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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153910110
Report Date: 05/24/2021
Date Signed: 05/24/2021 10:43:47 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:NAVA, MARIANA FAMILY CHILD CAREFACILITY NUMBER:
153910110
ADMINISTRATOR:NAVA, MARIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 229-9271
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY:14CENSUS: 8DATE:
05/24/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Mariana NavaTIME COMPLETED:
10:55 AM
NARRATIVE
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On 05/24/2021, Licensing Program Analysts (LPAs) Luisa Gavoutian and Roman Iglesias conducted an unannounced case management inspection. LPAs met with Licensee, Mariana Nava (Spanish-speaker), who accompanied LPAs during tour of facility both inside and outside. Present during the inspection were eight children. The purpose of the inspection was to address a deficiency that was found during the course of a complaint investigation. The complaint was investigated by Department of Social Services Community Care Licensing Investigations Branch (IB).

On 05/13/2021, IB Investigator Mariana Lomeli, Badge #111, arrived at the Licensee’s home at approximately 10:20 a.m. Upon arrival, Investigator Lomeli observed Licensee was providing care for ten daycare children alone (six school age children, four children ages 2-5). Licensee promptly called her assistant, Staff 1, who arrived at Licensee’s home shortly. Licensee stated to Investigator Lomeli that Staff 1 and her husband normally assist with the daycare, but her husband is unavailable due to his work schedule. LPAs provided Licensee with a visual handout explaining capacity and ratio and Licensee acknowledged understanding that she must comply with the capacity requirements of a Small Family Child Care Home, per California Code of Regulations (CCR) Section 102416.5(e). Today, Licensee stated in the short-term, her husband will be assisting with the daycare. Licensee has made an offer to Staff 1 to assist with the daycare full-time and permanently.

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

This report shall be made available to the public upon request. LIC9213 Notice of Site Visit is required to be posted for 30 days.

SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021
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: NAVA, MARIANA FAMILY CHILD CARE
FACILITY NUMBER: 153910110
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/08/2021
Section Cited

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Staffing Ratio and Capacity; If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement was not met as evidenced by:
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Based on observations by Investigator Lomeli, Licensee failed to remain within ratio, and was providing care for ten children on her own on 05/13/2021. This poses an immediate/potential risk to the health, safety, or personal rights of children.
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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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:
DATE: 05/24/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2021
LIC809 (FAS) - (06/04)
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