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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153805475
Report Date: 03/06/2020
Date Signed: 03/06/2020 11:28:15 AM

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:MARY'S CHILD CAREFACILITY NUMBER:
153805475
ADMINISTRATOR:ORTIZ, MARIANELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 758-4937
CITY:WASCOSTATE: CAZIP CODE:
93280
CAPACITY:14CENSUS: 3DATE:
03/06/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Marianela OrtizTIME COMPLETED:
11:30 AM
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On 03/06/2020, Licensing Program Analyst (LPA), Rene Mancinas JR, conducted an unannounced annual required inspection and met with Licensee, Marianela Ortiz, whom is Spanish speaking. LPA toured the home inspecting areas accessible to children and took a census. Licensee confirmed that the kitchen, dining room, two living rooms, children’s bathroom, and backyard are used for providing care and are accessible to children. This is a single-story home. There are no swimming pools or other bodies of water on the premises. There are no firearms or ammunition present at this facility. There are no pets at this home. Safe toys and play equipment are observed. Cleaning compounds, medication and other hazardous items are made inaccessible. No poisons were observed during inspection. There is a fireplace at this home that blocked off to prevent access to children in care. There is working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Capacity as specified on the license is being maintained. Licensee’s pediatric CPR/First Aid expires on 05/26/2020. Licensee completed Child Abuse Mandated Reporter Training on 03/16/2018 and understands training must be renewed every two years, and is required by licensee and any assistant who provide care and supervision to children. A review of records indicates that immunization records are in file for children. LPA verified Licensee has proof of pertussis, measles, and flu immunizations during today’s inspection. Licensee had a current roster of children in care and maintains emergency information and forms as required. Licensee has a working telephone and the above telephone number was verified. Adequate supervision is being provided during this visit. 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. Postings such as Emergency Disaster Plan, Earthquake preparedness checklist, facility license and notification of ‘Parents Rights’ poster are located near the front door entrance of the home. Hours of operation are Monday-Friday, 05:00 am to 05:00 pm, or as arranged.

(Continued on 809-C)

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Rene MancinasTELEPHONE: (559) 341-4524
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
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 2
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: MARY'S CHILD CARE
FACILITY NUMBER: 153805475
VISIT DATE: 03/06/2020
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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 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) 514-0383 (TDD) and website link https://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 provides access to Provider Information Notices (PINS), Quarterly Updates, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, and Licensing Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are being cited today. 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 FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Rene MancinasTELEPHONE: (559) 341-4524
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
LIC809 (FAS) - (06/04)
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