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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540404642
Report Date: 07/07/2023
Date Signed: 07/07/2023 11:55:39 AM

Document Has Been Signed on 07/07/2023 11:55 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:EXETER GINGERBREAD HOUSEFACILITY NUMBER:
540404642
ADMINISTRATOR:TIFFANY RISENHOOVERFACILITY TYPE:
850
ADDRESS:137 N. ORANGETELEPHONE:
(559) 594-5566
CITY:EXETERSTATE: CAZIP CODE:
93221
CAPACITY: 62TOTAL ENROLLED CHILDREN: 62CENSUS: 22DATE:
07/07/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Tina Watson TIME COMPLETED:
12:30 PM
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On 7/6/2023, Licensing Program Analysts (LPAs) Ruby Ocegueda and Nancy Her conducted an unannounced Plan of Correction (POC) Inspection. LPAs met with Licensee/owner Tina Watson to review the POC associated to the deficiencies cited on 5/18/2023. LPAs verified the following:

LPAs inspected the play yard, sand box and fence today. Today, it was observed that the sand box had been replenished with sand and the wood posts painted. The chain link fence was free or rust and sharp edges. The metal post in the corner was no longer bent in.

Today, LPA Ocegueda also verified that the required lead testing was completed and resulted in no lead exceedance. Lead testing results were provided to LPA today. Lead testing was completed on 5/24/2023.

LPAs cleared the deficiencies on this date and provided licensee with "Letter of Deficiency Citations Cleared." An Exit interview was conducted with Licensee/Owner Tina Watson.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies were cited.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.


LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE: DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/07/2023
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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