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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153910317
Report Date: 02/12/2020
Date Signed: 02/12/2020 01:31:03 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:MURILLO, NAOMI & ESTRADA, MARIA FCCFACILITY NUMBER:
153910317
ADMINISTRATOR:MURILLO, NAOMI/ESTRADA, MFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 742-0616
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY:14CENSUS: 4DATE:
02/12/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Licensee, Naomi MurilloTIME COMPLETED:
02:15 PM
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An unannounced Annual inspection was conducted by Licensing Program Analyst (LPA) Jose Penate. LPA met with Licensees, Naomi Murillo and Maria Estrada; a census was taken. 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 Day Care Room, hallway bathroom, front yard, and back yard. 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 stairs in the home. There is a working telephone and it was verified. There is a fireplace in the home and it is barricaded with a bookshelf and children do not have access. 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. Licensee has one large dog. Licensee is aware of child safety around pets and accepts responsibility for any action taken by pets. 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. The home conducts fire and disaster drills, 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.

Continued on LIC 809-C

SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020
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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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: MURILLO, NAOMI & ESTRADA, MARIA FCC
FACILITY NUMBER: 153910317
VISIT DATE: 02/12/2020
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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 11/15/2021. 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 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


Planned hours of operation are 7 days a week 24 hours a day with no continuous care over 23 1/2 hours.


Per California Code of Regulations, Title 22, Division 12, Chapter 1, 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: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020
LIC809 (FAS) - (06/04)
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