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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243903544
Report Date: 08/12/2022
Date Signed: 08/12/2022 03:50:24 PM

Document Has Been Signed on 08/12/2022 03:50 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:ESTRADA, CONSUELO FAMILY CHILD CAREFACILITY NUMBER:
243903544
ADMINISTRATOR:ESTRADA, CONSUELOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 383-0945
CITY:MERCEDSTATE: CAZIP CODE:
95340
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
08/12/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Consuelo Estrada - LicenseeTIME COMPLETED:
04:00 PM
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On August 12, 2022, Licensing Program Manager (LPM), Diana de Leon, Licensing Program Manager (LPM), Michael Duarte, and Licensing Program Analyst (LPA), Joseph Pacheco, served licensee, Consuelo Estrada, with the following Temporary Suspension Order (TSO) documents:

1. Temporary Suspension Order
2. Statement to Respondent
3. Government Code Statutes
4. Instructions for Licensee about the Summary of Charges
5. Summary of Charges
6. Accusation
7. Statutes Notice to Respondent
8. Request for Discovery
9. Notice of Defense (2)

The above documents have been explained to Ms. Estrada. Additionally, 14 copies of the parent TSO notification and accusation were left with Ms. Estrada to provide to parents. The Closed for Business sign was posted on the front door of the Family Child Care Home (FCCH).

Licensee, Consuelo Estrada, is hereby notified that the operation of the Family Child Care Home (FCCH) shall cease as of August 12, 2022, at 5:00 p.m.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/12/2022
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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