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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103911517
Report Date: 09/29/2021
Date Signed: 09/29/2021 04:14:51 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:
5592401847
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY:14CENSUS: 9DATE:
09/29/2021
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Linda WhitbeyTIME COMPLETED:
04:25 PM
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On 09/29/2021, Licensing Program Analyst (LPA), Luisa Gavoutian, conducted an unannounced post licensing inspection. LPA was greeted by Licensee Linda Whitbey, who accompanied LPA on a tour of the home, inside and outside, as shown on the facility sketches (LIC 999A) provided. Also present was a fingerprint-cleared assistant. Present during today’s inspection were nine children. The areas of the home that are accessible to the daycare children are the living room, dining room, kitchen, family room, bathroom, and fenced backyard. “Off-limits” rooms are made inaccessible by child safety gate and doorknob spinner.

Two dogs were observed during today’s inspection; Licensee is aware of the safety of children around animals. Licensee stated there are no firearms in this home. Swimming pool is fenced per regulation. The pool gate is self-latching, self-closing and opens away from the swimming pool. No windows or doors have direct access to the pool area. No poisons were observed during the inspection. LPA observed a container of disinfectant wipes and a disinfecting spray that were within reach of children. Licensee made the items inaccessible. Fireplace is inaccessible to children by glass door. There is a working fire extinguisher. LPA tested the smoke detector and carbon monoxide indicator, which were both in working condition. Stairs are barricaded when children under age 5 years old are present. Safe toys and play equipment were observed.

LPA and Licensee discussed safe sleep regulations. Licensee understands that Licensee must check on sleeping infants up to 24 months every 15 minutes and document the time of the check and initials of individual performing the check.

There is a working telephone and cellphone number was verified. Adequate supervision is being provided during this inspection. Children are supervised when outside in the play area and there are no hazards to children present. Capacity as specified on the license is being maintained. (Continued LIC 809-C)
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
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: WHITBEY, LINDA FAMILY CHILD CARE
FACILITY NUMBER: 103911517
VISIT DATE: 09/29/2021
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Licensee maintains a current roster of the children. An emergency fire/disaster drill shall be completed and documented within six months. Licensee maintains documentation of immunizations for influenza, pertussis, and measles for herself and staff. Licensee’s Pediatric CPR/First Aid are current expiring on 01/11/2022. Licensee’s Mandated Reporter training certificate was completed on 02/03/2020. 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 advanced notice. Days and hours of operation are Monday – Friday; 7:00 a.m. – 5:30 p.m.

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) 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: http://www.ada.gov/childqanda.htm

LPA & Licensee discussed the Community Care Licensing (CCL) website (www.ccld.ca.gov) which provides access to Provider Information Notices (PINs), Quarterly Updates, Mandated Reporter Training, Forms, and Regulations. Licensee stated she is receiving PINs and updates through email. LPA discussed infant items permitted in Family Child Care Homes and left a visual handout. LPA provided Licensee with the “Effects of Lead Exposure” brochure in accordance with AB 2370, Chapter 676, Statutes of 2018.

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 Visit is provided and required to be posted for 30 days.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
LIC809 (FAS) - (06/04)
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