103909685-7-8-2022-04-CC-KVAG-CG5RJN-20220708130412

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103909685
Report Date: 07/08/2022
Date Signed: 07/08/2022 01:04:26 PM

Document Has Been Signed on 07/08/2022 01:04 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	LARA, ANNETTE FAMILY CHILD CARE		FACILITY NUMBER:	103909685
ADMINISTRATOR:	LARA, ANNETTE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 776-5770
CITY:	FRESNO	STATE: CA	ZIP CODE:	93727
CAPACITY:	14	CENSUS: 4	DATE:	07/08/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Annette Lara		TIME COMPLETED:	01:15 PM

NARRATIVE

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On 07/08/2022, Licensing Program Analysts (LPAs) Ka Vang and Jessika Thompson conducted an unannounced Annual Required Inspection and was met by Licensee, Annette Lara. Also present was Staff #2 (S2). Days and hours of operation are Monday through Friday, from 6:00 AM to 6:00 PM.

The home has a working telephone service and LPA confirmed the phone number is (559) 776-5770.

LPAs toured the home inside and outside, and a census was taken and there were 4 day care children present. Current facility sketch (LIC 999A) was reviewed, and Licensee confirmed that the living room, kitchen, family room, daycare room, and hallway bathroom are used for providing care and accessible to children. All other rooms are off-limits and made inaccessible by use of baby plastic doorknob cover. There are no firearms in the home. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are inaccessible. There is a fireplace located in the living room but made inaccessible to the children by fire screen.

There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Fire drills are conducted and documented with the date, time and how many children present, every six months.

This is a two-story home; the second story of the home is inaccessible to children as there is a child safety gate at the base of the staircase. Safe toys and play equipment were observed and are in good condition, free of sharp, loose, or pointed parts.

The outdoor play area in the backyard is accessible to the children. There is one dog in the facility. Licensee understands the liability of pets around day care children and accepts responsibilities of any action taken by pets. During today’s inspection LPAs observed an above ground swimming pool in the backyard of the home. The swimming pool is not fenced or gated per regulation.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ka Vang	TELEPHONE: (559) 410-0327
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2022

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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Document Has Been Signed on 07/08/2022 01:04 PM - It Cannot Be Edited

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: LARA, ANNETTE FAMILY CHILD CARE	FACILITY NUMBER: 103909685
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/08/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

102417(g)(5)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above as LPAs observed an accessible above ground pool in the backyard of the home. LPAs measured the pool to be 4 feet height, containing appoximately 3 feet 2 inches of water. Additionally, there is no fencing surrounding the pool. This poses an immediate health, safety or personal rights risk to persons in care. A civil penalty of $500 was assessed.
	POC Due Date: 07/09/2022
	Plan of Correction
1 2 3 4	Licensee began draining the water from the pool during today's inspection. Licensee stated that she will submit photograpic proof that the pool is completely drained of water to the Fresno Community Care Licensing office by 07/09/2022. Licensee understands that an ongoing civil penalty of $100 per day will be assessed until this violation is corrected.

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: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ka Vang	TELEPHONE: (559) 410-0327
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2022

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: LARA, ANNETTE FAMILY CHILD CARE	FACILITY NUMBER: 103909685
	VISIT DATE: 07/08/2022

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Licensee has one infant enrolled (Child #3). There is one play yard for each infant in care, the play yard is kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the play yard. Infants are not swaddled while in care. Licensee was unable to provide proof of physically checking on Child #3 every fifteen minutes. LPAs advised licensee that she is required to document any sign of distress, which includes but is not limited to flushed skin color, increase in body temperature, restlessness, and labored breathing on a sleeping log. Infants can be visually observed through an open door if sleeping in a separate room.

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 resources. LPA also informed licensee 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.

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 complete with emergency information as required; however, Child #1’s file was missing immunization records. Licensee’s Mandated Reporter training was completed on 04/20/2021. Staff #2’s Mandated Reporter training was completed on 06/28/2022. Licensee’s pediatric CPR/First Aid expires on 05/26/2024. Staff #2’s pediatric CPR/First Aid expires on 03/23/2023. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis, and measles.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ka Vang	TELEPHONE: (559) 410-0327
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2022

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: LARA, ANNETTE FAMILY CHILD CARE	FACILITY NUMBER: 103909685
	VISIT DATE: 07/08/2022

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Incidental Medical Services (IMS) policy was discussed. 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: https://www.ada.gov/childqanda.htm.

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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Licensee was provided a copy of appeal rights.

A notice of site visit was given and must remain posted for 30 days.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D).

Upon receipt of a Type A violation, 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 the Fact Sheet-Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee.

Exit interview conducted and report was reviewed with the facility Annette Lara.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ka Vang	TELEPHONE: (559) 410-0327
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2022

LIC809 (FAS) - (06/04)

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