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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543907665
Report Date: 09/26/2022
Date Signed: 09/26/2022 03:01:03 PM

Document Has Been Signed on 09/26/2022 03:01 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:BENEVEDES, CHRISTINE & MCCOY, MORIAH FCCFACILITY NUMBER:
543907665
ADMINISTRATOR:BENEVEDES, CHRISTINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 625-1704
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
09/26/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Christine BenevedesTIME COMPLETED:
03:15 PM
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On 9/26/2022, Licensing Program Analyst (LPA) Theresa Marquez conducted a Plan of Correction inspection and met with licensees Christine Benevedes and Moriah McCoy. Assistants Savanna McCoy and Bayleigh Parra were also present.

The purpose of this inspection is to verify the plan of correction for the citation issued on 8/18/2022.

LPA Marquez and Benevedes toured the day care home and LPA verified that Benevedes and her minor son share bedroom #1, McCoy resides in bedroom #2, and an assistant and her son reside in bedroom #3. Deficiency cleared.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency cited during today's visit.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2022
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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