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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243910981
Report Date: 03/12/2020
Date Signed: 03/12/2020 02:20:38 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:BARRIENTOS, ALICIA FAMILY CHILD CAREFACILITY NUMBER:
243910981
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
03/12/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Alicia Barrientos - LicenseeTIME COMPLETED:
02:30 PM
NARRATIVE
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On 3/12/2020, Licensing Program Analyst (LPA), Joseph Pacheco arrived at the Family Child Care Home (FCCH) to conduct an unannounced Case Management inspection. LPA met with Licensee, Alicia Barrientos regarding an Unusual Incident Report that was submitted to Community Care Licensing (CCL) on 2/27/2020. On that date, Child #1 bit Child #2 on the back. LPA interviewed Licensee who stated that this was the second time Child #1 had bitten Child #2. Licensee said that on one other occasion, Child #2 was bitten by Child #3. Licensee said she did not report the previous unusual incidents to CCL. During today's inspection LPA also attempted to interview Child #4, who according to Licensee, witnessed the unusual incident, but Child #4 was not communicative. The other children present during today's inspection were too young to interview.

Licensee stated that this is the first time she has ever had a biting issue with day care children at her Family Child Care Home and that she has been consulting her local Resource & Referral agency on how to work with children regarding biting. Licensee said she has also been working with each child's parents to fix the behavior problems by talking with them and providing them with books and pamphlets that were given to her by the Resource & Referral agency. Licensee has also been using books provided by the Resource & Referral agency to teach day care children about appropriate behaviors. Licensee stated that she is enrolling in classes to help her improve her work with children who have behavioral problems.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, the following deficiency was found (see LIC809-D):

A copy of this report to be made available to the public upon request.

LIC 9213 Notice of Site Visit to be posted for 30 days.

SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020
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: BARRIENTOS, ALICIA FAMILY CHILD CARE
FACILITY NUMBER: 243910981
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/20/2020
Section Cited

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Injury or acts of violence reporting requirements. (b)(1) A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of a family day care home of any of the following events:
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(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement was not met as evidenced by Licensee stating to LPA that she did not report two unusual incidents to CCL. This is a potential risk to the health, safety or personal rights of children in care.
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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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE: 03/12/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/12/2020
LIC809 (FAS) - (06/04)
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