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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503601761
Report Date: 03/19/2025
Date Signed: 03/19/2025 02:31:41 PM

Document Has Been Signed on 03/19/2025 02:31 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:BANDY,PAMELAFACILITY NUMBER:
503601761
ADMINISTRATOR/
DIRECTOR:
BANDY, PAMELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 556-8689
CITY:MODESTOSTATE: CAZIP CODE:
95351
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
03/19/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:40 PM
MET WITH:Pamela BandyTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
NARRATIVE
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On 03/19/2025 Licensing Program Analyst (LPA) Pa Kou Vue conducted an unannounced Annual Required Inspection and was met by Licensee Pamela Bandy. Also present was Licensee’s assistant/daughter. LPA explained to Licensee the purpose of today’s inspection. Licensee stated days and hours of operation are Monday to Friday 7:00AM – 5:30PM. The home has working telephone service and LPA confirmed the phone number is 209-556-8689.

LPA toured the home inside and outside and a census was taken. LPA reviewed current facility sketch and confirmed that the dining room, kitchen, living room, backyard, hallway bathroom, master bedroom and converted garage (daycare room) are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of door levers. LPA inspected the restroom and observed the restroom to be clean and sanitized. The sink and toilet are functioning properly within.

Licensee has pets on the premises. Licensee is aware of the safety of children around animals. Licensee understands her liability and responsibility regarding pets.

There is no swimming pool or other bodies of water on the premises. Licensee stated there are no firearms or ammunitions on the premises. Licensee stated there are no poisons stored on the premises. Licensee stated there is no smoking on the premises.

Detergents, cleaning compounds, medication and other hazardous items are not made inaccessible. LPA observed in accessible kitchen and master bedroom multiple cabinets containing 5 kitchen knives, 3 Mylanta bottles, loose screws and nails, screw drivers, flat heads, OTC and prescription medications, Ajax, travel size hand sanitizers, Got2b hair dye and hardware tools.

There is one fireplace in the home located in the accessible living room and is made inaccessible by a screen and glass door and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort.

Continued 809-C

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Pa Kou Vue
LICENSING EVALUATOR SIGNATURE: DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2025
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 5
Document Has Been Signed on 03/19/2025 02:31 PM - It Cannot Be Edited


Created By: Pa Kou Vue On 03/19/2025 at 01:51 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: BANDY,PAMELA

FACILITY NUMBER: 503601761

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/19/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA observations and Licensee interview, the licensee did not comply with the section cited above in LPA observed in accessible kitchen and master bedroom multiple cabinets containing 5 kitchen knives, 3 Mylanta bottles, loose screws and nails, screw drivers, flat heads, OTC and prescription medications, Ajax, travel size hand sanitizers, Got2b hair dye and hardware tools which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/25/2025
Plan of Correction
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Licensee stated she will install safety latches for cabinets in kitchen and master bedroom and provide pictures to LPA via email by end of business 04/25/2025.
Type B
Section Cited
CCR
102417(g)(6)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (6) Outdoor play areas shall be either fenced, or outdoor play areas shall be supervised by the licensee Section 102417(g)(5).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA observations and Licensee interview, the licensee did not comply with the section cited above in LPA observed in accessible backyard a wooden patio gate attached to the North side of the home. The wooden patio gate entrance lock is loose and is not secured. The attached gate against the wall of the home is loose, wobbling and is bending inwards which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/25/2025
Plan of Correction
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Licensee stated she will fix wooden patio gate and lock and send pictures and videos to LPA by end of business 04/25/2025.
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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Pa Kou Vue
LICENSING EVALUATOR SIGNATURE:
DATE: 03/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/19/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/19/2025 02:31 PM - It Cannot Be Edited


Created By: Pa Kou Vue On 03/19/2025 at 01:51 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: BANDY,PAMELA

FACILITY NUMBER: 503601761

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/19/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
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
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Based on LPA records review and Licensee interview, the licensee did not comply with the section cited above in Licensee's assistant/daughter does not have Mandated Reporter Training, immunization records (MMR and Tdap), Tb test, LIC9052 and LIC9108 on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/25/2025
Plan of Correction
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Licensee stated assistant/daughter will complete the requested documents and send copies to LPA via email by end of business 04/25/2025.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Pa Kou Vue
LICENSING EVALUATOR SIGNATURE:
DATE: 03/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/19/2025


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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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: BANDY,PAMELA
FACILITY NUMBER: 503601761
VISIT DATE: 03/19/2025
NARRATIVE
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This is a single level home and there are no stairs. Safe toys and play equipment’s are observed. The outdoor play area in the backyard is fenced and there are hazards to children present. LPA observed in accessible backyard a wooden patio gate attached to the North side of the home. The wooden patio gate entrance lock is loose and is not secured. The attached gate against the wall of the home is loose, wobbling and is bending inwards.

Licensee was reminded to conduct daily checks on the outdoor play structures and equipment’s for normal wear and tear overtime, to be free of loose, pointed, or sharp edges prior to day-care children accessing outdoor area.

Licensee ensures that children in care are always supervised and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete with emergency information and all required forms were present and completed as required. Licensee’s Mandated Reporter Training expires on 06/06/2025. Licensee’s pediatric CPR/First Aid certification expires on 03/25/2025.

A review of records indicates that all employees and/or volunteers does not have immunization records on file for influenza, pertussis, and measles. All staff files were not complete with necessary forms and signed appropriately. Upon LPA records review and Licensee interview, Licensee's assistant/daughter does not have Mandated Reporter Training, immunization records (MMR and Tdap), Tb test, LIC9052 and LIC9108 on file.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Childcare Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS. Guardian background clearances were verified and discussed with Licensee.

Continued on 809-C

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Pa Kou Vue
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: BANDY,PAMELA
FACILITY NUMBER: 503601761
VISIT DATE: 03/19/2025
NARRATIVE
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LPA discussed safe sleep regulations with Licensee and discussed the Childcare Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with Licensee Pamela Bandy.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, the following deficiencies are being cited: (see 809-D for further details).

Licensee was provided appeal rights.

This report shall be made available to the public upon request. LIC 9213 A Notice of Site Visit is provided and required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Pa Kou Vue
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
LIC809 (FAS) - (06/04)
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