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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103909038
Report Date: 02/24/2021
Date Signed: 02/24/2021 12:41:18 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:BROWN, DARYLMIKA FAMILY CHILD CAREFACILITY NUMBER:
103909038
ADMINISTRATOR:BROWN, DARYLMIKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 940-3270
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY:14CENSUS: 11DATE:
02/24/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Darylmika Brown - LicenseeTIME COMPLETED:
12:45 PM
NARRATIVE
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On 2/24/2021, Licensing Program Analysts (LPAs) Joseph Pacheco and LPA Jeovanna Yanez conducted an unannounced case management inspection. Licensee was not present at the time of LPAs arrival. Licensee arrived at the FCCH minutes after the LPAs arrival. Licensee stated she left the home for an emergency matter. At the time of arrival, LPAs observed Adult #1 caring for eleven children ranging from infants to teenagers with no other adults present. LPAs met with Licensee to discuss Community Care Licensing (CCL) regulations. LPAs discussed the purpose of the inspection with Licensee and obtained a census.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found (see LIC809-D):

"Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months."

A copy of LIC 9224 was given to licensee. LPA provided Licensee with a copy of Appeal Rights. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit Form is required to be posted for 30 days.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2021
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: BROWN, DARYLMIKA FAMILY CHILD CARE
FACILITY NUMBER: 103909038
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/25/2021
Section Cited

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If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement was not met as evidenced by LPAs observation.
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When LPA’s arrived, Licensee was gone and Adult #1 was supervising eleven children by themselves. This is an immediate risk to the health, safety or personal rights of children in care.
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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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2021
LIC809 (FAS) - (06/04)
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