103910055-11-17-2022-04-CC-ROCA-CL9QXY-20221117113419

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103910055
Report Date: 11/17/2022
Date Signed: 11/17/2022 11:34:28 AM

Document Has Been Signed on 11/17/2022 11:34 AM - 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:	BIGELOW, SHENIKA FAMILY CHILD CARE		FACILITY NUMBER:	103910055
ADMINISTRATOR:	BIGELOW, SHENIKA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 288-1283
CITY:	FRESNO	STATE: CA	ZIP CODE:	93722
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 5	DATE:	11/17/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Shenika Bigelow		TIME COMPLETED:	11:45 AM

NARRATIVE

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On 11/17/2022, Licensing Program Analyst (LPA) Ruby Ocegueda, conducted an unannounced Annual Required Inspection and was met by Licensee, Shenika Bigelow. Days and hours of operation are Monday through Friday 7:30 AM to 5:30 PM.

LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed today. Licensee confirmed that the children have access to the kitchen, dining area, one hall bathroom, living room, day care room and converted garage. The children primarily use the converted garage for care and there is a baby gate that is placed between the converted garage and the rest of the home and from the yard. Licensee assists children when they go to the bathroom due to their age and abilities. Licensee also uses the den for napping children. LPA inspected the den today and no hazards were found. Bedroom #1 and Master bedroom are off limits and made inaccessible by locked door and/or top door chain locks. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. During the inspection of the back yard, multiple bottles of motor oil were observed near a shed. Licensee confirmed the observation and indicated that the yard is used for care at times. The bottles were immediately removed and placed in a locked shed. LPA did not observe any accessible medication, cleaning compounds or other hazards inside the home.

The fireplace located in the living room is made inaccessible by a glass door and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Outside there was one wood toy structure that was beginning to chip, LPA discussed this observation with licensee and she stated she would repair it or remove it. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 288-1283.

There are currently no infants in care. LPA discussed Safe Sleep Regulations with licensee. Report continued to 809-C

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

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 11/17/2022 11:34 AM - It Cannot Be Edited

Created By: Ruby Ocegueda On 11/17/2022 at 11:08 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: BIGELOW, SHENIKA FAMILY CHILD CARE	FACILITY NUMBER: 103910055
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/17/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(4)

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: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. 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. During the inspection of the play yard, LPA observed multiple plastic containers of motor oil near a shed on the side of the yard. Licensee stated that she does use the yard on occassion for care. This which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/01/2022
	Plan of Correction
1 2 3 4	Today, licensee removed the bottles of motor oil and placed them inside the locked shed. Licensee stated that she would not leave these items outside and check her yard before letting the children out to play to ensure no hazards were there. Deficiency cleared today.

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

LICENSING EVALUATOR NAME:

Ruby Ocegueda

LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

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: BIGELOW, SHENIKA FAMILY CHILD CARE	FACILITY NUMBER: 103910055
	VISIT DATE: 11/17/2022

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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. The outdoor play area in the backyard is fenced and there are no hazards to children present. 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. Licensee’s Mandated Reporter Training was completed on 3/5/2021. Licensee’s pediatric CPR/First Aid expires on 5/10/2023. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza and pertussis. Licensee could not find proof of measles vaccine today, however was previously verified. Licensee was advised that all pertinent records should be available for review during inspections.

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.

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 any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link 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.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D) Licensee was provided a copy of appeal rights.

An exit interview was conducted with licensee today. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

LIC809 (FAS) - (06/04)

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