounted correctly to the wall and is not loose and does not pose a danger to children in care. Licensee ensures to keep hand drying supplies in the daycare for when the children use the sink located in the daycare room.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiencies cited during today's visit.

Exit interview was conducted with Licensee, Mirian Hernandez.
A Notice of Site Visit form (LIC 9213) and a copy of the todays report was left.

This report shall be made available to the public upon request.

To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2024
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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