153906799-8-18-2021-04-CC-JTHN-C5ZUMN-20210818154238

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153906799
Report Date: 08/18/2021
Date Signed: 08/18/2021 03:42:43 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:	ERVIN, MARY FAMILY CHILD CARE		FACILITY NUMBER:	153906799
ADMINISTRATOR:	ERVIN, MARY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 549-1048
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93312
CAPACITY:	14	CENSUS: 11	DATE:	08/18/2021
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Mary Ervin - Licensee		TIME COMPLETED:	03:55 PM

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On 8/18/21, Licensing Program Analyst (LPA) Jessika Thompson met with Licensee Mary Ervin for an unannounced Case Management Incident inspection. LPA toured the facility and a census was taken; also present was the licensee's assistant.

An Unusual Incident was recently reported to the Community Care Licensing Division (CCLD) regarding ratio non-compliance occurring within the Mary Ervin Family Child Care Home (FCCH). The purpose of today's inspection was to review and address this incident. On 8/12/21 Licensee reported to CCLD that she had been out of ratio a few times in the month of June 2021. Licensee stated that once summer vacation began, one of her school age children began arriving to care at around 12:00 PM, while she and her assistant were already providing care to four infants, eight preschoolers and one additional school age child, resulting in her FCCH being out of compliance for a few hours on occasion. Licensee stated that after being notified that she was out of ratio by the food program, she realized her error, and in the month of July of 2021, one infant was dis-enrolled, bringing her back into compliance.

Today LPA thoroughly reviewed ratio requirements with Licensee and provided her with pertinent handouts. Licensee understands that she can only have a total of three infants in care when her total capacity reaches 14 (when an assistant is present).

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: (see next page, LIC809-D) Licensee was provided a copy of their appeal rights.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit was provided and is required to be posted for 30 days.

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika Thompson	TELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021

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: ERVIN, MARY FAMILY CHILD CARE	FACILITY NUMBER: 153906799
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/18/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/30/2021 Section Cited	1 2 3 4 5 6 7	A large family day care home may provide care for more than 12 children and up to and including 14 children, if all of the following conditions are met: No more than three infants are cared for during any time when more than 12 children are being cared for.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by information obtained by LPA. On 8/12/21, Licensee reported to CCLD that she had been out of ratio on a few occasions in June of 2021. This poses a potential risk to the health, safety, or personal rights of children in care.	8 9 10 11 12 13 14	Additionally, Licensee stated she will write a statement detailing the methods she will employ to ensure ratio compliance on an ongoing basis. This POC in entirety shall be submitted to CCLD Fresno by 8/30/21.
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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: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika Thompson	TELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021

LIC809 (FAS) - (06/04)

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