103908144-5-20-2019-04-CC-SNAO-BCCP9E-20190520110701

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103908144
Report Date: 05/20/2019
Date Signed: 05/20/2019 11:07:09 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:	ANOOSHIAN, KATHERINE FAMILY CHILD CARE		FACILITY NUMBER:	103908144
ADMINISTRATOR:	ANOOSHIAN, KATHERINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 287-0559
CITY:	FRESNO	STATE: CA	ZIP CODE:	93711
CAPACITY:	14	CENSUS: 9	DATE:	05/20/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Katherine Anooshian		TIME COMPLETED:	11:20 AM

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	On 5/20/2019 at 8:40 AM, Licensing Program Analyst (LPA), Stephanie Navarro, conducted an unannounced annual/random inspection. LPA met with Licensee, Katherine Anooshian. Also present was Assistant, Jennifer Bringetto. LPA conducted a tour of the home, inside and outside, as shown on the facility sketches (LIC 999A) provided. There are no pets at this facility. There are no "bodies of water" or firearms in this home. There are no poisons on the premises. During inspection, LPA observed two of the fourteen drawers/cabinets in the kitchen area not locked with items that are a potential hazard to children in care. Licensee immediately locked one of the cabinets and removed items from the second drawer. Licensee is reminded to keep drawers locked where items are inaccessible to children in care. Fireplace is inaccessible to children as it is barricaded by glass door. 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 telephone and number was verified. Capacity as specified on the license is being maintained. Licensee has a current roster of the children. Licensee maintains documentation of immunizations for the children. Licensee maintains documentation of immunizations for staff. Licensee has provided parents with a copy of the Family Child Care Home Notification of Parent's Rights (LIC 995A). Licensee documents and conducts fire drills 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 provided Adult Pediatric CPR/First Aid card and expires 8/12/2020. Licensee stated she and staff have not completed the AB1207 Mandated Reporter Training. 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. Continued 809-C

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
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: ANOOSHIAN, KATHERINE FAMILY CHILD CARE	FACILITY NUMBER: 103908144
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/20/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Facility Administration - Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
	Deficient Practice Statement
1 2 3 4	This requirement is not met as evidenced by observation and interview conducted during today’s inspection. Licensee stated staff has not completed the AB1207 Mandated Reporter Training. This poses a potential risk to health, safety, or personal rights of children in care.
	POC Due Date: 06/20/2019
	Plan of Correction
1 2 3 4	Licensee agreed to have staff complete the AB1207 Mandated Reporter Training and send a copy of Certificate of Completions to Community Care Licensing (CCL) Fresno Regional Office by 6/20/2019.

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: Susie Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019

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: ANOOSHIAN, KATHERINE FAMILY CHILD CARE	FACILITY NUMBER: 103908144
	VISIT DATE: 05/20/2019

NARRATIVE

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Hours of operation are Monday – Thursday; 09:00am -12:00pm. Licensee stated facility is closed during the summer and operates August-May. Licensee provides a snack to children in care.

Incidental Medical Services (IMS) policy was discussed. Licensee stated she is not providing IMS services at this time. 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 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

LPA & licensee discussed the Community Care Licensing website, Lead Safety and Mandated Reporter Training: LPA and licensee discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN. LPA left a copy of A Child Care Provider’s Guide to Safe Sleep.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations the following deficiency is cited on LIC 809-D.

Licensee was handed a copy of appeal rights. Exit interview was conducted with Katherine Anooshian.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

LIC 9213 NOTICE OF SITE INSPECTION FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
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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