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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 165620032
Report Date: 02/05/2024
Date Signed: 02/05/2024 06:01:51 PM

Document Has Been Signed on 02/05/2024 06:01 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: 2DATE:
02/05/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Blanca JimenezTIME COMPLETED:
04:00 PM
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On February 5, 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 conduct an additional inspection to determine if a newly constructed garage is suitable for the care and supervision of children in her care. LPA observed a fully enclosed garage with walls, three exits, one being a sliding glass door. Also observed was heating and cooling capabilities via split system air conditioning unit capable of heating and cooling. LPA observed new clean laminate floors with a ceiling fan to provide additional cooling if needed. LPA observed a tankless hot water heater however it has been made inaccessible to children as it is completely contained and locked and poses no danger to children. LPA also observed adequate lighting in the garage area. LPA APROVES the garage for use for the care and supervision of children 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: 02/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2024
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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