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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543911526
Report Date: 11/05/2024
Date Signed: 11/05/2024 01:30:12 PM

Document Has Been Signed on 11/05/2024 01:30 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:ANDRADE, ADRIANA FAMILY CHILD CAREFACILITY NUMBER:
543911526
ADMINISTRATOR/
DIRECTOR:		ANDRADE, ADRIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 483-0752
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
11/05/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Adriana AndradeTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On 11/5/2024, Licensing Program Analyst (LPA) Claribel Soto conducted an unannounced Case Management Inspection. LPA met with Licensee, Adriana Andrade. LPA toured the facility and took a census. The purpose of today's visit was to inspect the garage that was converted to a daycare room. Daycare room has a kitchen and bathroom. Children will no longer have access to the main house. Families will enter dacycare room through the front door labeled B. Children will have access to the daycare room, bathroom, kitchen and backyard. Children will exit to the backyard through the backdoor of the daycare room.

LPA received copies of the updated facility sketch, permits and the approvals. This daycare room meets the description of a safe and healthy environment for children as described in Chapter 3, Division 12, Title 22 of the California Code of Regulations and is approved.

Per California Code of Regulations Title 22, Division 12, Chapter 3, no deficiency was cited during today's visit. An exit interview was conducted with Licensee, Adriana Andrade.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Claribel Soto
LICENSING EVALUATOR SIGNATURE: DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2024
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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