103809381-7-21-2021-04-CC-ROCA-C55PLD-20210721112435

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103809381
Report Date: 07/21/2021
Date Signed: 07/21/2021 11:24:56 AM

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:	ESQUIVEL, MARIBEL FAMILY CHILD CARE		FACILITY NUMBER:	103809381
ADMINISTRATOR:	ESQUIVEL, MARIBEL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 646-9266
CITY:	PARLIER	STATE: CA	ZIP CODE:	93648
CAPACITY:	14	CENSUS: 2	DATE:	07/21/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Maribel Esquivel		TIME COMPLETED:	11:40 AM

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On 7/21/2021 Licensing Program Analyst (LPA), Ruby Ocegueda, conducted an unannounced Annual Required Inspection and was met by Licensee, Maribel Esquivel. Licensee is Spanish. Before entering the home, LPA Ocegueda conducted a Covid-19 health screening. Days and hours of operation are Monday through Friday 4:00 AM - 5:00 PM.

LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that the kitchen, two bathrooms, a front living room and a back living space (day care room) are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of a child safety gate that makes the off limits rooms inaccessible. There is no swimming pool or other bodies of water on the premises. Licensee stated there are no firearms or ammunition on the premises. During the inspection of the accessible back yard, LPA Ocegueda observed that the shed that was unlocked. Inside the shed was a lawn mower and gardening tools (pruners with sharp edges) as well as a disconnected single propane tank. The children who were inside today, were ages 5 and 8 and capable of opening unlocked doors. Licensee confirmed that the door accidentally left unlocked and LPA observed that licensee locked it.

There are no fireplaces or open face heaters in the home. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 646-9266.

There are currently no infants in care. LPA discussed Safe Sleep Regulations in detail with licensee in the case that she cares for infants in the future. Required forms were reviewed and provided to licensee.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. Licensee provides transportation to and from school. LPA reminded licensee to ensure she uses car seats properly for each child as recommended by the manufacturer. Report continued to 809-C.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021

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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: ESQUIVEL, MARIBEL FAMILY CHILD CARE	FACILITY NUMBER: 103809381
	VISIT DATE: 07/21/2021

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The outdoor play area in the backyard is fenced Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was completed on 2/4/2020 (for both licensee and assistant-S1). Licensee’s pediatric CPR/First Aid expires on 9/7/2021. A review of records indicates that all employees and/or volunteers have immunization records on file for pertussis and measles. Declination statement for flu immunization was observed today for licensee.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D) Licensee was provided a copy of appeal rights.

An exit interview was conducted with licensee Maribel Esquivel. This report shall be made available to the public upon request.

LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021

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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: ESQUIVEL, MARIBEL FAMILY CHILD CARE	FACILITY NUMBER: 103809381
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/21/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/28/2021 Section Cited	1 2 3 4 5 6 7	Operation of a Family Child Care Home. (g)The home shall be free from defects or conditions which might endanger a child. (4)Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021

LIC809 (FAS) - (06/04)

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