103909767-8-30-2019-04-CC-DMEO-BFJRW2-20190830132226

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103909767
Report Date: 08/30/2019
Date Signed: 08/30/2019 01:22:33 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:	GARCIA, ILDA FAMILY CHILD CARE		FACILITY NUMBER:	103909767
ADMINISTRATOR:	GARCIA, ILDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 318-1640
CITY:	SELMA	STATE: CA	ZIP CODE:	93662
CAPACITY:	14	CENSUS: 4	DATE:	08/30/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:20 PM
MET WITH:	Ilda Garcia		TIME COMPLETED:	01:35 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 Analysts (LPA) Diane Mercado and Kathy Pacheco conducted an unannounced annual inspection. LPAs met with Licensee Ilda Garcia. LPAs conducted a tour of the home, inside and outside, as shown on the facility sketches (LIC 999A) provided. The rooms accessible to children in care are: living room, kitchen, front hallway bathroom and backyard. Off-limits rooms are made inaccessible via plastic door knob spinners and locks. There are no swimming pools or other bodies of water on the premises. No poisons were observed on the premises. There are no firearms or ammunition on the premises. Licensee has one small dog and one small bird that is accessible to children. Licensee understands the liability and safety of children around pets and accepts responsibility. Safe toys and play equipment are observed. Cleaning compounds, medication and other hazardous items are made inaccessible. All poisons are kept in a locked storage area. There is a fireplace in this home which is made inaccessible and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide indicator, and adequate heating and ventilation for safety and comfort. There is a working telephone (559) 891-7529 number was verified. Adequate supervision is being provided during this inspection. Children are supervised while in the fenced backyard play area. Capacity as specified on the license is being maintained. Licensee maintains documentation of immunizations for the children. Licensee maintains documentation of immunizations for pertussis, measles and influenza for herself. Licensee has provided parents with a copy of the Family Child Care Home Notification of Parent's Rights (LIC 995A). 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. Pediatric CPR/First Aid is current and expires 04/28/20. Mandated Reporter training AB 1207 is current and expires 02/27/21. 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 on 809-C)

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: 5596507890(559) 243-8080
LICENSING EVALUATOR NAME: Diane Mercado	TELEPHONE: (559) 341-6334
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019

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: GARCIA, ILDA FAMILY CHILD CARE	FACILITY NUMBER: 103909767
	VISIT DATE: 08/30/2019

NARRATIVE

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Postings such as Emergency Disaster Plan, Earthquake preparedness checklist, facility license and notification of parents rights poster are posted on living room wall. Licensee confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address. Days and hours of operation are Monday – Friday; 5:00 AM – 5:00 PM.

Incident 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 she provides 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) 414-0383 TTY and link to http: //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 other information.

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: 5596507890(559) 243-8080
LICENSING EVALUATOR NAME: Diane Mercado	TELEPHONE: (559) 341-6334
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019

LIC809 (FAS) - (06/04)

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