153911611-10-26-2021-04-CC-RMAS-C86UDR-20211026152958

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153911611
Report Date: 10/26/2021
Date Signed: 10/26/2021 03:30:02 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:	LOPEZ, ALMA FAMILY CHILD CARE		FACILITY NUMBER:	153911611
ADMINISTRATOR:	LOPEZ, ALMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 304-0992
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93313
CAPACITY:	14	CENSUS: 0	DATE:	10/26/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Alma Lopez		TIME COMPLETED:	03:30 PM

NARRATIVE

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On 10/26/2021 a planned Pre-licensing inspection was made today by Licensing Program Analyst (LPA) Rene Mancinas, who met with Applicant, Alma Lopez, who is Spanish speaking. A tour of the home, inside and outside, as shown on the facility sketch was done. This is a two-story home. The areas of the home that day-care children will have access to are the two living rooms, two dining rooms, kitchen, hallway bathroom, and the backyard. The remainder of the home is off limits and made inaccessible by means of child safety devices. Licensee understands stairs are to be barricaded or blocked off by child safety device to ensure children do not have access to staircase or second story of the home. Licensee and husband are the only adults living in the home. The LIS 536 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 play areas, child safety plugs in unused electrical outlets, and no hazardous items in areas/cabinets accessible to children in care. Fire extinguisher, smoke detectors, carbon monoxide detectors and first aid kit are operable and in place. Applicant stated there are no firearms or bodies of waters at the home, nor did LPA observe these items. CPR, first aid training, and health and safety training are current and expiring 05/23/2023. Child Abuse Mandated Reporter Training Completed on 10/19/2021. Postings, forms, and licensing information 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. There are no pets at this home.

Incidental Medical Services (IMS) policy were 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

(Continued on 809-C)

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Rene Mancinas	TELEPHONE: (559) 341-4524
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2021

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: LOPEZ, ALMA FAMILY CHILD CARE	FACILITY NUMBER: 153911611
	VISIT DATE: 10/26/2021

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Applicant was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed applicants of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

There are pets at this home. Applicants understands responsibility of any action taken by pets involving day care children.

This home meets the description of a safe and healthy environment for children as described in Chapter 3, Division 12, Title 22 of California Code of Regulations and licensure for a capacity of up to 14 children. Pending 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 effective 10/27/2021. Planned hours of operation are Monday through Friday from 06:00AM - 06:00PM, and as arranged. Exit interview conducted and report was reviewed with the applicant.

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: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Rene Mancinas	TELEPHONE: (559) 341-4524
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2021

LIC809 (FAS) - (06/04)

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