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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543911392
Report Date: 06/09/2022
Date Signed: 06/09/2022 10:34:59 AM

Document Has Been Signed on 06/09/2022 10:34 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:AYON, MARTHA FAMILY CHILD CAREFACILITY NUMBER:
543911392
ADMINISTRATOR:AYON, MARTHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 920-7251
CITY:LINDSAYSTATE: CAZIP CODE:
93247
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 7DATE:
06/09/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Martha AyonTIME COMPLETED:
10:30 AM
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On this date Licensing Program Analysts (LPA) Diane Mercado made a case Management inspection. LPA met with Licensee Martha Ayon. The purpose of today’s inspection was to inspect the off-limits garage that was converted into a day-care room. Licensee has permits for the garage conversion. A fire clearance was granted by the local fire authority on 06/02/2022. 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 are the dinning room, kitchen, living room, hallway bathroom, day care room (converted garage) and back yard. Parents will enter through the side gate that leads into the day care room. Bedrooms are made inaccessible via plastic doorknob spinners.

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: 06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2022
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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