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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543910704
Report Date: 04/12/2022
Date Signed: 04/12/2022 11:58:51 AM

Document Has Been Signed on 04/12/2022 11:58 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:AVILA, NORMA FAMILY CHILD CAREFACILITY NUMBER:
543910704
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 3CENSUS: 0DATE:
04/12/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Norma AvilaTIME COMPLETED:
12:15 PM
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On 04/12/2022 Licensing Program Analyst’s (LPA’s), Diane Mercado and Rene Mancinas Jr, conducted an unannounced case management inspection. LPA’s met with Licensee, Norma Avila. Licensee is Spanish Speaking and LPA Mercado assisted with interpretation. LPA’s toured the home inside and outside. The purpose of today's inspection was to inspect the accessibility of the in-ground pool in the backyard. Licensee’s pool does not meet the fencing requirements. Pool fencing is under less than 5 ft in some areas and has wider openings than permitted. LPAs explained the safety concerns associated with non-compliance fencing regulations.

Licensee was provided with pool fencing regulations and requirements. Licensee stated she is not currently caring for children and requested to be placed on inactive status to allow for extra time to correct pool fencing issues. Licensee signed LIC 9211 Request for Inactive Status during today's inspection. Licensee understands she is to contact the Department to notify when pool fencing is ready and prior to caring for children in care.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiency is being cited. Notice of Site Inspection to be posted for 30 days.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Diane Mercado
LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2022
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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