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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203902432
Report Date: 09/24/2019
Date Signed: 09/24/2019 10:38:54 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:MUNOZ, YOLANDA FAMILY CHILD CAREFACILITY NUMBER:
203902432
ADMINISTRATOR:MUNOZ, YOLANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 363-7568
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY:14CENSUS: 0DATE:
09/24/2019
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Yolanda MunozTIME COMPLETED:
10:45 AM
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Licensing Program Manager (LPM) Duane Matsubara, and Licensing Program Analyst (LPA) Juvenal Moctezuma met with Licensee, Yolanda Munoz for an Informal Conference at the Fresno Regional Office. The purpose of the informal conference was to discuss previous deficiencies cited during the Annual/Random inspection that was conducted on August 09, 2019 and Plan Of Correction (POC) Inspection that was conducted on September 5, 2019. LPM Matsubara reviewed and discussed the deficiencies with Yolanda Munoz and how the Family Childcare Home will maintain compliance with the deficiencies cited below. Munoz, Yolanda's Family Child Care Home has implemented a plan of correction since the deficiencies were cited.

The Department of Social Services, Community Care Licensing Division has determined that Munoz Family Day Care Home violated licensing regulations pertaining the operation of a Family child Care Home and Staffing Ratio and Capacity:
  • On 09/05/2019, Licensee was caring for 14 children and not having at least one child enrolled or attending kindergarten or elementary school and a second child being at least 6 years old.
  • On 09/05/2019, Licensee was caring for 14 children and 4 of them being under the age of 2 years old.
  • On 08/09/2019, Upon arrival, LPAs observed that the licensee was caring for 9 children without an assistant.
  • On 08/09/2019, Licensee stated that she was caring for a total of 4 infants and 5 children between the ages of 2-5 years of age.
  • On 08/09/2019, Licensee failed to make the medication and syringe needles which are hazardous items inaccessible to children in care.
  • On 08/09/2019, LPA's observed dishes in the sink, leftover food on the kitchen counters, the play area was cluttered with paperwork and boxes. Food on the kitchen, living room and dining room floors. During today's inspection, LPA observed three infants crawling on the floors. LPA observed that toys were cluttered in the living/dining room area.
  • On 08/09/2019, Licensee did not have a completed Children's Roster. The roster did not include 6 of the children that were in care during the inspection.


Report Continued onto LIC 809 C
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
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: MUNOZ, YOLANDA FAMILY CHILD CARE
FACILITY NUMBER: 203902432
VISIT DATE: 09/24/2019
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COMPLIANCE PLAN:

In response to these discussions, licensee has agreed to the following.
  1. Licensee will ensure children are provided with a safe and healthful environment.
  2. Licensee will ensure that the capacity specified on her license shall be the maximum number of children for whom she can provide care to at any given time.
  3. Licensee will ensure that she has the children's files and roster complete prior to enrollment
  4. Community Care Licensing will increase frequency of site visits to the facility.
  5. Licensee will watch the Resource Provider Videos and submit in writing what she learned and how she is going to implement what she learned from the video trainings by September 30, 2019.

Licensee shall submit a written plan to Community Care Licensing Division by September 30, 2019 indicating how she will comply with the above requirements. Licensee was informed that training videos are available on the Community Care Licensing website at www.ccld.ca.gov

Licensee will stay in compliance with CCC Title 22, Division 12, Chapter 3 regulations at all times.

Licensee has been advised that failure to maintain compliance with CCR Title 22 Regulations may result in a Non-Compliance Conference (NCC) or her case being referred to the CDSS Legal Division for review and possible Administrative Action.

This Report was translated in Spanish by LPA Moctezuma.

No Deficiencies Cited during todays Office Visit.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
LIC809 (FAS) - (06/04)
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