153902419-8-8-2019-04-CC-TMAZ-BEUTSY-20190808145954

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153902419
Report Date: 08/08/2019
Date Signed: 08/08/2019 03:00:04 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:	FRANCISCO, LIL FAMILY CHILD CARE		FACILITY NUMBER:	153902419
ADMINISTRATOR:	FRANCISCO, LIL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 835-9941
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93313
CAPACITY:	14	CENSUS: 7	DATE:	08/08/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Lil Francisco		TIME COMPLETED:	02:15 PM

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Licensing Program Analyst (LPA) Theresa Marquez conducted an unannounced Annual inspection and met with Licensee Lil Francisco. Also present was Licensee’s minor assistant. The working telephone number was verified. Postings such as facility license, Emergency Disaster Plan, Earthquake preparedness checklist, and Notification of Parent’s Rights are posted on the day care room wall.

LPA Marquez conducted a tour of the home, inside and outside. The rooms accessible to children in care: day care entrance room, the day care room and an adjacent half bathroom. Off-limits rooms are made inaccessible via locked doors. There is no fireplace. A working fire extinguisher is present. The smoke detector and carbon monoxide indicator were tested and observed to be operational. There are no stairs in the home. Adequate supervision is being provided during this inspection.

Children are supervised when outside in the fenced play area. Licensee has a turtle and is aware of the safety of children around animals. The swimming pool is fenced per regulation. The pool gate is self-latching, self-closing and opens away from the swimming pool. There are no firearms and/or ammunition in the home.

Capacity as specified on the license is being maintained. Licensee has a current roster of the children. A random sample of Children’s files were reviewed for documentation of immunizations. Licensee maintains immunizations; pertussis, measles and influenza for herself. Licensee has provided parents with a copy of the Family Child Care Home Notification of Parent's Right (LIC995A). The most recent fire drill was conducted on 3/18/2019. All adults who reside or work in the home have a criminal record clearance and/or exemption. Pediatric CPR/First Aid is current and expires 7/15/2021. 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 advance notice.

Days and hours of operation are Sunday through Saturday, 24 hours a daily.

(Continued on LIC809-C)

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019

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: FRANCISCO, LIL FAMILY CHILD CARE	FACILITY NUMBER: 153902419
	VISIT DATE: 08/08/2019

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Days and hours of operation are Sunday through Saturday, 24 hours a daily.

LPA & Licensee discussed the Community Care Licensing (CCL) website, newly proposed Safe Sleep regulations, Mandated Reporter Training and the new additions to the website that include the Provider Information Notifications (PIN), including the Quarterly Updates that informs licensees of new legislation and regulations.

LPA discussed Incidental Medical Services (IMS) and provided Licensee with a copy of the Plan for IMS – Family Child Care Home Requirements (FCCH). For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for FCCH Section 102417. No IMS are being provided at this time.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency was observed on the attached LIC809-D.

A copy of Licensee Appeal Rights was provided to Lil Francisco today.

THE LICENSING FORM LIC9213 NOTICE OF SITE VISIT IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019

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: FRANCISCO, LIL FAMILY CHILD CARE	FACILITY NUMBER: 153902419
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/08/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/29/2019 Section Cited HSC 1596.8662(b)(1)	1 2 3 4 5 6 7	TRAINING FOR MANDATED REPORTER WHO IS A LICENSED DAY CARE PROVIDER - On or before 3/30/2018, a person who, on 1/1/2018, is a licensed child care provider, admin., or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every 2 years following the date on which he or she completed the initial mandated reporter training.	1 2 3 4 5 6 7	Licensee stated she will complete the required Mandated Reporter Training by August 29, 2019.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by interview and record review. Licensee acknowledge she has not completed the required Mand. Reporter Training. This poses a potential Health, Safety, Personal Rights risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019

LIC809 (FAS) - (06/04)

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