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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243911936
Report Date: 09/18/2024
Date Signed: 09/18/2024 01:38:48 PM

Document Has Been Signed on 09/18/2024 01:38 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:GUEVARA-ESPINOZA, MAGALI FAMILY CHILD CAREFACILITY NUMBER:
243911936
ADMINISTRATOR/
DIRECTOR:		GUEVARA-ESPINOZA, MAGALIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 326-4733
CITY:ATWATERSTATE: CAZIP CODE:
95301
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
09/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:10 PM
MET WITH:Assistant #1 and Assistant #2TIME VISIT/
INSPECTION COMPLETED:
01:50 PM
NARRATIVE
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On 09/18/2024, Licensing Program Analyst (LPA) Ka Vang conducted an unannounced case management-other inspection. LPA toured the facility and took a census of children in care. LPA met with Assistant #1 and Assistant #2, and explained the purpose for today's inspection was to discuss the amended report LIC809 and LIC809-D pages.

On 03/22/2024, an unannounced annual inspection was conducted, and a deficiency was cited. Per administrative review, the deficiency was determined to be dismissed. LPA amended the LIC809 and LIC809-D Page.

During this inspection, LPA conducted facility record review and completed the new LIC809 and LIC809-D page with the new deficiency of Type B as there was an in-ground pool in the backyard with the gate is not self-closing or self-latching. LPA provided the amended reports and the new reports to Assistant #1.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, a deficiency is being cited during today’s inspection. (See LIC809-D page)

Assitant was provided a copy of appeal rights. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Assistant #1.

SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE: DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/18/2024
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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Document Has Been Signed on 09/18/2024 01:38 PM - It Cannot Be Edited


Created By: Ka Vang On 09/18/2024 at 01:15 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: GUEVARA-ESPINOZA, MAGALI FAMILY CHILD CARE
FACILITY NUMBER: 243911936

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/18/2024
Section Cited
CCR
102417(g)(5)(A)

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(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (5) All licensees shall ensure the inaccessibility of pools.. (A)…gates shall swing away from the pool, self-close and have a self-latching device located no more than six inches from the top of the gate. Pool covers shall be strong enough to completely support the weight of an adult and shall be placed on the pool and..
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On 03/25/2024, Licensee submitted proof indicating that the pool gate has been repaired and the gate is now self-closing and self-latching onto the gate lock device; therefore, the pool has been made inaccessible to the children in care.
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This requirement is not met as evidenced by:
Based on observation, the licensee did not meet this requirement as evidenced by observation. LPA observed the gate opens away from the pool; however, the gate is not self-closing and self-latching onto the lock device. This poses a potential health, safety, or personal rights risk to children in care. *This is an amended report.”
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Kari McWilliams
LICENSING EVALUATOR NAME:Ka Vang
LICENSING EVALUATOR SIGNATURE:
DATE: 09/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/18/2024


LIC809 (FAS) - (06/04)
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