153911167-1-31-2020-04-CC-DQAZ-BLCU9M-20200131142323

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153911167
Report Date: 01/31/2020
Date Signed: 01/31/2020 02:23:30 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:	ARREDONDO, MICHELLE & CARLOS FAMILY CHILD CARE		FACILITY NUMBER:	153911167
ADMINISTRATOR:	ARREDONDO,MICHELLE&CARLOS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 298-2329
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93306
CAPACITY:	14	CENSUS: 0	DATE:	01/31/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Michelle Arredondo		TIME COMPLETED:	02:25 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	A planned Prelicensing inspection was made today by Licensing Program Analyst (LPA) Daniel Alvarez, who met with Licensee Michelle Arredondo. A tour of the home, inside and outside, as shown on the facility sketch was done. There is fireplace in the home that will not be used during day-care hours. This is a two story home with child safety gate located at the bottom of the stairs. The areas of the home that day care children will have access to are the living room, hall bathroom adjacent to kitchen, and kitchen. Background clearances were reviewed and verified. Licensee and her husband live in the home. The LIS 531 was signed indicating that the adults living in the home and/or providing care and supervision to children are background cleared. 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 children safety plastic spinning door knobs and child safety gates. Licensee stated there are no firearms in this home, nor did LPA observed this item. There is a in-ground swimming pool located on the property. There is also an empty pond located on the property. CPR, first aid training and health and safety training are current expiring 11/10/2020. Postings, forms, and immunization cards were provided and discussed. LPA discussed the practice of fire and disaster drills at least every 6 months and to document the date, time and number of children present. Licensee does have two small size dogs that will be accessible to day-care children. Licensee is aware of child safety around pets and accepts responsibility for any actions taken by pets. Fact Sheet for Assembly Bill 633 - Child Care Parent Notification Requirements was discussed and copies were provided to applicant - (Fact Sheet and LIC 9224 -Acknowledgement of Receipt of Licensing Reports), The current LIC 995A (12/06) Notification of Parent's Rights and Pub 394 (12/06) -Notification of Parents Rights poster were also provided.

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Daniel Q Alvarez	TELEPHONE: (559) 341-8684
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020

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: ARREDONDO, MICHELLE & CARLOS FAMILY CHILD CARE	FACILITY NUMBER: 153911167
	VISIT DATE: 01/31/2020

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. 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

Before Licensure the following items are to be corrected to avoid the application form being withdrawn:

1. Applicant needs to bring her in-ground swimming pool fence within title 22 regulation regarding accessible bodies of water. The pool fence is not wrought iron nor mesh and has more than four inch gaps/spaces between the bars of the fence.
Pending verification of corrections and a final review of your application, licensure as a Large Family Child Care Home capacity of 14 children* ages under 18 years, will be recommended. Planned hours of operation are seven days a week 24 hours a day with no over 23 1/2 hours of continuous care.

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: 01/31/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020

LIC809 (FAS) - (06/04)

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