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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543907665
Report Date: 10/18/2022
Date Signed: 10/18/2022 10:08:02 AM

Document Has Been Signed on 10/18/2022 10:08 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: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: 0DATE:
10/18/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Christine Benevedes and Moriah McCoyTIME COMPLETED:
10:15 AM
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An informal office meeting was conducted today at the Fresno South Regional Child Care Office. In attendance at the meeting were licensees, Christine Benevedes and Moriah McCoy, Regional Manager, Alice Juarez, Licensing Program Manager, Luisa Gavoutian and Licensing Program Analyst, Theresa Marquez.

The purpose of this office meeting is to discuss a recent violation of Title 22 Regulations. The Family Child Care Home's history was reviewed with management prior to this meeting

The following Type B Violation was discussed:
8/19/2022 - 102417(a): Licensees have separate residences and do not live at this location.

On 9/26/2022, LPA Marquez conducted an inspection of the home and confirmed both licensees have moved back into the day care home.

Today, Licensees were informed that any further repeats of the above deficiencies will result in a Non-Compliance Conference and referral to the Legal Division for possible Administrative Action. Furthermore, Licensees understand that any repeat of the above deficiency within the next 12 months will result in the issuance of civil penalties.

Licensees will stay in compliance with Title 22, Division 12, Chapter 3 regulations at all times.
A signed copy of this report and appeal rights were provided to Licensees Christine Benevedes and Moriah McCoy.

No Deficiencies Cited during today’s Office Visit.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2022
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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