Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103909306
Report Date: 07/06/2016
Date Signed 07/06/2016 04:50:27 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:BURCHELL, JULIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 486-9031
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY:14CENSUS: 11DATE:
07/06/2016
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
03:35 PM
MET WITH:Julie BurchellTIME COMPLETED:
04:25 PM
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An unannounced Case Management - Legal visit made today by LPA Patricia Musso.
Also present during this visit is licensee's husband/assistant who was assisting her
with the children.
This Case Management visit is made today to discuss with licensee a CBCB-6.1,
dated 6/13/16, that was mailed to CCL stating that an adult, Vanessa Barrios that was an employee of this day care now has a crime that is not exemptible.

Licensee said she Vanessa was an employee for about 6 wks. Licensee said she let her go 4/28/16 and had no intention of hiring her back. Licensee received the CBCB letter dated 6/13/16, completed it and mailed it back
to CCL in Sacramento the next day.

Licensee completed the CBCB-6.1 that LPA brought today. This copy will go in to
her case file.

No Title 22 deficiencies are cited today.

During the exit interview LPA observed licensee post the Notice of Site Visit prior to leaving the facility. Licensee was advised that the Notice of Site Visit must remain posted for 30 days and retain the evaluation report for 3 years.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)243-8103
LICENSING EVALUATOR NAME: Patricia MussoTELEPHONE: (559) 341-5422
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2016
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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