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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103911517
Report Date: 05/24/2021
Date Signed: 05/24/2021 03:59:18 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:WHITBEY, LINDA FAMILY CHILD CAREFACILITY NUMBER:
103911517
ADMINISTRATOR:WHITBEY, LINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 240-1847
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY:14CENSUS: 0DATE:
05/24/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Linda WhitbeyTIME COMPLETED:
04:10 PM
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Prior to today's inspection, LPA telephoned call applicant and conducted the COVID-19 Emergency Response Tele-Inspection Screening Process. On May 24, 2021, Licensing Program Analyst (LPA), Norma Lomeli met with Applicant, Linda Whitbey for a pre-licensing/ change of location inspection. Applicant and her husband reside in the home. Licensee’s Assistant will be Denise Thigpen who completed the CPR/First Aid training through Pediatric Plus with Emergency Medical Services Authority stickers (EMSA) and expires on May 8, 2023. Background clearances are discussed and LIS 531 is signed indicating that the adults currently living in the home and/or providing care and supervision to children have a criminal record clearance. Fire clearance was granted on May 19, 2021.

Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed:
  • Fire clearance was received on May 21, 2021. Fire alarm is located in the downstairs hallway wall that is located near the downstairs bathroom.
  • This is a two story, four bedrooms and two and a half bathrooms home and children will have access to the living room, dining room, kitchen, family room and downstairs bathroom. There is a gate at the bottom of the stairs making upstairs area inaccessible. Off-limits rooms are made inaccessible by use of plastic door knob covers and a child proof safety gate.
  • There is a fireplace in the family room that applicant states it will not be used during day-care hours.
  • LPA observed children size furniture, safe toys and books for the children. Children will nap in the living room on mats. Applicant states that she does not provide care for infants. Applicant understands she is to supervise children at all times.
(Continued on LIC809-C):
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma LomeliTELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
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: WHITBEY, LINDA FAMILY CHILD CARE
FACILITY NUMBER: 103911517
VISIT DATE: 05/24/2021
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  • Facility has 2A10BC fire extinguisher, smoke alarm, carbon monoxide alarm and first aid kit in place.
  • Applicant’s Pediatric CPR and First Aid certification was completed through Pediatric Plus with Emergency Medical Services Authority stickers (EMSA) and expires on January 11, 2022.
  • Knives are stored on a top shelf inside the inaccessible kitchen pantry. Medications are stored inside a top kitchen cabinet. Cleaning compounds are stored in the inaccessible laundry room.
  • Advised applicant fire drills are to be conducted once every 6 months and must be documented with date and time. A fire drill log was provided as an example.
  • Applicant is advised at least one staff member with current training in pediatric first aid and pediatric CPR is to be on site at all times children are present.
  • There is an in-ground pool that is fenced with white rod iron fence and a wooden fence. The gate is self-latching/self-closing and swings away from the pool.
  • There are two small dogs that will be kept upstairs. The two dogs will be accessible to the day care children. Applicant is advised it is her responsibility to ensure the safety of children in care at all times from the pets.
  • Applicant states there are no firearms or ammunition in the home or premises. Poisons are kept in locked cabinet that is located in the garage.
  • Applicant is reminded that any advertising (of day-care) such as business cards, flyers/posters, and/or signs must include facility number as per Title 22 Regulation "Advertisements and License Number" 102359 (a).
  • Applicant is advised that smoking is prohibited on the premises of a family child care home as specified in Health and Safety Code Section 1596.795(a). Applicant states the home is smoke-free.
  • Applicant states she will not be transporting day care children. Applicant understands that she must have proper restraints and/or car seats for all the children under her care when transporting children.
(Continued on LIC809-C):
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma LomeliTELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: WHITBEY, LINDA FAMILY CHILD CARE
FACILITY NUMBER: 103911517
VISIT DATE: 05/24/2021
NARRATIVE
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  • Fenced backyard has a fenced area on the side run of the home where there is a large wooden structure on top of artificial turf. There is also a cemented and sodded area for the day care children. LPA observed five Little Tikes Peddle and Go carts, a Little Tikes basketball hoop, Little Tikes play house and other safe toys. There is patio furniture. LPA also observed a barbecue grill that is covered. Applicant states that she will also be walking the children to a nearby neighborhood park. Applicant understands that she must have 100% visual supervision of the day care children when playing outdoors in an unfenced area.
  • SB 792 immunizations verified and on file.
  • Applicant completed the Mandated Reporter Training February 3, 2020. Licensee’s Assistant completed the training
  • LPA discussed safe sleep pending regulations and Safe Sleep Regulation Concepts were given to applicant.
  • 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.

Required postings, forms packet, which included Parent Notification Requirement and LIC9224 were provided and discussed in detail. Applicant is advised that she may access CCLD website at www.ccld.ca.gov for additional forms and licensing updates. She is also reminded that it is her responsibility to read the regulations periodically. Applicant states she will operate her day care Monday through Friday from 7:00 AM to 5:30 PM and as arranged. No overnight care will be provided.

LPA & applicant discussed the Community Care Licensing website: LPA and applicant discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN.



(Continued on LIC809-C):
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma LomeliTELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: WHITBEY, LINDA FAMILY CHILD CARE
FACILITY NUMBER: 103911517
VISIT DATE: 05/24/2021
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Applicant is advised the following items must be corrected within the next 30 days to avoid possible withdraw.
  • Applicant will install fencing that meets Title 22 Regulations. LPA observed one window and one door from the home's garage that have direct access to the wooden fence that barricades that in-ground swimming pool. The wooden fence does not meet Title 22 Regulations.
  • Applicant will provide of proof of Mandated Reporter Training certification for assistant.

Pending verification of corrections of the above items and a second prelicensing inspection, provisional licensure as a Large Family Day Care Home capacity of 14 children ages under 18 years will be recommended.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma LomeliTELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4