153911130-1-21-2020-04-CC-JPEE-BL2RQ3-20200121121251

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153911130
Report Date: 01/21/2020
Date Signed: 01/21/2020 12:13:01 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:	ARCINIEGA, MARICELA FAMILY CHILD CARE		FACILITY NUMBER:	153911130
ADMINISTRATOR:	ARCINIEGA, MARICELA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 303-3920
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93306
CAPACITY:	14	CENSUS: 10	DATE:	01/21/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Maricela Arciniega		TIME COMPLETED:	12:30 PM

NARRATIVE

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An unannounced Annual inspection was conducted by Licensing Program Analyst (LPA) Jose Penate. LPA met with Licensee, Maricela Arciniega (Spanish speaking) and her Assistant. 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 living room, kitchen, dining room, bedroom #1, bathroom, 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 inaccessible to daycare children. Poisons are locked. The home has a fireplace and it inaccessible during daycare hours, licensee has placed a metal gate in front of the fireplace that has a lock. 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. There are no stairs in this home.

The home provides safe toys, play equipment, and materials. Licensee has no 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.

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.

The home does not have a current roster of the children. Licensee has not completed a fire and disaster drill since the change of location that was approved on 12/27/2019.

Continued on LIC 809-C

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Jose Penate	TELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2020

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: ARCINIEGA, MARICELA FAMILY CHILD CARE	FACILITY NUMBER: 153911130
	VISIT DATE: 01/21/2020

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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 12/07/2021. 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 reviewed with licensee the requirements for staff related to the Mandated Child Abuse Reporter training required by staff. The website may be found at: (www.mandatedreporterca.com).

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, deficiencies cited today (See LIC 809-C).

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 Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Jose Penate	TELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2020

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: ARCINIEGA, MARICELA FAMILY CHILD CARE	FACILITY NUMBER: 153911130
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/21/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/15/2020 Section Cited	1 2 3 4 5 6 7	Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement was not met as evidenced by: Based on observation and records review conducted during today's inspection, licensee failed to provide
	8 9 10 11 12 13 14	LPA with a current roster. This poses a potential risk to health, safety, or personal rights of children in care.	8 9 10 11 12 13 14
Type B 02/15/2020 Section Cited	1 2 3 4 5 6 7	Each family child care home shall conduct fire drills and disaster drills at least once every six months. The licensee shall document the drills, including the date and time of each drill. This documentation shall be kept at the family child care home. This requirement was not met as evidenced by: observation, interview, records
	8 9 10 11 12 13 14	review, licensee failed to produce a fire drill log reflecting current fire drills. This poses a potential risk to the health, safety, or personal rights of children in care.	8 9 10 11 12 13 14

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: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Jose Penate	TELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2020

LIC809 (FAS) - (06/04)

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