153910756-11-25-2019-04-CC-TMAZ-BJ9S52-20191125123339

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153910756
Report Date: 11/25/2019
Date Signed: 11/25/2019 12:33:45 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:	GARCIA, MIGUEL & NORMA FAMILY CHILD CARE		FACILITY NUMBER:	153910756
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS:	DATE:	11/25/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Miguel & Norma Garcia		TIME COMPLETED:	12:45 PM

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On this date, Licensing Program Analyst (LPA)Theresa Marquez conducted an unannounced Case Management inspection as a 90-day follow-up of initial application and licensure. LPA Marquez met with Licensees Miguel and Norma Garcia. LPA toured the home inside and outside and a census was taken. Licensee has a working telephone and the above telephone number was verified.
Postings such as Emergency Disaster Plan, Earthquake preparedness checklist, facility license and Notification of Parents Rights poster are posted on front entrance wall.

Current facility sketch reviewed, and Licensee confirmed that the living room, bedroom #4, the dining area, the playroom, the hall bathroom and the fenced backyard are used for providing care and are accessible to children. Off-limits rooms are made inaccessible by child safety plastic door knobs and child safety gates. Safe toys and play equipment are observed. There are no stairs in this home. The fireplace located in the play room is made inaccessible and will not be in use during day-care hours. There is working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort.
Cleaning compounds, medication and other hazardous items are made inaccessible. Firearms and ammunition are properly stored in accordance to Title 22 regulations in an off limits room. No poisons were observed during inspection.

The outdoor play area in the backyard is fenced and there are no hazards to children present. There are no swimming pools or other bodies of water on the premises. No pets were observed.

Hours of operation are Monday-Friday, Saturday-Sunday 24 hours a day, with no over 23 hours of continuous care.

Continued LIC809-C

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2019

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: GARCIA, MIGUEL & NORMA FAMILY CHILD CARE	FACILITY NUMBER: 153910756
	VISIT DATE: 11/25/2019

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Capacity as specified on the license is being maintained. Licensee’s pediatric CPR/First Aid expires on 2/16/2021. Mandated Reported Training was completed on 4/25/2019 and 4/26/2019. An emergency fire/disaster drill has been completed within the last 6 months.

A review of records indicates that immunization records are in file for children and adults. Licensee has a current roster of the children and maintains emergency information and forms as required. Adequate supervision is being provided during this visit. All adults who reside or work in the home have a criminal record clearance. There are no excluded individuals present at this home.

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 these services.

The following information regarding Americans with Disability Act (ADA) was provided: US Department of Justice toll free ADA Information line at (800) 514-0301 (voice) and (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm for Commonly Asked Questions about Child Care Centers and the ADA.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINS), Quarterly Updates, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Licensee is to submit an updated facility sketch to include the living room as accessible to children by 12/2/2019.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were cited.

This report shall be made available to the public upon request.

LIC 9213 Notice of Site Inspection is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2019

LIC809 (FAS) - (06/04)

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