103906110-5-20-2019-04-CC-DDMZ-BCD3GW-20190520181500

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103906110
Report Date: 05/20/2019
Date Signed: 05/20/2019 06:15:07 PM

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:	CARDENAS, PATRICIA FAMILY CHILD CARE		FACILITY NUMBER:	103906110
ADMINISTRATOR:	CARDENAS, PATRICIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 646-1408
CITY:	PARLIER	STATE: CA	ZIP CODE:	93648
CAPACITY:	14	CENSUS: 11	DATE:	05/20/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Patricia Cardenas		TIME COMPLETED:	03:20 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Diana Martinez conducted an unannounced annual/random inspection. LPA met with licensee Patricia Cardenas. Also present was husband/assistant Jose Cardenas. Eleven children were present today. LPA conducted an interior and exterior tour of the home. The accessible rooms are the living room, dining room, kitchen, daycare room, bathroom, and for napping purposes bedroom #3 and bedroom #1 (master bedroom). The off-limit rooms are made inaccessible with child safety plastic door knob covers. Safe, healthful, and comfortable accommodations, furnishings, and equipment were observed. Also observed were safe toys, play equipment, and materials. In the backyard, which is inaccessible to day care children, licensee has two small dogs that are kept in a fenced kennel on the south side of home. Licensee is aware of the safety of children around animals. Swimming pool is fenced per regulation and is in the inaccessible back yard. No poisons were observed on the premises. Cleaning compounds, medications and other hazardous items are inaccessible to children. Fireplace in daycare room is inaccessible to children and not used during day care hours. Fireplace also has a bumper guard around the hearth. There is a working fire extinguisher, smoke detector, carbon monoxide indicator, and adequate heating and ventilation for safety and comfort. There are no stairs in the home. There is a working landline telephone and number was verified. Adequate supervision is being provided during this visit. Fenced area on the west side of the front yard is used for outdoor play and contains plastic climbing equipment. Capacity as specified on the license is being maintained. A current roster of the children in care is maintained. Licensee maintains documentation of immunizations for the children. Licensee maintains documentation of immunizations against pertussis, measles and influenza for herself and assistants. Pediatric CPR/First Aid are current with the expiration date of 4/7/20. LPA discussed Incidental Medical Services (IMS) policy and provided handout Plan for Providing Incidental Medical Services (IMS) – FCCH Requirements. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was (See next page)

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Diana D Martinez	TELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019

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: CARDENAS, PATRICIA FAMILY CHILD CARE	FACILITY NUMBER: 103906110
	VISIT DATE: 05/20/2019

NARRATIVE

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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: http://www.ada.gov/childqanda.htm.

Licensee has provided parents with a copy of the Identification and Emergency Information form (LIC 700). Fire drills are conducted and documented with the date and time every six months. Licensee is aware that children are never to be left in parked vehicles. 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. Licensee is aware that upon notice from the Department, any excluded individual must be immediately removed from the home and prevented from returning to the home or having contact with children in care. Licensee is aware that any authorized employee of the Department may enter and inspect any place providing personal care and services at any time, with or without advance notice.

Days and hours of operation are Monday – Friday from 7:00 AM – 5:45 PM.

LPA reviewed and provided information to licensee regarding safe sleep, lead exposure, parents’ board, children's files, instructions on accessing PINs and quarterly updates, and instructions on accessing the mandated reporter training as licensee and assistants need to obtain certificates as deadline was 3/30/18 for existing licensees. LPA also discussed with licensee that if no assistant provider is present at a large FCCH, then licensee must comply with the capacity requirements for a small FCCH. Licensee was provided with a fire drill log for future use.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiencies cited during today's visit.

An exit interview was conducted with licensee Patricia Cardenas and a copy of this report was provided and discussed. A Notice of Site Visit Form (LIC 9213) was posted on parent's board and must remain posted for 30 days.

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Diana D Martinez	TELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019

LIC809 (FAS) - (06/04)

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