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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243911594
Report Date: 04/18/2023
Date Signed: 04/18/2023 03:39:57 PM

Document Has Been Signed on 04/18/2023 03:39 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:ESTRADA, ERIKA FAMILY CHILD CAREFACILITY NUMBER:
243911594
ADMINISTRATOR:ESTRADA, ERIKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 564-7525
CITY:LOS BANOSSTATE: CAZIP CODE:
93635
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
04/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Erika EstradaTIME COMPLETED:
11:45 AM
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On 04/18/23, Licensing Program Analyst (LPA) Martha De Haro arrived at the facility to complete an unannounced Case Management Inspection regarding a police report received at the Community Care Licensing Office (CCL-Fresno) on 04/13/23. LPA met with the licensee, Erika Estrada.

LPA toured the facility and a census was taken. LPA discussed the police report with the licensee, which stated that Los Banos Police Department had responded to her home on 04/07/23. LPA did not observe any signs or obvious concerns or hazards at the facility. Licensee is implementing adequate care and supervision at the facility.

Licensee was reminded that all adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.


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

Exit interview conducted with Licensee, Erika Estrada This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 days. Appeal rights were also given to the licensee.

SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Martha DeHaro
LICENSING EVALUATOR SIGNATURE: DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2023
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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