153902470-5-16-2019-04-CC-GRES-BC8P5E-20190516110036

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153902470
Report Date: 05/16/2019
Date Signed: 05/16/2019 11:00:44 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:	CADAOAS, ELISEA FAMILY CHILD CARE		FACILITY NUMBER:	153902470
ADMINISTRATOR:	CADAOAS, ELISEA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 725-4317
CITY:	DELANO	STATE: CA	ZIP CODE:	93215
CAPACITY:	14	CENSUS: 1	DATE:	05/16/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Elisea Cadaoas		TIME COMPLETED:	11:00 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	An unannounced Annual/Random inspection is made today by Licensing Program Analyst (LPA) Gloria Reyes. LPA met with Licensee, Elisea Cadaoas. Also, present is licensee's mother. This facility is licensed as a large facility of 14, there must be an additional qualified staff person present anytime the facility goes beyond the ratio for a capacity of eight. A tour of the home, inside and outside, as shown on the facility sketch is provided. The rooms accessible to children are the living room, dining room, kitchen, and hall bathroom. Staff and Children were spoken to during visit. LPA observed security bars on the facility windows. The windows in the bedrooms and living room have safety release latches. The bars on the windows in the kitchen, and bathroom do not have safety release latches, however, there are exits available through the front and back doors and have been approved by the Fire Marshall. LPA observed that a new partial additional room has been added to the home which exits from the kitchen. This room is not to be used by day care children as licensee could not provide City permits. There are no "bodies of water" and no firearms in this home. Cleaning compounds, medications and other hazardous items are inaccessible to children. Poisons are locked. There is no fireplace in this home. There is a working fire extinguisher, a smoke detector, carbon monoxide detector and there is adequate heating and ventilation for safety and comfort. The licensee understands that children must be supervised at all times. The backyard is used as the play yard and is fenced. There are no stairs in the home. Safe toys and play equipment are observed. There is a working telephone. Adequate supervision is being provided during this visit. Capacity as specified on the license is being maintained. Staff-child ratios are maintained. Licensee has necessary information to contact parents in an emergency. The facility roster is maintained and a copy was secured at visit. LPA verified that the required immunizations for staff have been completed. LPA verified that the required Mandated Child Abuse Reporter (AB 1207) training has been completed by staff. (see next page)

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Gloria Reyes	TELEPHONE: (559) 341-4471
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019

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: CADAOAS, ELISEA FAMILY CHILD CARE	FACILITY NUMBER: 153902470
	VISIT DATE: 05/16/2019

NARRATIVE

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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. Pediatric CPR/Pediatric First Aid for Elisea Cadaoas expires 05/29/20. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address. An English Forms packet was provided.

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 provided information on Safe Sleep guidelines to the licensee. The practice of safe sleep for infants in care was reviewed. LPA provided Licensee with handouts on "Safe Sleep Regulations Concepts", "Individual Infant Sleeping Plan", “Safe Sleep in Child Care” brochure and on "Reducing the Risk of SIDS and SUID in Early Education and Child Care". Licensee was provided a copy of the “Lead Poisoning Facts” brochure. Licensee to refer to PIN 19-04-CCP, for further information.
Hours: Monday through Saturday, 5:00 AM to 7:00 PM.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency cited during today's visit.

An exit interview conducted with licensee, Elisea Cadaoas.
A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Gloria Reyes	TELEPHONE: (559) 341-4471
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019

LIC809 (FAS) - (06/04)

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