153910318-6-20-2019-04-CC-DQAZ-BDBTYG-20190620150844

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153910318
Report Date: 06/20/2019
Date Signed: 06/20/2019 03:08:49 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:	WOFFORD, JOVAN FAMILY CHILD CARE		FACILITY NUMBER:	153910318
ADMINISTRATOR:	WOFFORD, JOVAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 444-6179
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93309
CAPACITY:	14	CENSUS: 1	DATE:	06/20/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:35 PM
MET WITH:	Jovan Wofford		TIME COMPLETED:	03:25 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	Licensing Program Analyst(LPA) Daniel Alvarez met with Licensee Jovan Wofford today for an unannounced Annual/Random inspection. A tour and inspection of the home, inside and outside, as shown on the facility sketch is provided. There is a fireplace in the home that will not be used during day-care hours. Background clearances were discussed and the LIS 531 was signed indicating that the adults living in the home and/or providing care and supervision to children are background cleared. Fire and disaster drills are being conducted and documented at least once every six months. There is a working telephone and number was verified. Adequate supervision is being provided during this visit. Capacity as specified on the license is being maintained. LPA observed safe toys, safe indoor play areas, child safety plugs in unused electrical outlets, child safety latches on cabinets and/or cabinets with safe items. Smoke and carbon monoxide detectors, fire extinguisher, and first aid kit are operable and in place. Room that are accessible to day-care children are the living room, dining room, kitchen, rooms #1 & #2 and hall bathroom. Off-limits rooms are made inaccessible by child safety plastic spinning door knobs. CPR, first aid training and health and safety training are current expiring 02/11/2021. Licensee stated there are no firearms or "bodies of waters" in the home, nor did LPA observe these items. Licensee does have one small size dog that will not be inaccessible to day-care children. Licensee is aware of child safety around pets and is responsible for her pets actions. A child roster is maintained. Required postings are correct. Day-care hours of operation are Mondays through Friday 6:00AM to 6:00PM and as arranged.

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Daniel Q Alvarez	TELEPHONE: (559) 341-8684
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019

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: WOFFORD, JOVAN FAMILY CHILD CARE	FACILITY NUMBER: 153910318
	VISIT DATE: 06/20/2019

NARRATIVE

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Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

LPA discussed the Community Care Licensing website and Mandated Reporter Training: LPA discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to www.ccld.ca.gov, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN. LPA left a copy of A Child Care Provider’s Guide to Safe Sleep. LPA informed Licensee of Safe Sleep practices for infants and how to provide Safe Sleep environments. LPA informed Licensee to visit the Department’s website (www.ccld.ca.gov) for updates and changes related to licensing regulations and procedures.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, no deficiencies were found during today's inspection.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Daniel Q Alvarez	TELEPHONE: (559) 341-8684
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019

LIC809 (FAS) - (06/04)

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