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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155620332
Report Date: 12/19/2024
Date Signed: 12/19/2024 09:37:57 AM

Document Has Been Signed on 12/19/2024 09:37 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:GONZALEZ, MARIA FAMILY CHILD CAREFACILITY NUMBER:
155620332
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
12/19/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Maria Gonzalez TIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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On 12/19/24 Licensing Program Analyst (LPA) Denisia Jimenez conducted a Case Management inspection to inspect the back yard outdoor play area. LPA met with Licensee Maria Gonzalez. The purpose of the inspection was to observe the back yard of the facility that is currently off-limits to day care children. LPA inspected the back yard area and observed it is now considered safe for day care children to utilize. The back yard will no longer be off-limits to day care children effective 12/19/24.

The children would access the back yard by a door in the kitchen through the laundry room, but this room is made inaccessible by a locked door. Licensee will make sure that any inaccessible items is out reach of children.

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

Exit interview conducted with the Licensee.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
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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