153909647-6-5-2019-04-CC-GRES-BCUSQ9-20190605140422

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153909647
Report Date: 06/05/2019
Date Signed: 06/05/2019 02:04:30 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:	CRUZ, ELIDA FAMILY CHILD CARE		FACILITY NUMBER:	153909647
ADMINISTRATOR:	CRUZ, ELIDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 932-7158
CITY:	DELANO	STATE: CA	ZIP CODE:	93215
CAPACITY:	14	CENSUS: 0	DATE:	06/05/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Elida Cruz		TIME COMPLETED:	02:30 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/Random inspection is conducted by Licensing Program Analysts (LPAs) Gloria Reyes and Diana Martinez. LPAs met with Licensee, Elida Cruz and licensee's spouse/assistant, Rigoberto Cruz. The individuals who reside in the home are the licensee, licensee's husband/assistant, Rigoberto Cruz, licensee's adult daughter and licensee's 2 minor children. 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. The entrance to the facility is the door adjacent to the front entrance. LPAs toured the facility inside and outside. There is a day care room with a bathroom at the front of the house. Licensee provided an updated Facility Sketch. There are no "bodies of water" or firearms in this facility. Cleaning compounds, medications and other hazardous items are inaccessible to children. Poisons are locked. Fireplace is screened to prevent access by children and is located in the main house. Fire extinguishers, smoke detectors, and carbon monoxide detector are operable and in place. The home is kept clean and orderly, with heating and ventilation (AC Unit) for safety and comfort. There are no stairs in the home. Safe toys and play equipment are observed. There is a working telephone. Outdoor play areas are fenced. One small dog and one medium dog are inaccessible in a separate yard. Licensee accepts all liability of any action taken by pets. Capacity as specified on the license is being maintained. Children’s records contain all emergency information specified by regulation. All adults who reside or work in the home have a criminal record clearance or exemption as indicated on LIS 531 – Facility Personnel Report Summary. The licensee and other personnel as specified have completed training on preventative health practices including Pediatric CPR and Pediatric First Aid and expires on 04/19/20 for Rigoberto Cruz and expires on 02/24/21 for Elida Cruz. LPAs verified that the required immunizations have been completed by staff. LPAs verified that the required Mandated Child Abuse Reporter (AB 1207) has been completed by staff. 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. (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: 06/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: CRUZ, ELIDA FAMILY CHILD CARE	FACILITY NUMBER: 153909647
	VISIT DATE: 06/05/2019

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
26
27
28
29
30
31
32

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. Days/Hours of operation: Monday through Saturday, 5:00 AM to 7:00 PM.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiencies cited.

Exit interview was conducted with licensee. A copy of this report was provided and discussed. A Notice of Site Visit Form was posted to parent’s board and must be 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: 06/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2