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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503911696
Report Date: 01/23/2025
Date Signed: 01/23/2025 09:26:26 AM

Document Has Been Signed on 01/23/2025 09:26 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CHAVEZ, LLOBANA FAMILY CHILD CAREFACILITY NUMBER:
503911696
ADMINISTRATOR/
DIRECTOR:		CHAVEZ, LLOBANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 808-6846
CITY:SALIDASTATE: CAZIP CODE:
95368
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 4DATE:
01/23/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Llobana ChavezTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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On January 23, 2025, Licensing Program Analyst (LPA), Yesenia Fierro, conducted an unannounced case management inspection – licensee initiated. LPA met with Licensee, Llobana Chavez. LPA toured the home inside and outside and a census was taken. The purpose of today's inspection was to inspect the inaccessibility of the in-ground pool in the backyard.

LPA observed swimming pool is fenced per regulation. The pool gate is self-closing, self-latching with a key lockable device that is above 60 inches above the ground and opens away from the swimming pool. No windows or doors have direct access to the pool area. LPA observed a wrought iron fence, fence is 60 inches in height, there is a 2-inch clearance from the ground to the bottom of the enclosure and gaps that allow passage are 4 inches in diameter.

LPA observed a swimming pool alarm that meets ASTM International Standard F2208, a life ring 20 inches in diameter approved by the US Coast Guard and a rescue pool with a body hook 12 feet in length.

Per Licensee Llobana Chavez the backyard will remain inaccessible during daycare hours.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiency is being cited. Notice of Site Inspection to be posted for 30 days.

SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025
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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