203909186-6-7-2019-04-CC-JMOA-BCWTDL-20190607143830

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 203909186
Report Date: 06/04/2019
Date Signed: 06/07/2019 02:38:35 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:	CENTENO, ODAIVA FAMILY CHILD CARE		FACILITY NUMBER:	203909186
ADMINISTRATOR:	CENTENO, ODAIVA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 439-1268
CITY:	MADERA	STATE: CA	ZIP CODE:	93638
CAPACITY:	14	CENSUS: 5	DATE:	06/04/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	03:05 PM
MET WITH:	Odaiva Centeno		TIME COMPLETED:	04:35 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	Licensing Program Analyst (LPA) Juvenal Moctezuma and LPM Diana De Leon conducted an unannounced Annual/Random inspection and met with Licensees assistant, Frances Montano. Frances stated that the licensee was out picking up her son from school. Frances stated that she was left home caring for 5 children. Frances let LPA and LPM into the home while licensee returned from picking up her son. Approximately 10 minutes later, Licensee returned with her son. LPA explained the reason of the inspection and a tour of the home was conducted both inside and outside. Licensee stated that children have access to the first floor of her home- living room, dining room, kitchen area, 1 bathroom, and backyard. Licensee has placed a children's safety gate at the bottom of her stairs to make the upstairs inaccessible to children in care. LPA observed 5 children watching TV in the living room while LPA conducted the inspection. 3 Children were picked up during the inspection. LPA observed plenty of age appropriate toys in the living room and observed that it was clean and free of toxins. Licensee has also placed plastic door knobs on her closet door, garage door, and pantry. The cleaning products and toxins are stored in the closet that's next to the children bathroom which is remained closed and locked during day-care hours. The bathroom was found clean and free of toxins during the inspection. The backyard has a fence that goes all around. LPA observed plenty of age appropriate toys, a play structure, and shade area. LPA spoke about the safe sleep regulations that will take affect this year (2019) with Odaiva Centeno 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. Licensees CPR/First Aid certificate is good until 04/29/2020. Frances Montano also has a CPR/First Aid Certificate that is good until 03/16/2021. Report continued onto LIC 809-C

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019

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 2

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: CENTENO, ODAIVA FAMILY CHILD CARE	FACILITY NUMBER: 203909186
	VISIT DATE: 06/04/2019

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
26
27
28
29
30
31
32

The last time licensee conducted fire emergency disaster drills with children was on 01/18/2019. LPA reminded licensee that she needs to conduct them at least every 6 months and document them. The carbon monoxide and smoke detector were tested and found in working condition. 5 children's files were reviewed along with the children's roster and everything was completed and up to date. During file review and interview with licensee, it was confirmed that Child #1, Child #2, and Child #3 did not have proof of tuberculosis. All other immunization's were up to date. Licensee stated that she will obtain an updated Children's immunization record. Licensee stated that there are no guns or ammunition in the home and LPA did not observe any bodies of water during the inspection. Licensee and her assistant have proof that she is up to date with the immunization requirements per SB 792. Mandated Reporter Training AB 1207 was discussed during todays inspection.

Licensee is not providing Incidental Medical Services. 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

During todays inspection, No Deficiencies were observed.

This report was translated in Spanish By LPA Moctezuma

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: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2