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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153910261
Report Date: 02/06/2020
Date Signed: 02/06/2020 02:08:18 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:REYES, LILIANA FAMILY CHILD CAREFACILITY NUMBER:
153910261
ADMINISTRATOR:REYES, LILIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 709-4247
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY:14CENSUS: 0DATE:
02/06/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Liliana ReyesmTIME COMPLETED:
02:30 PM
NARRATIVE
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On February 6, 2020, an unannounced case management inspection is conducted today by Licensing Program Analyst, (LPA) Gloria Reyes. LPA met with Licensee, Liliana Reyes. The purpose of today's visit is to conduct a 90 Day follow-up on initial capacity increase. The individuals who reside in the home are the licensee, licensee's spouse, two adult children and two minor children. Background clearances were reviewed and verified. 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. A tour of the home, inside and outside, as shown on the facility sketch was done. The areas of the home that day-care children will have access to are the flex room and the bathroom. Required forms are posted. Children's files were not reviewed today, as there are no children in care. Licensee is reminded that once she has children in care, she must maintain children's records, a child roster and document disaster drills. Fire extinguisher, smoke detector, carbon monoxide detector and first aid kit are operable and in place. Off-limits rooms are made inaccessible by child safety plastic spinning door knobs. There are no "bodies of water" in this home. Health and Safety training, Pediatric CPR, and Pediatric First Aid training are current. LPA verified that the required immunizations and the required Mandated Child Abuse Reporter (AB 1207) training has been completed by the licensee. Storage areas for firearms and other dangerous weapons are inaccessible to children, and locked. Ammunition is locked separately. The Lead Brochure was provided. Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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. Days/Hours of Operation: Monday through Friday, 5:00 AM to 5:00 PM.

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

Exit interview 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 remain posted for 30 days.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Gloria ReyesTELEPHONE: (559) 341-4471
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2020
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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