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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153810013
Report Date: 05/19/2021
Date Signed: 05/19/2021 07:00:59 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:ESCUELITA HERNANDEZ LITTLE SCHOOLFACILITY NUMBER:
153810013
ADMINISTRATOR:WALLACE, ADAFACILITY TYPE:
840
ADDRESS:909 CASTRO LNTELEPHONE:
(661) 412-7515
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93304
CAPACITY:14CENSUS: 10DATE:
05/19/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Raquel HernandezTIME COMPLETED:
02:45 PM
NARRATIVE
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On 05/19/2021, Licensing Program Analyst (LPA) Juvenal Moctezuma conducted an unannounced Case Management inspection and met with acting Assistant Director, Raquel Hernandez. LPA explained the reason of the inspection and a tour of the center was conducted both inside and outside and census were taken.

Based on previous visits and consulting with the licensee, LPA explained to Raquel that it was brought to licensings attention that she is the licensee to a family childcare home and is also considering herself this facility's acting site supervisor. LPA explained that a site supervisor shall be on the premises during the hours the center is in operation and as a site supervisor, she shall not accept outside employment that interferes with the duties and responsibilities of a site supervisor. LPA also explained to Raquel that licensing has not received a director packet from Raquel and therefore cannot be a site supervisor until it is determined that she is fully qualified. Especially since she has her own day-care home license to run.

Raquel stated that she is transitioning and will give up her day-care home license once this facility gets licensed for an infant license. Raquel stated that the center is in the middle of working with CapK and remodeling the center to add an infant component. LPA explained to Raquel that the site supervisor on file is Ada and she will need to take the site supervisor role until she can submit her director packet. If Ada is unable to fill the site supervisor role then the center has to hire someone who is qualified.

During a previous inspection it was observed that the school age room appeared cluttered with books and other alike items on top of shelves that could potentially fall on children. LPA also observed the pantry to be unlocked where the licensee stores her cleaning items and toxins like Raid, Lysol, and other alike items. The door leading to the laundry room and staff bathroom was also unlocked. LPA observed detergent and other cleaning items which were accessible to school age children. Licensee has since then corrected these items and stated that they will make sure all these items are inaccessible to children and will not store anything up high. During todays inspection the center appeared to be clean and free of toxins. LPA addressed the importance of not adding items to high mounted open shelving because things can fall and potentially harm a child. Raquel understood and stated she will remove such items.

Report Continued Onto LIC 809-C

SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2021
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 3
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: ESCUELITA HERNANDEZ LITTLE SCHOOL
FACILITY NUMBER: 153810013
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/19/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/31/2021
Section Cited

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Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (1) Storage areas for poisons shall be locked. This requirement was not met as evidenced by LPA observing
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Raid, Bleach, Lysol, laundry detergent, and other cleaning supplies stored in the kitchen pantry and laundry room which was open and accessible to school age children. This poses a potential health/safety risk to children in care.
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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 DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:
DATE: 05/19/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/19/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3
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: ESCUELITA HERNANDEZ LITTLE SCHOOL
FACILITY NUMBER: 153810013
VISIT DATE: 05/19/2021
NARRATIVE
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The following type B Deficiency was cited during todays inspection. Appeal rights were explained and provided to Raquel

LPA observed licensee post the Notice of Site visit.


FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2021
LIC809 (FAS) - (06/04)
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