<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243910980
Report Date: 08/23/2024
Date Signed: 08/23/2024 10:03:40 AM

Document Has Been Signed on 08/23/2024 10:03 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:HERNANDEZ, MARIA FAMILY CHILD CAREFACILITY NUMBER:
243910980
ADMINISTRATOR/
DIRECTOR:		HERNANDEZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 588-0174
CITY:SANTA NELLASTATE: CAZIP CODE:
95322
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
08/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:MARIA HERNANDEZTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 08/23/2024 Licensing Program Analyst (LPA) Stephanie Vega-Gonzalez conducted an unannounced Case Management Inspection and was met by Licensee, Maria Hernandez. LPA introduced themselves and provided a copy of their business card to the licensee and explained the purpose of the inspection. The purpose of the inspection was to inspect the areas that are accessible to children in care.

Days and hours of operation are 6:00 AM to 6:00 PM Monday through Friday. The home has working telephone service and LPA confirmed the phone number is (831) 588-0174.

LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that front room (living room #1), bathroom, and side yard are used for providing care and are accessible to children. The Living Room #1 has a baby fence that makes Living Room #2 inaccessible to children in care. Licensee stated that children are supervised when children need to use the restroom. LPA inspected Living Room #2 and observed various toys on the ground and stacked on bins. Licensee informed LPA that toys belong to their own children. LPA did not observe any dangerous or hazardous objects. LPA was able to walk through the Living Room #2 and to the Restroom with ease. LPA observed that all other rooms are off-limits and made inaccessible by use of gates and doorknob spinners. Licensee opened the doors for the three inaccessible rooms in the house for LPA to inspect. LPA observed that the kitchen was made inaccessible by the use of a baby gate. LPA inspected Living Room #1 and observed various age appropriate, books, furniture, and craft items. LPA did observe loose scissors by the back wall and children’s glue. LPA informed Licensee that it is best practice to keep items out of reach of children. Licensee organized items inside a bin and stated that children are always supervised when doing crafts. The outdoor play area in the side yard is fenced and there are no hazards to children present. LPA was informed by Licensee that she had washed all the outdoor toys and will have two car backsets removed by the end of the month. LPA did not observe any dangerous or hazardous objects. There are three outdoor cats. Licensee understands the liability of pets around day care children and accepts responsibilities of any action taken by pets.

Continue on LIC809-C

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: 08/23/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA reviewed the following regulation with licensee, 102417 Operation of a Family Child Care Home (b)The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.
LPA also reviewed with licensee the following: reporting requirements and reporting to the department if there will be any changes, renovations, or construction in the facility prior to it being done. LPA reviewed with licensee that she can contact the department for any questions or concerns.

Exit interview conducted and report was reviewed with licensee. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited. Appeal rights printed and reviewed. A Notice of Site Visit LIC9213 printed and provided to the licensee. LPA reviewed with licensee that notice needs to be posted for 30 days.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2