153910110-10-4-2019-04-CC-GRES-BGMRBY-20191004125332

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153910110
Report Date: 10/04/2019
Date Signed: 10/04/2019 12:53:40 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:	NAVA, MARIANA FAMILY CHILD CARE		FACILITY NUMBER:	153910110
ADMINISTRATOR:	NAVA, MARIANA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 229-9271
CITY:	DELANO	STATE: CA	ZIP CODE:	93215
CAPACITY:	14	CENSUS: 6	DATE:	10/04/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Mariana Nava		TIME COMPLETED:	01:30 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 Analyst (LPA) Gloria Reyes. LPA met with licensee, Mariana Nava and her assistant, Racquel Enriguez. The licensee is Spanish speaking. The individuals who reside in the home are the licensee and licensees' spouse. 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 areas of the home that day care children will have access to is the entire house minus bedroom #2, laundry room and the office. 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. Licensee has one small dog that will be inaccessible to day-care children by means of a gated area. Licensee is aware of child safety around pets and accepts responsibility for any actions taken by pet. When temporarily absent from the home, the licensee arranges for a substitute adult to care for and supervise children in her absence. The licensee maintains capacity specified on the license. Each child has safe, healthful, and comfortable accommodations, furnishings, and equipment. The home has a current roster of the children and will send a copy to CCLD. The home conducts fire and disaster drills every month, and documents the date and time of each drill. Licensee documents immunizations and maintains and updates records for children in care. There are no excluded individuals in the home. Licensee is aware that upon notice from the Department, 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. (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: 10/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

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: NAVA, MARIANA FAMILY CHILD CARE	FACILITY NUMBER: 153910110
	VISIT DATE: 10/04/2019

NARRATIVE

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The licensee and other personnel as specified have completed training on preventive health practices including Pediatric CPR and Pediatric First Aid is current and expires on 05/22/20. Incidental Medical Services (IMS) policy was discussed. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. LPA reviewed with licensee the requirements for staff related to the Mandated Child Abuse Reporter 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", on "Individual Infant Sleeping Plan" 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 Sunday, 5:00 AM to 10:00 PM or as arranged.

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: 10/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

LIC809 (FAS) - (06/04)

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