163904938-10-1-2021-04-CC-ROCA-C7DUR8-20211001154819

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 163904938
Report Date: 10/01/2021
Date Signed: 10/01/2021 03:48:33 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:	RODRIGUEZ, JOSEFA FAMILY CHILD CARE		FACILITY NUMBER:	163904938
ADMINISTRATOR:	RODRIGUEZ, JOSEFA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 584-5148
CITY:	ARMONA	STATE: CA	ZIP CODE:	93202
CAPACITY:	14	CENSUS: 7	DATE:	10/01/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Rodriguez, Josefa		TIME COMPLETED:	04:05 PM

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On 10/1/2021, Licensing Program Analyst (LPA), Ruby Ocegueda conducted an unannounced Case Management Inspection and was met by Licensee, Josefa Diaz. Licensee is Spanish Speaking. LPA conducted a Covid-19 safety screening before entering the home. LPA toured the home and a census was taken.

Today, LPA discussed the day care room that licensee disclosed was added approximately three years ago. The day care room is located in the back of the home and was previously a covered porch. Licensee added one wall to the porch enclosing it and added isolation to the ceiling and walls. There is no Air Conditioning unit in the play room, however there is vents in the connected master bathroom (which the children have access to) and the kitchen dining area. Licensee stated she maintains the doors to dining and accessible master bathroom open to provide with ventilation and comfort. Today, LPA observed the play room to have a comfortable temperature.

Licensee stated that she did not know a city permit was required for her playroom as she was told to send a facility sketch in and received no other guidance. LPA found record of licensee contacting the Department on 11/8/2018 and she obtained the guidance to submit a new facility sketch and cover letter however no mention of the possible requirement to obtain a city permit/inspection and a fire clearance was captured and its unclear if this guidance was provided to licensee or not. Today, LPA called the Kings County Development Agency and confirmed that based on the changes that were made to the home, the facility does need an inspection and permit from Kings County. LPA provided licensee with the contact information and explained that she would need to contact the County of Kings for a permit, then obtain a Fire Clearance and finally we would approve the room pending the outcome from Kings County inspection and the local Fire Department inspection.

Report continued to 809-C.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021

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: RODRIGUEZ, JOSEFA FAMILY CHILD CARE	FACILITY NUMBER: 163904938
	VISIT DATE: 10/01/2021

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LPA has a copy of current facility sketch that was submitted to the Department as licensee was directed to do. Licensee will send in Fire Clearance request form (LIC ) to the Department after Kings County inspects the facility first. Licensee stated that the Fire Department has previously inspected the home (approximately 3 years ago) after the addition was already made and no recommendations were made at that time.

Licensee stated she would make the play room inaccessible and only use it to pass to the back yard until it was inspected by Kings County, the Fire Department and approved by our Department. LPA and licensee will continue to consult and licensee will keep LPA updated durigng this process.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, no deficiency was cited today.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021

LIC809 (FAS) - (06/04)

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