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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103900546
Report Date: 01/10/2025
Date Signed: 01/10/2025 01:14:51 PM

Document Has Been Signed on 01/10/2025 01:14 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:PIMENTEL, JUANAFACILITY NUMBER:
103900546
ADMINISTRATOR/
DIRECTOR:		PIMENTEL,JUANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 945-1417
CITY:HURONSTATE: CAZIP CODE:
93234
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
01/10/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Juana PimentelTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 01/10/25, Licensing Program Analyst (LPA) Martha De Haro, conducted an unannounced Annual Random Inspection and was met by Licensee, Juana Pimentel. Licensee is Spanish speaking and LPA provided interpretation. The home has working telephone service and LPA confirmed the phone number is 559-945-1417. Licensee’s hours of operation are Monday through Friday, 5 am to 4:30 pm.

LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that the living room, kitchen, converted garage, hall bathroom, and front yard are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by using plastic door spinners. This is a single story home and there are no stairs in the home. Licensee stated that there is no swimming pool or other body of water on the property, which LPA confirmed via observation. Licensee stated that there are firearms and ammunition in the home, which LPA observed were stored separately and appropriately in an off limits area. 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.

The home does not have a fire place or any open face heaters. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Safe toys and play equipment are observed. Licensee has several birds in cages on the outside of her home. Licensee understands the liability of pets around day care children and accepts responsibilities of any action taken by pets.

LPA discussed the 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-and-resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] 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. (Continued on LIC 809-C)
Kari McWilliamsTELEPHONE: (559)341-5422
Martha DeHaroTELEPHONE: (559) 341-3920
DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2025
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: PIMENTEL, JUANA
FACILITY NUMBER: 103900546
VISIT DATE: 01/10/2025
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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. Car seats are used for transportation purposes only and are not used for sleeping children. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were mostly complete. Licensee agreed to obtain any missing forms from parents. Licensee’s and Assistant #1’s Mandated Reporter Training was completed on 01/30/23. Licensee’s and Assistant #1’s pediatric CPR/First Aid expires on 10/04/26.

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.

During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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/.

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.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. (Continued on LIC 809-C)
SUPERVISOR'S NAME: Kari McWilliamsTELEPHONE: (559)341-5422
LICENSING EVALUATOR NAME: Martha DeHaroTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025
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: PIMENTEL, JUANA
FACILITY NUMBER: 103900546
VISIT DATE: 01/10/2025
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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.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were cited during today’s inspection.

Exit interview conducted and report was reviewed with licensee Juana Pimentel.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights were also given to licensee.
SUPERVISOR'S NAME: Kari McWilliamsTELEPHONE: (559)341-5422
LICENSING EVALUATOR NAME: Martha DeHaroTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025
LIC809 (FAS) - (06/04)
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