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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163911339
Report Date: 08/27/2024
Date Signed: 08/27/2024 02:56:09 PM

Document Has Been Signed on 08/27/2024 02:56 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:VALDEZ, SYLVIA FAMILY CHILD CAREFACILITY NUMBER:
163911339
ADMINISTRATOR/
DIRECTOR:
VALDEZ, SYLVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 587-0624
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
08/27/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Syliva ValdezTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 08/27/2024, Licensing Program Analysts (LPAs) Octavia Nolan and Jose Penate conducted an unannounced case management inspection at the facility for the purpose of verifying corrections for deficiencies cited on 07/31/2024 (see LIC 809D for further details). LPAs met with Licensee Sylvia Valdez. A tour of the facility was conducted and census was taken.

On today's visit, Licensee had child files readily available. LPAs reviewed child files and they were complete with emergency information as needed. LPAs also observed that Licensee Sylvia Valdez has purchased a locked storage space for poisons that is located in an inaccessible area that children do not have access to.

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

An exit interview was conducted with Licensee Sylvia Valdez. LIC 9213 Notice of Site Visit was provided to licensee and will be posted for 30 days.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE: DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2024
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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