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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503607005
Report Date: 06/24/2024
Date Signed: 06/24/2024 02:24:34 PM

Document Has Been Signed on 06/24/2024 02:24 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:BUTCHER, TRACIFACILITY NUMBER:
503607005
ADMINISTRATOR/
DIRECTOR:		BUTCHER, TRACIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 521-6067
CITY:MODESTOSTATE: CAZIP CODE:
95358
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
06/24/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Traci ButcherTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On 06/24/2024, an unannounced Case Management inspection was conducted today by Licensing Program Analyst (LPA), Valerie Mireles. LPA met with Licensee, Traci Butcher. The purpose of today's inspection was to inspect the accessibility of the unfilled above-ground pool in the backyard. Licensee’s above ground pool does not meet the regulation:

CCR 102417(g)(5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fishponds and similar bodies of water through a pool cover or by surrounding the pool with a fence.

(A)Fences shall be at least five feet high and shall be constructed so that the fence does not obscure the pool from view. The bottom and sides of the fence shall comply with Division 1, Appendix Chapter 4 of the 1994 Uniform Building Code. In addition to meeting all of the aforementioned requirements for fences, 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 locked while the pool is not in use.

LPA observed an empty above ground swimming pool the backyard with a gate inaccessible from the backyard with a mesh fence. However, the pool was accessible through three house windows of inaccessible rooms. This does not meet Title 22 regulations. Licensee shall ensure that the windows are made inaccessible prior to filling it with water. Licensee shall inform the Department prior to filling the pool with water so that a final inspection can be conducted to verify that the body of water is made inaccessible according to California Code of Regulations, Title 22, Division 12, Chapter 3, Section 102417(g)(5).

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiency is being cited during today's visit. This report shall be made available to the public upon request. Exit interview conducted with Licensee Traci Butcher. Notice of site visit to be posted for 30 days.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE: DATE: 06/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2024
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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