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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543802461
Report Date: 07/28/2023
Date Signed: 07/28/2023 12:00:45 PM

Document Has Been Signed on 07/28/2023 12:00 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:OWENS FAMILY CHILD CAREFACILITY NUMBER:
543802461
ADMINISTRATOR:OWENS, KATHERINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 783-9065
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
07/28/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Katherine OwensTIME COMPLETED:
12:20 PM
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On 7/28/2023, Licensing Program Analyst (LPA) Ruby Ocegueda conducted an unannounced case management inspection at the facility for the purpose of verifying corrections for deficiencies cited on 6/27/2023 (see LIC 9099 and LIC 9099D for further details). LPA met with licensee Katherine Owens. A tour of the facility was conducted and census was taken.

Today, LPA Ocegueda collected a statement from licensee indicating she understood the requirement to adhere to the Personal Rights of children and in doing so avoid disclosing personal information about day care children to unauthorized adults.

Today, LPA toured the accessible back yard to ensure it was clean and safe. Today, LPA observed that the debris was cleaned up and that the broken toys were discarded. There was no longer accessible tools and the overgrown vegetation was cleaned up and trimmed.

In the day care room, licensee obtained a new infant play yard that is clean and no longer stained. Licensee also obtained a new high chair that is no longer stained. The changing table has a new clean fitted sheet on the changing pad.

Upon arrival, the kitchen counters were cluttered with various items, food and crumbs. Licensee stated she had just completing cooking breakfast. The kitchen sink cabinet was inaccessible and LPA did not observe any hazardous items on the counters. Today the counters were cleaned up by assistant/son and LPA discussed a plan to maintain the counters clean after meals with the help of her assistant/son. Licensee also stated she could also have the children play momentarily in the day care room (next to the kitchen) while she cleaned after meals in the event that she did not have an assistant to help clean. Licensee stated she could also place any random clutter in a box or out of reach of children daily to avoid forgetting any potentially hazardous items on the counters. Report continued to 809-C.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: OWENS FAMILY CHILD CARE
FACILITY NUMBER: 543802461
VISIT DATE: 07/28/2023
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Today, LPA Ocegueda verified the deficiencies cited on 6/27/2023 were corrected. Licensee understands that she must follow all licensing regulations to ensure the health, safety and personal rights of children in care.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, no deficiencies were cited today. An exit interview was conducted with licensee Katherine Owens. LIC 9213 Notice of Site Visit was provided to licensee and will be posted for 30 days.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023
LIC809 (FAS) - (06/04)
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