243910939-9-12-2019-04-CC-GBAA-BFXU5L-20190912151655

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 243910939
Report Date: 09/12/2019
Date Signed: 09/12/2019 03:17:01 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:	INIGUEZ, LILI FAMILY CHILD CARE		FACILITY NUMBER:	243910939
ADMINISTRATOR:	INIGUEZ, LILI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 600-9743
CITY:	MERCED	STATE: CA	ZIP CODE:	95348
CAPACITY:	14	CENSUS: 4	DATE:	09/12/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Lili Iniguez, Spanish Speaker		TIME COMPLETED:	03:35 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 Analysts (LPAs) Ginny Badhesha and Daniel Alvarez conducted an unannounced case management inspection as a 90 day follow up to the pre-licensing inspection. LPAs met with Licensee, Lili Iniguez. LPAs explained the reason of the inspection and a tour of the home was conducted, both inside and outside, as shown on the facility sketches (LIC 999A). Present at the home was the Licensee, Licensee's daughter, who is fingerprint cleared, and four day care children. Fireplace is screened and inaccessible to children in care. Stairs are barricaded when children under age 5 years old are present. LPAs observed plenty of age appropriate toys and observed that the house was clean and free of toxins. The backyard has a fence that goes all around. There was plenty of shade. There are two small dogs in the home; licensee understands responsibility of any action taken by pets involving day care children. Four children's files were reviewed and all required forms were completed and up to date. Licensee is current with the immunization requirements per SB 792. Licensee has taken the Mandated Reporter Training AB 1207 on January 31, 2018. Licensee's CPR/First Aid certificate expires on March 2, 2020. LPAs spoke about the new safe sleep regulations with Licensee and reminded her to not store anything inside the cribs and play yards. LPAs also provided Licensee with the new lead brochure. Licensee has a 3A40BC fire extinguisher. The carbon monoxide and smoke detector were in working condition. There was adequate heating and ventilation for safety and comfort. Licensee stated that she does not have any guns or ammunition in the home. LPAs did not observe any bodies of water during the inspection. Capacity as specified on the license is being maintained. 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 (Continued on 809-C)

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Gagandip Badhesha	TELEPHONE: (559) 575-6900
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019

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: INIGUEZ, LILI FAMILY CHILD CARE	FACILITY NUMBER: 243910939
	VISIT DATE: 09/12/2019

NARRATIVE

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Days and hours of operation are Monday through Friday; 5:00am-6:00pm.

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

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. Licensee was provided information on where to find Provider Information Notices (PINs) and quarterly updates on the Community Care Licensing website.

FAILURE TO POST THE LIC 9213 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: Gagandip Badhesha	TELEPHONE: (559) 575-6900
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019

LIC809 (FAS) - (06/04)

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