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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243910980
Report Date: 02/21/2023
Date Signed: 02/21/2023 02:05:53 PM

Document Has Been Signed on 02/21/2023 02:05 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:HERNANDEZ, MARIA FAMILY CHILD CAREFACILITY NUMBER:
243910980
ADMINISTRATOR:HERNANDEZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 588-0174
CITY:SANTA NELLASTATE: CAZIP CODE:
95322
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
02/21/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Maria HernandezTIME COMPLETED:
03:00 PM
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On 02/21/2023 Licensing Program Analyst (LPA) Julie Baptista and Licensing Program Manager (LPM) Cynthia Brannon opened an inspection regarding an Unusual Incident Report called in to the Fresno District Office on 12/23/2022. The incident took place on 12/22/2022.

During today's inspection, LPA interviewed licensee, inspected the area where the incident took place. Interview reflects that licensee had the side back door opened. Licensee was changing an infant's diaper next to the open door. Licensee was able to hear the interaction that took place between the two children. The climbing structure was located next to the open door. While changing the infant's diaper, licensee heard child #1 telling child#2 to touch him inappropriately. Licensee immediately stepped to the entrance and asked the children what they were doing. Licensee brought all the children inside and spoke to child #1 and #2 about not touching each other. Licensee contacted parents by text at that time. Licensee spoke to parents at pick up. Licensee removed the climbing structure from the play area and it is no longer used. Per licensee, she will provide visual supervision. When the children are outside playing and she needs to come inside, she will have all of the children come inside. During nap time, she will bring out cots for each child and will be in the day care room to provide visual supervision when the children are napping.
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SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Julie Baptista
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: HERNANDEZ, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 243910980
VISIT DATE: 02/21/2023
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Based upon interview findings and interview, LPA determined that licensee took adequate actions to prevent inappropriate action between child #1 and child #2. No deficiencies were cited during this inspection.

LPA conducted exit interview with licensee.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, No deficiencies cited during today’s inspection. Licensee was provided a copy of appeal rights.

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: Cynthia Brannon
LICENSING EVALUATOR NAME: Julie Baptista
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023
LIC809 (FAS) - (06/04)
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