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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163904938
Report Date: 03/07/2023
Date Signed: 03/07/2023 11:42:33 AM

Document Has Been Signed on 03/07/2023 11:42 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:RODRIGUEZ, JOSEFA FAMILY CHILD CAREFACILITY NUMBER:
163904938
ADMINISTRATOR:RODRIGUEZ, JOSEFAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 584-5148
CITY:ARMONASTATE: CAZIP CODE:
93202
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
03/07/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Josefa RodriguezTIME COMPLETED:
12:00 PM
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On 03/07/2023, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced case management inspection at facility to inspect a converted patio to playroom. LPA met with Licensee Josefa Rodriguez, explained purpose of inspection, toured facility and took a census.

Licensee converted a patio to a day care room, providing proof of permits and fire inspection to CCL. LPA inspected the day care room and observed a couch, clean rug, various age appropriate children's toys and activity centers, with shelving, a children's table and children's chairs, and a television. The backdoor of the room leads to the backyard play area. There is a restroom connected to the day care room.

As of today's date, 03/07/2023, this day care room has been added to the license and facility sketch and is approved for day care use.

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

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: Susie Fanning
LICENSING EVALUATOR NAME: Candis Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2023
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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