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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 165620032
Report Date: 01/22/2024
Date Signed: 01/22/2024 06:15:55 PM

Document Has Been Signed on 01/22/2024 06:15 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:JIMENEZ, BLANCA FAMILY CHILD CAREFACILITY NUMBER:
165620032
ADMINISTRATOR:JIMENEZ, BLANCAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 904-7451
CITY:LEMOORESTATE: CAZIP CODE:
93245
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
01/22/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Blanca LimenezTIME COMPLETED:
02:50 PM
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On January 22, 2024, Licensing Program Analyst (LPA) Paul Garcia conducted an unannounced licensee-initiated case management inspection. LPA met with licensee Blanca Jimenez. A census was taken, and LPA toured the facility inside and out. The purpose for the inspection was to approve or deny the use of a new designated outdoor play area for children in care. LPA observed a large, shaded tent that contained many age-appropriate toys, dramatic play equipment and bikes. The play area is fenced and contains two exits. The floor was adequately cushioned with wood chips to assist in the reduction of child injuries. The back yard was clean, and LPA observed a hand washing station for children. LPA did not observe any unsafe items or conditions that pose a danger to children.

LPA APROVES the outdoor play area. LPA obtained a new outdoor facility sketch to include the new dimensions of the outdoor play area. Children can now use/play on the much larger area effective immediately.

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

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 01/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2024
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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