103910550-12-13-2021-04-CC-ROCA-C9NRTD-20211213121811

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103910550
Report Date: 12/13/2021
Date Signed: 12/13/2021 12:18:21 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:	IBARRA, IRMA FAMILY CHILD CARE		FACILITY NUMBER:	103910550
ADMINISTRATOR:	IBARRA, IRMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 254-5157
CITY:	PARLIER	STATE: CA	ZIP CODE:	93648
CAPACITY:	14	CENSUS: 1	DATE:	12/13/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Irma Ibarra		TIME COMPLETED:	12:35 PM

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On 12/13/2021, Licensing Program Analyst (LPA), Ruby Ocegueda conducted an unannounced Annual Required Inspection and was met by Licensee, Irma Ibarra. Also present was Staff #1 (S1). Before entering the home, LPA conducted a Covid-19 safety screening. Days and hours of operation are Monday – Friday, 5:00 AM – 9:00 PM or other hours as arranged.

LPA toured the home inside and outside and a census was taken. Current facility sketch was reviewed. Licensee no longer uses the kitchen and the dining room and has a wooden half door with safety latch to prevent children from entering this area. Accessible rooms/areas are hall bathroom, living room #1, living room #2 and room #1 that is used to isolate any ill children. All other rooms are off-limits and made inaccessible by use of chain locks at the top of the doors. Licensee requested that her bedroom (bedroom #1) be noted as inaccessible as she does not use it and will use either living room #1 or living room #2 to isolate ill children. No children were observed in room #1 today. Today, LPA removed bedroom #1, kitchen and dining room from facility sketch. Licensee understands that if she ever resumes care in these areas, they must be inspected first by the Department. Facility sketch was updated (licensee signed and dated today). There is no swimming pool or other bodies of water on the premises. Licensee stated there are are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

The fireplace located in living room #1 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. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 367-1991.

Report continued on 809-C.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2021

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: IBARRA, IRMA FAMILY CHILD CARE	FACILITY NUMBER: 103910550
	VISIT DATE: 12/13/2021

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There are currently no infants in care. LPA discussed Safe Sleep Regulations with licensee in detail and provided technical assistance with required forms (Infant Sleep plan LIC 9227) and 15 minute documentation requirements.

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 04/2023. Licensee’s pediatric CPR/First Aid expires on 06/2022. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

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, no deficiencies are cited 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.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2021

LIC809 (FAS) - (06/04)

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