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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153905379
Report Date: 05/05/2020
Date Signed: 05/05/2020 03:39:10 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:PLATERO, DOLORES FAMILY CHILD CAREFACILITY NUMBER:
153905379
ADMINISTRATOR:PLATERO, DOLORESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 326-9402
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY:14CENSUS: 5DATE:
05/05/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Dolores PlateroTIME COMPLETED:
03:40 PM
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On this date, 5/5/2020, Licensing Program Analyst (LPA) Ruby Ocegueda conducted a case management-other inspection through video call and spoke to licensee Dolores Platero. An on site case management inspection was not possible today due to Covid-19 pandemic social restrictions. Licensee stated she understood. The reason for this case management-other inspection was to address two concerns that arose during the course of a complaint investigation that was conducted by LPA Ocegueda.

Today, LPA advised licensee that when leaving out of town for vacation and leaving assistants in her place, licensee is to ensure that assistant(s) also have the Health and Safety course as well as all the required forms and proof of training's that she as a licensee is required to have. LPA directed licensee to inquire about Health and Safety courses offered in her area by contacting her local Resource and Referral agency and contact information was provided. LPA reviewed the requirements that her assistants should have in case of her prolonged absence. LPA also reminded licensee it was best practice to inform the parents of children in care of her foreseeable prolonged absence and to also inform the licensing agency of any closures or details of any prolonged absence at her facility. Licensee stated she understood.

On 3/17/2020, while conducting a complaint inspection, LPA observed a trampoline in the back yard. Today LPA informed licensee that after consultation with the department, it was recommended licensee remove the trampoline structure to avoid any child safety issues. Although Licensee stated today that she only allows one child at a time on the trampoline as indicated on the manufactures instructions, Licensee was in agreement and stated that she was going to remove the trampoline immediately to ensure the safety of all children.

Per the California Code or Regulations, Title 22, Division 12, Chapter 3, no deficiency was cited today.

An exit interview was conducted with licensee Dolores Platero today. Licensee understands that a copy of this report will be mailed to her and she will need to mail back a signed copy report 809 to Community Care Licensing (CCL).
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2020
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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