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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543905499
Report Date: 10/03/2022
Date Signed: 10/03/2022 11:12:16 AM

Document Has Been Signed on 10/03/2022 11:12 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:ALVAREZ, VERONICA FAMILY CHILD CAREFACILITY NUMBER:
543905499
ADMINISTRATOR:ALVAREZ, VERONICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 562-6892
CITY:LINDSAYSTATE: CAZIP CODE:
93247
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
10/03/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Veronica AlvarezTIME COMPLETED:
11:15 AM
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On this date Licensing Program Analysts (LPA) Diane Mercado made a case Management inspection. LPA met with Licensee Veronica Alvarez. Licensee is Spanish Speaking and LPA Mercado assisted with interpretation. Days and hours of operation are Monday-Saturday 4:30am-6pm. The purpose of today’s inspection was to inspect the converted backyard porch that was converted into a day-care room. Licensee has permits for the converted backyard porch. A fire clearance was granted by the local fire authority on 09/24/2022. LPA observed in the new day-care room furniture equipment and toys that are age appropriate. There is heating and ventilation for safety and comfort. During today’s inspection LPA received a new facility sketch and emergency disaster plan. The rooms accessible to children in care will be day care room (converted porch), day care room bathroom, and backyard. Entire home will be an off limits area and inaccessible to children in care by backdoor remaining locked. Parents will enter and exit the day care room through the right side gate.

NO DEFICIENCIES OBSERVED IN THE AREAS INSPECTED DURING TODAY’S VISIT. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Diane Mercado
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2022
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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