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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503912299
Report Date: 03/13/2025
Date Signed: 03/13/2025 12:45:57 PM

Document Has Been Signed on 03/13/2025 12:45 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:CORREA, BERENICE FAMILY CHILD CAREFACILITY NUMBER:
503912299
ADMINISTRATOR/
DIRECTOR:		CORREA, BERENICEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 497-7016
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
03/13/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Licensee Berenice CorreaTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 03/13/2025, Licensing Program Analyst (LPA) Xona Xayavong conducted an unannounced case management – licensee initiated inspection. LPA met licensee Berenice Correa. LPA toured the facility, and a census was taken. The purpose of today’s visit was to inspect bedroom #1 that was recently added to the LIC999A Facility Sketch Floor Plan. LPA obtained a copy of the updated facility sketch floor plan.

On today’s visit, LPA observed that the bedroom #1 had age-appropriate toys, table, and chairs. LPA observed the cabinets were anchored to the wall. LPA observed there is a 55-gallon fish tank that measures 4 feet wide and 4 feet height. LPA observed the fish tank has a lid and children do not have direct access to the fish. All other unapproved rooms were made inaccessible by doorknob spinners. Licensee stated she will only utilize the living room, dining room, bedroom #1, hallway bathroom, and backyard for the children in care.

As of 03/13/2025, the bedroom #1 and can be used for children in care.

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

An exit interview was conducted with licensee Berenice Correa. A copy of this report was provided to the licensee and was reviewed. This report shall be made available to the public upon request. The LIC 9213 Notice of Site Visit form is required to be posted for 30 days.

SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Xona Xayavong
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2025
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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