153909883-8-13-2019-04-CC-CHAS-BEZNXF-20190813105103

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153909883
Report Date: 08/13/2019
Date Signed: 08/13/2019 10:51:08 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:	SIMS, SHAINA & JAMILAH FAMILY CHILD CARE		FACILITY NUMBER:	153909883
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 7	DATE:	08/13/2019
TYPE OF VISIT:	POC	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Shaina & Jamilah Sims		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	Licensing Program Analyst (LPA) Caroline Harris conducted a Plan of Correction visit today. LPA met with licensee's, Shaina and Jamilah Sims. The purpose of todays visit is to clear deficiencies that were previously cited on 7/16/19. Upon inspection of the inside, the LPA observed in the kitchen area, there to be cleaning supplies such as Pine Sol and Ammonia in a lower cabinet to the left of the sink and other cleaning supplies under the sink that were accessible to children. In the hall bathroom that the children use, there was nail polish, some hair products and shampoo down in the shower that was accessible to children. The "off limits" bedrooms did not have child proof devises or were locked, making the rooms still accessible to children. The licensee also did not complete the Mandated Child Abuse Reporting training. The license did, however pay her licensing fees. Exit interview conducted with Shaina and Jamilah Sims. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are found (see next page): 809 D A copy of this report was provided and discussed along with appeal rights. THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. To order forms, etc. visit our website at www.ccld.ca.gov

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2019

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: SIMS, SHAINA & JAMILAH FAMILY CHILD CARE	FACILITY NUMBER: 153909883
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/13/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/13/2019 Section Cited CCR 102417(g)	1 2 3 4 5 6 7	OPERATION OF A FAMILY CHILD CARE HOME: LPA observed "off limits" rooms not having door spinners or being locked and were accessible to children. This is a potential threat to the health & safety of children	1 2 3 4 5 6 7	The purpose of todays visit was to clear deficiencies that were previously cited on 7/16/19. Licensee placed door spinners on off limits rooms during todays inspection.
	8 9 10 11 12 13 14	in care who could have access to harmful items in those rooms.	8 9 10 11 12 13 14
Type B 08/16/2019 Section Cited CCR 1596.8662(b)(1)	1 2 3 4 5 6 7	On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.	1 2 3 4 5 6 7	The purpose of todays visit was to clear deficiencies that were previously cited on 7/16/19. Licensee stated that she will take the mandated reporter Training AB 1207 by the new due date of 8/16/19 and have it available for review.
	8 9 10 11 12 13 14	training every two years following the date on which he or she completed the initial mandated reporter training. This requirement was not met as evidenced by licensee not completing the Mandated Reporter Training AB 1207 by the POC due date. This poses a potential health/safety risk to the children in care.	8 9 10 11 12 13 14

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: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2019

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: SIMS, SHAINA & JAMILAH FAMILY CHILD CARE	FACILITY NUMBER: 153909883
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/13/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/16/2019 Section Cited CCR 102417(g)(4)	1 2 3 4 5 6 7	Operation of a Family Child Care Home. Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger to children shall be stored where they are inaccessible to children.	1 2 3 4 5 6 7	The purpose of todays visit was to clear deficiencies that were previously cited on 7/16/19. Licensee's to install safety latches or relocate keep out of reach items and have available for review by the due date of 8/16/19. A return visit will take place to clear this deficiency.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by the LPAs observations as described on 809 report. This poses a potential Health and Safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	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: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2019

LIC809 (FAS) - (06/04)

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