153910756-6-17-2021-04-CC-TMAZ-C43VA8-20210617161530

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153910756
Report Date: 06/17/2021
Date Signed: 06/17/2021 04:16:10 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:	GARCIA, MIGHUEL & NORMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 431-8386
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93313
CAPACITY:	14	CENSUS: 5	DATE:	06/17/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Miguel & Norma Garcia		TIME COMPLETED:	02:15 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	On 6/17/2021, Licensing Program Analyst (LPA) Theresa Marquez conducted an unannounced Required inspection and met with Licensees Miguel & Norma Garcia. Licensees are English/Spanish speaking. A tour of the home was conducted, and a census was taken. Business hours are Monday through Friday 6:00 AM to 7:00 PM and other hours as arranged. Current facility sketch reviewed, and Licensee confirmed the living room, activity/dining area, playroom, bedroom #5, and the hall bathroom are used for providing care and are accessible to day care children. All other rooms are off-limits and are made inaccessible by use of safety gates and plastic locks on turning door handle. The fireplace located in the activity/dining area was accessible to children. Heating and ventilation was sufficient for safety and comfort. There were no stairs in the home. Safe toys and play equipment were observed. Licensee had a working telephone and the above telephone number was verified. LPA did not observe any poisons in the home. There is a working fire extinguisher, smoke detector, carbon monoxide indicator, and adequate heating and ventilation for safety and comfort. LPA discussed Safe Sleep Regulations with Licensee. There is one crib or play yard for each infant in care, cribs and play yards are kept free from all loose articles and objects while infants are sleeping. There are no objects hanging above or attached to the crib or play yard. Infants in care are not swaddled. Licensee physically checks on sleeping infants every 15 minutes and documents any signs of distress, to include but is not limited to: flushed skin color, increase in body temperature, restlessness, and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Incidental Medical Services (IMS) are not currently provided. Licensee is aware that an IMS plan is required to be submitted to the Licensing Office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA information line at (800) 514-0301 (voice), (800) 514-0383 (TDD), and website link: https://www.ada.gov/childqanda.htm. http://www.ada.gov/childqanda.htm

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021

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: GARCIA, MIGUEL & NORMA FAMILY CHILD CARE	FACILITY NUMBER: 153910756
	VISIT DATE: 06/17/2021

NARRATIVE

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A sample of children’s records contained all emergency information specified by regulation. There were no excluded individuals present at this home. All adults who reside or work in the home had a criminal record clearance or exemption. A review of records indicated Licensees have proof of their required immunizations including the flu shot. Licensee's Mandated Reporter Training was completed on 3/19/2021 and 4/23/2021. Licensee's pediatric CPR and First Aid expires on 3/28/2023 and 4/25/2023.
Adequate supervision was being provided during this inspection and capacity as specified on the license was being maintained.
LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms, and Regulations.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, the following deficiencies were found (see the attached page, LIC809D):

Effective today, the backyard is off-limits to day care children due to Licensee installed a 12x30 Intex above ground swimming pool that is not properly fenced per Title 22 regulations. LPA Marquez observed 1 bedroom window that has direct access to the swimming pool resulting in an immediate hazard to children in care. During this inspection, Licensee was instructed to begin draining the above ground pool, Licensee complied. A zero tolerance penalty of $500.00 was assessed today. Firearms and ammunition were properly stored and locked separately. The fireplace located in the activity/dining area was accessible to children.

An exit interview was conducted with Licensee. Licensee was provided a copy of the Facility Evaluation Report (LIC 809), Appeal Rights, and the Notice of Site Visit form (LIC 9213).
For Type A violations, Licensee shall post the Type A LIC809 and LIC9213 report immediately for the next 30 days. Copies of the Licensing report shall be provided to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Health & Safety Section 1596.859(a) shall be cited and a civil penalty of $100.00 for failure to provide copies to parents/guardians of children in care and newly enrolled children, and for failure to maintain written verification of receipt of licensing reports indicating a Type A violation (Acknowledgement of Receipt of Licensing Reports - LIC 9224). A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of the LIC 9224 was provided to Licensee.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/17/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/18/2021 Section Cited	1 2 3 4 5 6 7	OPERATION OF A FAMILY CHILD CARE HOME-Where an above-ground pool structure is used as the fence or where the fence is mounted on top of the pool structure, the pool shall be made inaccessible when not in use by removing or making the ladder inaccessible or erecting a barricade to prevent access to decking.
	8 9 10 11 12 13 14	If a barricade is used, the barricade shall meet the requirements of Section 102417(g)(5)(A). This requirement was not met as evidenced by LPA observation. The swimming pool was not properly fence per Title 22 regulations and a bedroom window was observed to have direct access to the pool. This poses an immediate Health, Safety and Personal Rights risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021

LIC809 (FAS) - (06/04)

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