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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543911680
Report Date: 12/14/2023
Date Signed: 12/14/2023 10:09:13 AM

Document Has Been Signed on 12/14/2023 10:09 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:AYALA, MARIA FAMILY CHILD CAREFACILITY NUMBER:
543911680
ADMINISTRATOR:AYALA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 310-3559
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/14/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Maria Ayala TIME COMPLETED:
10:30 AM
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On 12/14/2023 an unannounced case management inspection was conducted by Licensing Program Analyst (LPA) Adrian Pizano. LPA met with licensee Maria Ayala. The purpose of today's inspection was to inspect the licensees in ground pool that was built in the backyard.

LPA observed the in-ground pool to be rectangular in shape. The pool is enclosed with wrought iron fencing that does not obscure the pool from view. LPA observed fencing that is 5 feet high surrounding the pool, vertical spacing between the fence bars that does not allow the passage of more than four inches, and a vertical clearance from the ground to the bottom of the fence of two inches. LPA observed and tested gate that swings away from the pool and self-closes/latches.

LPA determined pool fencing is in compliance with Title 22 regulatory requirements.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency was cited.

Exit interview conducted with licensee. A copy of this report was provided and discussed. A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Adrian Pizano
LICENSING EVALUATOR SIGNATURE: DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/14/2023
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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