Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103909306
Report Date: 07/01/2015 12:00:00 AM
Date Signed 07/01/2015 03:00:32 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 E.SHAW AV,STE 300-MS 29-01
FRESNO, CA 93710
FACILITY NAME:BURCHELL, JULIE FAMILY CHILD CAREFACILITY NUMBER:
103909306
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
07/01/2015
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Julie BurchellTIME COMPLETED:
03:00 PM
NARRATIVE
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A Case Management visit was attempted by LPAs Patricia Musso and Frances Ortiz on June 6. 2015 at approximately 10:40 a.m..
A Case Management visit was made today by LPA Patricia Musso.
The purpose of this visit is to approve this facility for a Capacity Increase.
Licensee contacted the city of Fresno and is in the process of obtaining the required permit/license from the City of Fresno. Licensee said she is suppose to hear from the City contact person on Monday 7/6/15.
LPA viewed licensee's pull down alarm and heard her smoke alarm.
Fire Clearance has been received in the Fresno CCL office.
LPA Musso and licensee discussed the issue of who would be assisting licensee with the children once she was in the capacity of a large family child care home.
Licensee has her husband and assistant Ruby Pacheco fingerprinted, cleared and associated to this facility already and will be adding two additional assistants. Licensee understands that all adult assistants need to
be fingerprinted, cleared and associated to this facility prior to working/assisting with children at this home.
LPA also discussed the Maximum Capacity Worksheet with licensee to prevent an overcapcity deficiency. Licensee informed LPA that she does understand the capacity levels in cases of having less than 8 (she has
to follow the small maximum capacity worksheet) and when she has more than 8 children at one time (she
needs to have an assistant assisting her. Licensee also understands that she is allowed to have a 14 yr old assistant as long as no minor is ever left alone supervising children.
Licensee said she will continue to use the same rooms for the children as she previously has used.
No Title 22 deficiencies cited during today's visit.
During the exit interview, LPA gave instructions to post LIC9213 for 30 days, which was left with licensee today and explained the process of the large license being issued once she has received her permit from the City of Fresno
Hours of operation are; Monday through Friday 7:30 am - 5:30 pm.
During the exit interview, LPA gave instructions to post LIC9213 for 30 days, which was left with licensee today.
Licensee agreed to call LPA once she hears from the City of Fresno.
SUPERVISOR'S NAME: Valarie ReedTELEPHONE: (559) 243-8093
LICENSING EVALUATOR NAME: Patricia MussoTELEPHONE: (559) 341-5422
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2015
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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