103909638-1-31-2020-04-CC-TMAZ-BLCVDW-20200131152122

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103909638
Report Date: 01/31/2020
Date Signed: 01/31/2020 03:21:28 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:	BUITRON, CRYSTAL FAMILY CHILD CARE		FACILITY NUMBER:	103909638
ADMINISTRATOR:	BUITRON, CRYSTAL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 283-2588
CITY:	FRESNO	STATE: CA	ZIP CODE:	93730
CAPACITY:	14	CENSUS: 8	DATE:	01/31/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:41 AM
MET WITH:	Crystal Buitron		TIME COMPLETED:	01:45 PM

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On January 31, 2020, Licensing Program Analyst (LPA), Theresa Marquez, conducted an unannounced annual inspection and was met by Licensee, Crystal Buitron. Also present was Assistant Alesis Sims. LPA toured the home inside and outside and a census was taken. Licensee has a working telephone and the above telephone number was verified.

Postings such as Emergency Disaster Plan, Earthquake preparedness checklist, facility license and Notification of Parents Rights poster are posted on the front entrance wall.

Current facility sketch reviewed. This is a two story home, the entire first floor of the home is accessible to children in care, minus the laundry room and the garage. All other rooms are off-limits and made inaccessible by use of door knob spinners. Safe toys and play equipment are observed. Stairs are barricaded when children under age 5 years old are present. The fireplace located in the living room is made inaccessible and will not be in use during day-care hours. There is working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort.

Cleaning compounds, medication and other hazardous items are made inaccessible. There are no firearms or ammunition on the premises. No poisons were observed during inspection.

The outdoor play area in the backyard is fenced. Swimming pool is fenced per regulation. 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. Licensee has 1 turtle and 1 rabbit that are inaccessible to children. Licensee understands the liability and safety of children around pets and accepts responsibility.

Capacity as specified on the license is being maintained. Licensee’s pediatric CPR/First Aid expires on 8/11/2020. Mandated Reported Training was completed on 9/19/1918. An emergency fire/disaster drill has been completed within the last 6 months.

Continued LIC809-C

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020

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: BUITRON, CRYSTAL FAMILY CHILD CARE	FACILITY NUMBER: 103909638
	VISIT DATE: 01/31/2020

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A review of records indicates that immunization records are in file for children and adults. Licensee has a current roster of the children and maintains emergency information and forms as required. Adequate supervision is being provided during this visit. All adults who reside or work in the home have a criminal record clearance or exemption.

Hours of operation are Monday-Friday, 7:30 AM to 5:30 PM.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide these services.

The following information regarding Americans with Disability Act (ADA) was provided: US Department of Justice toll free ADA Information line at (800) 514-0301 (voice) and (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm for Commonly Asked Questions about Child Care Centers and the ADA.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINS), Quarterly Updates, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were cited.

This report shall be made available to the public upon request.

LIC 9213 Notice of Site Inspection is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020

LIC809 (FAS) - (06/04)

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