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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203908693
Report Date: 01/11/2024
Date Signed: 01/11/2024 09:28:10 AM

Document Has Been Signed on 01/11/2024 09:28 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CALDERON, MARGARITA FAMILY CHILD CAREFACILITY NUMBER:
203908693
ADMINISTRATOR:CALDERON, MARGARITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 492-7468
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
01/11/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:19 AM
MET WITH:Margarita CalderonTIME COMPLETED:
09:35 AM
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On 1/11/2024, Licensing Program Analyst (LPA) Stephanie Vega-Gonzalez and Licensing Program

Manager Cynthia Brannon conducted a Case Management inspection. LPA and LPM met with home owner Margarita Calderon.

LPA and LPM explained the purpose of the visit is to verify Margarita Calderon received a copy of the Decision and Order. Margarita Calderon confirmed she received a copy of the Decision and Order. An additional copy of Decision and Order was left with Margarita Calderon during the visit.

LPA and LPM reviewed with Margarita Calderon the Decision and Order adopted by the Department on December 28, 2023. Decision and Order states that Margarita Calderon’s license to operate family child care home is revoked. Decision and Order states Margarita Calderon is excluded from all facilities licensed by the Department for two years from the effective date of the Order. Margarita Calderon may reapply for a license in two years.

Margarita Calderon understands that a $200.00 per day civil penalty will be assessed if she provides unlicensed care. Margarita Calderon understands failure to comply with the terms, and conditions of her probation will result in the Department taking further administrative action. Margarita Calderon stated that she understands and agrees to comply.




A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2024
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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