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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543911811
Report Date: 08/23/2024
Date Signed: 08/23/2024 10:29:05 AM

Document Has Been Signed on 08/23/2024 10:29 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:RIVERA, LABI FAMILY CHILD CAREFACILITY NUMBER:
543911811
ADMINISTRATOR/
DIRECTOR:		RIVERA, LABIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 406-8020
CITY:DINUBASTATE: CAZIP CODE:
93618
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
08/23/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:Labi RiveraTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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On 08/23/24 Licensing Program Analyst (LPA) Claribel Soto conducted an unannounced Case Management Inspection and met with Licensee Labi Rivera. The purpose of today's inspection was to inspect a firearm that was reported by Licensee to the CCLD Office.

LPA toured the facility and a census was taken. LPA inspected the locked firearms and ammunition. LPA verified the location of the firearms and ammunition located in a locked safe inside the closet of an inaccessible room upstairs of the facility. LPA verified that the firearms are secured inside the locked safe. LPA verified ammunition is also locked in a separate safe. The secured firearms and ammunition meets regulation.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, no deficiencies are cited. Exit interview conducted and report was reviewed with Licensee, Labi Rivera. 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: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2024
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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