153910925-10-28-2019-04-CC-CHAS-BHDPBX-20191028111105

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153910925
Report Date: 10/28/2019
Date Signed: 10/28/2019 11:11:12 AM

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:	SOLIZ, ANGELICA FAMILY CHILD CARE		FACILITY NUMBER:	153910925
ADMINISTRATOR:	SOLIZ, ANGELICA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 565-8882
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93311
CAPACITY:	14	CENSUS: 11	DATE:	10/28/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Angelica Soliz		TIME COMPLETED:	11:30 AM

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	An unannounced Case Management inspection was conducted today by Licensing Program Analyst (LPA) Caroline Harris. LPA met with licensee, Angelica Soliz and her assistant. A tour of the facility inside and outside was made. There were eleven day-care children present. The purpose of today's visit was to conduct a post licensing (change of location) follow-up on the initial pre-licensing visit that took place on 5/17/19. Upon arrival the LPA observed a four month old child sitting in a bouncer. The LPA informed the licensee that bouncers were not allowed in day care facilities. The licensee removed the infant. This is a two story home. There is a fireplace in the home that will not be used during day-care hours. The areas of the home that day-care children will have access to are the converted garage that has been turned into her day-care room with an adjacent bathroom. The licensee also will be using the side back yard area once it is set up for day care children. LPA observed safe toys, safe indoor and outdoor play areas, child safety plugs in unused electrical outlets, child safety latches on cabinets and/or cabinets with safe items, and a clean and orderly home were all observed. Fire extinguisher, smoke and carbon monoxide detectors and first aid kit are operable and in place. Off-limits rooms are made inaccessible by child safety plastic spinning door knob. Licensee stated there are no firearms in this home, nor did LPA observed this item. There is an in-ground swimming pool located on the property that is properly fenced per title 22 regulations. Licensee does have two dogs that are kept in the backyard and are inaccessible to day care children. Licensee is aware of child safety around pets and accepts responsibility for any actions taken by pets. Children's files were reviewed. Five out of seven files reviewed did not have proof of immunizations. Licensee’s CPR and first aid training expires 6/12/20. The licensee did not have an updated roster available for review. Licensee was advised that forms and updated information may be obtained on the CCLD website (www.ccld.ca.gov). Licensee was also advised that it is her responsibility to stay current with regulations. Planned hours of operation are Mondays through Sunday 24 hours of day with no over 23 1/2 hours of continuous care.

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2019

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: SOLIZ, ANGELICA FAMILY CHILD CARE	FACILITY NUMBER: 153910925
	VISIT DATE: 10/28/2019

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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.

Licensee has provided parents with a copy of the Family Child Care Home Notification of Parent's Rights (LIC 995A). Fire drills are conducted and documented with the date and time every six months. Licensee is aware that children are never to be left in parked vehicles. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this 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 the home or having contact with children in care. Licensee is aware that any authorized employee of the Department may enter and inspect any place providing personal care and services at any time, with or without advance notice.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are found (see next page): 809 D

Exit interview was conducted with Licensee. LPA provided the licensee with information on Safe Sleep requirements and reviewed the regulation changes. Information on Lead Poisoning was also provided to the licensee and she was informed that copies need to be provided to all current parents and any future parents of children enrolled along with posting the information on the parent board.

A copy of this report was provided and discussed along with appeal rights. THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2019

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: SOLIZ, ANGELICA FAMILY CHILD CARE	FACILITY NUMBER: 153910925
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/28/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/28/2019 Section Cited	1 2 3 4 5 6 7	Operation of a Family Child Care Home. All homes shall have a current roster of the children. This requirement was not met as evidenced by the licensee not having a roster available for review. This is a possible risk to children in care.
Type B 11/01/2019 Section Cited	1 2 3 4 5 6 7	Immunizations, Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by five out of the seven children's files reviewed did not have proof of immunizations. This is a possible risk to children in care.	8 9 10 11 12 13 14
Type B 10/28/2019 Section Cited	1 2 3 4 5 6 7	Operation of a Family Child Care Home. The home shall provide safe toys, play equipment and materials. This requirement is not met as evidenced by the LPA observing a four month old child sitting in a bouncer. This is a possible risk to children in care.

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: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2019

LIC809 (FAS) - (06/04)

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