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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203907605
Report Date: 02/13/2020
Date Signed: 02/13/2020 01:20:17 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:GARCIA, EDILIA FAMILY CHILD CAREFACILITY NUMBER:
203907605
ADMINISTRATOR:GARCIA, EDILIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 673-1665
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY:14CENSUS: 4DATE:
02/13/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Edilia GarciaTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Juvenal Moctezuma conducted an unannounced Annual/Random inspection and met with Licensee, Edilia Garcia, assistant, and daughter. LPA explained the reason of the inspection and a tour of the home was conducted both inside and outside. LPA observed licensee and her assistant caring for 4 children of whom 2 were her grandchildren.

Licensee stated that children have access to the living room, kitchen/dining room, one bathroom, and backyard. LPA observed mats, small chairs, a playpen, and age appropriate toys. LPA also observed that the day-care home was clean and free of toxins during todays inspection. Licensee stores her knifes and medications up high in her pantry which is remained closed and has a plastic door knob/spinner in place. Some of the cleaning supplies are stored underneath the kitchen sink which has a plastic lock in place. LPA reminded licensee to make sure the plastic lock is always working and in place. Licensee understood. The rest of the cleaning supplies are stored in a high cabinet inside the bathroom which also has licensees washer/dryer. The bathroom was found clean and free of toxins. All the bedrooms are closed and have a plastic door knob/spinner in place. The backyard has a fence that goes all around. LPA observed that there was a wooden plank that fell towards the neighbors yard. Licensee stated that she will replace the fence later today so there isn't a hole. LPA observed plenty of age appropriate toys, bikes/tricycles, and a small wooden play house.

LPA spoke about the safe sleep regulations with the licensee and reminded her to not store anything inside the cribs and playpens. LPA also provided licensee with a safe sleep brochure and the new lead brochure.

Licensee has a 2A10 BC fire extinguisher that was purchased on August 3, 2012. LPA explained to licensee that she needs to get it serviced or replaced yearly. Licensees CPR/First Aid certificate that's good until 01/27/2021. The last time licensee conducted fire drills with children was on 05/24/2019. The carbon monoxide and smoke detector were tested and found in working condition. LPA reviewed 4 children's files along with the children's roster and everything was completed and up to date.

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: 02/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: GARCIA, EDILIA FAMILY CHILD CARE
FACILITY NUMBER: 203907605
VISIT DATE: 02/13/2020
NARRATIVE
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Licensee stated that there are no guns or ammunition in the home and LPA did not observe any bodies of water during todays inspection. Licensee and assistant are current with the immunization requirements per SB 792. Mandated Reporter Training AB 1207 was discussed during todays inspection. Licensees assistant has not taken it yet.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

During todays inspection, The following type B deficiencies were observed or cited. Appeal rights were explained and provided to Licensee.



Licensee was reminded that it is her responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov.

LPA observed licensee post the Notice of Site visit.
FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: GARCIA, EDILIA FAMILY CHILD CARE
FACILITY NUMBER: 203907605
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/13/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2020
Section Cited

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On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
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This requirement was not met as evidenced by licensee stating that she was not aware that her assistant needed to take the Mandated Reporter Training AB 1207. This poses a potential health/safety risk to the children in care.
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Type B
02/28/2020
Section Cited

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Operation of a Family Child Care Home. All homes shall conduct fire and disaster drills at least once every six months, and document the date and time of each drill. This requirement was not met as evidenced by interview. Licensee informed LPA that she has not completed an actual fire drill and has not
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documented required fire drills with the date and time. The last time that she had documented was on 05/24/2019 This poses a potential health, safety, or personal rights risk to the children in care.
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Licensee will send a copy of the above mentioned fire drill documentation to LPA by no later than 02/28/2019.
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: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:
DATE: 02/13/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/13/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3