153905822-7-8-2019-04-CC-GRES-BDVT6K-20190708142716

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153905822
Report Date: 07/08/2019
Date Signed: 07/08/2019 02:27:28 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:	CASTILLO, ZENAIDA FAMILY CHILD CARE		FACILITY NUMBER:	153905822
ADMINISTRATOR:	CASTILLO, ZENAIDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 721-7416
CITY:	DELANO	STATE: CA	ZIP CODE:	93215
CAPACITY:	14	CENSUS: 6	DATE:	07/08/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Zenaida Castillo		TIME COMPLETED:	03:30 PM

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 inspection is conducted by Licensing Program Analyst (LPA) Gloria Reyes. LPA met with Licensee, Zenaida Castillo who was caring for nine children. Licensee stated that her assistant had just left to an appointment and a parent would be arriving soon to pick up her children. Approximately, seven minutes later, a parent arrived and picked up four children leaving six children in care. Licensee is Spanish Speaking. Licensee only resides in the home. 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. LPA toured the facility inside and outside. The “off limits” rooms are as follows: two bedrooms (west side of home), bathroom and garage and have knob covers or locks on the doors. A set of required forms were left today in Spanish. No bodies of water on site. No firearms or ammunition are in the home. Storage areas for detergents, cleaning compounds, medications and other items which could pose a danger to children are stored where they are inaccessible to children. Poisons are locked. No fireplace in the home. Fire extinguisher, smoke detector, and carbon monoxide detector are operable and in place. The home is kept clean and orderly, with heating and ventilation for safety and comfort. There are no stairs in this home. The home provides safe toys, play equipment, and materials. The licensee is present in the home and ensures that children in care are supervised at all times. The backyard is used as the play yard and is fenced. The shed in the backyard is locked. No pets observed. When temporarily absent from the home, the licensee arranges for a substitute adult to care for and supervise children in her absence. Each child has safe, healthful, and comfortable accommodations, furnishings, and equipment. The home has a current roster of the children and a copy was secured. The home conducts fire and disaster drills at least once every six months, and documents the date and time of each drill. Licensee documents immunizations and maintains and updates records for children in care. 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. There are no excluded individuals in the home. Licensee is aware that upon notice from the Department, (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: 07/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2019

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: CASTILLO, ZENAIDA FAMILY CHILD CARE	FACILITY NUMBER: 153905822
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/08/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/08/2019 Section Cited CCR 102416.5(c)	1 2 3 4 5 6 7	Staffing Ratio and Capacity. The total licensed capacity for a Small Family Child Care Home shall not exceed eight children. This requirement was not met as evidenced by the licensee having 9 children in care without an assistant when LPA arrived to the facility. This is an immediate risk to the health, safety or personal rights of children in care.	1 2 3 4 5 6 7	A parent arrived within 7 minutes to pick up children thus placing the facility back into capacity compliance. Licensee agrees to make prior arrangements with her staff to avoid placing her facility out of staff/ratio compliance.
Type B 08/23/2019 Section Cited HSC 1597.622(a)(1)	1 2 3 4 5 6 7	Employees or volunteers at family day care home; immunization requirements; records; exemptions. Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and	1 2 3 4 5 6 7	Licensee to submit assistant's immunizations records for pertussis, measles and influenza to the CCL office by POC date 8/23/19 to avoid civil penalty.
	8 9 10 11 12 13 14	volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by staff file review that licensee does not have proof of any immunization's for her assistant. This poses a potential risk to the health, safety, or personal rights of children in care.	8 9 10 11 12 13 14
	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: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Gloria Reyes	TELEPHONE: (559) 341-4471
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2019

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: CASTILLO, ZENAIDA FAMILY CHILD CARE	FACILITY NUMBER: 153905822
	VISIT DATE: 07/08/2019

NARRATIVE

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any excluded individual must be immediately removed from the home and prevented from returning to home or having contact with children in care. All individuals subject to a criminal record review have obtained a criminal record clearance or exemption prior to working, residing, or volunteering in a licensed home. The licensee and other personnel as specified have completed training on preventive health practices including Pediatric CPR and Pediatric First Aid are current and expires on 02/16/20. LPA verified that the required immunizations have been completed by the licensee. LPA reviewed with licensee the requirements for staff related to the Mandated Child Abuse Reporter (AB 1207) training required by staff. The website may be found at: (www.mandatedreporterca.com). Licensee understands once available in Spanish both her and her assistant to take on-line training and provide a copy of certificate to licensing. 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.
Incidental Medical Services (IMS) policy was discussed. 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.
Hours of operation: Seven days a week, less than 24 hours.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, deficiencies cited on the attached LIC 809D.

An exit interview conducted with licensee, Zenaida Castillo. A copy of this report and appeal rights were provided and discussed. 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: 07/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2019

LIC809 (FAS) - (06/04)

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