243904629-6-27-2019-04-CC-SNAO-BDJTPF-20190627145417

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 243904629
Report Date: 06/27/2019
Date Signed: 06/27/2019 02:54:30 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:	MARQUEZ, FERNANDO & MIRANDA, DAISY FCC		FACILITY NUMBER:	243904629
ADMINISTRATOR:	MARQUEZ, F & MIRANDA, D		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 675-3589
CITY:	LOS BANOS	STATE: CA	ZIP CODE:	93635
CAPACITY:	14	CENSUS: 3	DATE:	06/27/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:20 PM
MET WITH:	Daisy Miranda		TIME COMPLETED:	03:15 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	On 6/27/2019 at 12:20 PM Licensing Program Analysts (LPAs), Stephanie Navarro and Diane Mercado, conducted an unannounced annual/random inspection. LPAs met with Licensee Daisy Miranda. Also present was assistant Laura Villagomez. LPAs conducted a tour of the home, inside and outside, as shown on the facility sketches (LIC 999A) provided. Licensee has three small dogs that kept are outdoors on the side run of the home. These dogs are accessible to children in care. Licensee is aware of the safety of children around animals. There are "bodies of water” as licensee has an in-ground pool. This pool gate is fenced, self-latching, self-closing and opens away from the swimming pool. Licensee stated children do have access to the backyard. LPAs observed dog feces on the east side of the backyard area. There are no firearms in this home. Cleaning compounds, medications and other hazardous items are inaccessible to children. Fireplace is barricaded by a glass door and is inaccessible to children. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are stairs in the home and is barricaded by a gate. There is a working telephone and number was verified. Adequate supervision is being provided during this inspection. Children are supervised when outside in the front yard. Capacity as specified on the license is being maintained. Licensee does not have a current roster of children in care. Licensee maintain immunization records for children in care. Licensee has provided parents with a copy of the Family Child Care Home Notification of Parent's Rights (LIC 995A). LPA observed last fire drill was conducted on 8/2018. Licensee is aware that children are never to be left in parked vehicles. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Licensee is aware that upon notice from the Department, any excluded individual must be immediately removed from the home and prevented from returning to the home or having contact with children in care. Licensee and assistant’s Pediatric CPR/First Aid are current and expire 9/2020. Licensee stated she has not able to complete the AB1207 Mandated Reporter Training. Continued on 809-C

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019

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 4

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: MARQUEZ, FERNANDO & MIRANDA, DAISY FCC	FACILITY NUMBER: 243904629
	VISIT DATE: 06/27/2019

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

Licensee is aware that any authorized employee of the Department may enter and inspect any place providing personal care and services at any time, with or without notice.

Hours of operation are Monday – Sunday; 6:00am -6:00pm or as arranged.

Incidental Medical Services (IMS) policy was discussed. Licensee is not providing IMS Services at this time. 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

LPA & licensee discussed the Community Care Licensing website, Lead Safety, and Mandated Reporter Training: LPA and licensee discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN. LPA left a copy of A Child Care Provider’s Guide to Safe Sleep.

Per Title 22, Division 12, Chapter 3, deficiencies are cited on the attached LIC 9099-D.

Licensee was handed a copy of appeal rights.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

LIC 9213 NOTICE OF SITE INSPECTION FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: MARQUEZ, FERNANDO & MIRANDA, DAISY FCC	FACILITY NUMBER: 243904629
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/27/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(b)

Physical Plant - Operation of A Family Child Care Home

(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. LPAs observed dog feces on the east side of the backyard area while children were outside. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/08/2019
	Plan of Correction
1 2 3 4	Licensee agreed to clean the dog feces and send a picture of the east side of the back yard area to Community Care Licensing by 7/8/2019.

Type B

Section Cited

HSC

1596.8662(b)(1)

Facility Administration - Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day 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. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above. Licensee stated she has not completed the AB1207 Mandated Reporter Training. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/19/2019
	Plan of Correction
1 2 3 4	Licensee agreed to complete AB1207 Mandated Reporter Training and submit certificate to Community Care Licensing Fresno Regional Office by 7/19/2019.

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: Susie Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: MARQUEZ, FERNANDO & MIRANDA, DAISY FCC	FACILITY NUMBER: 243904629
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/27/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(9)(A)(1)

Facility Administration

(g)(9)(A)(1) Each family child care home shall conduct fire drills and disaster drills at least once every six months. The licensee shall document the drills, including the date and time of each drill. This documentation shall be kept at the family child care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above. Licensee has not conducted a fire drill in the last 6 months. Licensee last conducted a fire drill in 8/2018. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/19/2019
	Plan of Correction
1 2 3 4	Licensee agreed to write a plan on describing the actions she will take to ensure fire drills are conducted at least every six months and documented to Community Care Licensing Fresno Regional Office by 7/19/2019.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Susie Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019

LIC809 (FAS) - (06/04)

Page: 4 of 4