<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103910665
Report Date: 12/12/2023
Date Signed: 12/12/2023 03:48:29 PM

Document Has Been Signed on 12/12/2023 03:48 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:MORALES, VICTORIA FAMILY CHILD CAREFACILITY NUMBER:
103910665
ADMINISTRATOR:MORALES, VICTORIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 577-8283
CITY:FRESNOSTATE: CAZIP CODE:
93704
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
12/12/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Victoria MoralesTIME COMPLETED:
02:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Miguel Herrera attempted to conduct an Annual/Random inspection. LPA met with licensee, Victoria Morales and explained the reason of the inspection. Licensee greeted LPA Herrera inside the home and stated that she had not cared for children for the past two years. LPA explained to licensee that the Fresno Regional Office had been trying to contact her regarding her active/inactive status. Licensee apologized and stated that she must have not seen the phone calls/voicemails. Licensee explained that she had not cared for children in the past two years and does not plan to in the future, therefore, she is surrendering her license effective today. Licensee stated that she sold all her equipment, and she was under the impression that Fresno RO was aware of her closure. LPA Herrera explained to licensee that she was in an inactive status a year ago, but her status was back to being active. LPA Herrera explained to licensee that she had outstanding licensing fees, and she would be responsible for the outstanding fees in the event she ever reapplied for a license. Licensee Morales provided LPA Herrera with a statement in which she stated her intention of surrendering her license as of 12/12/2023. Licensing Morales was unable to produce her license as she had misplaced/lost it and instead provided a written statement. LPA Herrera was able to print the license (LIC 203A) and attach it to her written statement. Effective here after Licensee Morales is surrendering her license.

Exit interview conducted and report was reviewed with Licensee Morales. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited. Licensee Morales was provided appeal rights.

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: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1