103900058-9-1-2023-04-CC-AMEA-CV9SXX-20230901141641

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103900058
Report Date: 09/01/2023
Date Signed: 09/01/2023 02:16:52 PM

Document Has Been Signed on 09/01/2023 02:16 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	CAVALLA,JANICE		FACILITY NUMBER:	103900058
ADMINISTRATOR:	CAVALLA,JANICE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 360-6059
CITY:	FRESNO	STATE: CA	ZIP CODE:	93720
CAPACITY:	14	CENSUS: 7	DATE:	09/01/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Janice Cavalla		TIME COMPLETED:	02:30 PM

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On 09/01/2023 Licensing Program Analysts Aurelio Mendoza and Jose Penate conducted an unannounced Annual Required Inspection and was met by Licensee Janice Cavalla. Also present was licensee’s assistant. Days and hours of operation are Monday through Friday; 7:30 am to 5:00 pm.

Upon arrival LPAs rang doorbell and knocked on residence door, licensee did not answer the door. LPA Mendoza attempted to call licensee via phone and also sent text message to advise her of presence at the facility. After 20 minutes of no answer LPAs contacted local PD for Wellness Check due to LPAs hearing children in the residence and no answer being made of any adult. After about 25 minutes licensee returned the call to LPA Mendoza and licensee opened the door and allowed entry to facility. Licensee stated that she did not open the door because she thought LPAs were salesmen and felt that the safety of the children could be in danger if the door was opened. LPA Penate contacted local PD to follow up and cancelled Wellness Check at facility.

LPAs toured the home inside and outside and a census was taken. LPAs reviewed current facility sketch and confirmed that the dining room, kitchen, daycare room, hallway bathroom and living room are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use doorknob spinners.

There is a built-in swimming pool in the backyard which is fenced and made inaccessible. The pool gate is self-latching, self-closing and opens away from the swimming pool. No windows or doors have direct access to the pool area.

There are no firearms or ammunition on the premises. All poisons are kept in a locked storage area. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

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.

This is a two-story/multi-level home and stairs are gated when children under age 5 years old are present. Safe toys and play equipment are observed. The home has working telephone service and LPAs confirmed the phone number is (559) 360-6059.

Continued on LIC809-C

SUPERVISOR'S NAME: Cynthia Brannon	TELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Aurelio Mendoza	TELEPHONE: (559) 815-8119
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2023

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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CAVALLA,JANICE	FACILITY NUMBER: 103900058
	VISIT DATE: 09/01/2023

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Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained.

LPAs 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 11/18/2021. Licensee’s pediatric CPR/First Aid certification expires on 06/11/2024. A review of records indicates that all employees and/or volunteers have immunization records on file for pertussis and measles. During inspection LPAs verified staff files and it was confirmed that influenza declination was not completed. Licensee and assistant completed declination for flu during inspection and was reminded to complete from August 1^st through December 1^st of each year.

LPAs discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPAs discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPAs discussed safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPAs also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. During file review LPAs verified form LIC9227 that were incomplete with children representative and licensee signature were not present after discussion of infant rolling over. During inspection licensee placed infant in car seat to feed an infant, LPAs had to advise licensee that car seats should not be accessible to children in care and also should never be used to feed children. LPAs advised licensee to utilize equipment made for feeding children only.

Continued on LIC809-C

SUPERVISOR'S NAME: Cynthia Brannon	TELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Aurelio Mendoza	TELEPHONE: (559) 815-8119
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2023

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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CAVALLA,JANICE	FACILITY NUMBER: 103900058
	VISIT DATE: 09/01/2023

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with Licensee Janice Cavalla. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPAs verified the RSO profile in FAS.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: (see next page).

Licensee was provided appeal rights.

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: Cynthia Brannon	TELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Aurelio Mendoza	TELEPHONE: (559) 815-8119
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/01/2023 02:16 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CAVALLA,JANICE	FACILITY NUMBER: 103900058
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/01/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102391(b)

Inspection Authority of the Department

(b) The licensee shall permit the Department to inspect the family child care home, and to privately interview children or staff, to determine compliance with or to prevent violations of family child care laws or regulations. The Department shall exercise this authority as specified in Health and Safety Code Section 1596.8535(a). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. Please see LIC809 for further information regarding deficiency. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/01/2023
	Plan of Correction
1 2 3 4	LPAs discussed CCLD's inspection authority parameters and reiterated Title 22 regulations speaking to the department's legal authority to conduct unannounced licensing inspections.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Cynthia Brannon	TELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Aurelio Mendoza	TELEPHONE: (559) 815-8119
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2023

LIC809 (FAS) - (06/04)

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