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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503606748
Report Date: 01/27/2020
Date Signed: 01/27/2020 12:12:29 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:BEST, JERROLINFACILITY NUMBER:
503606748
ADMINISTRATOR:BEST, JERROLINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 324-0517
CITY:MODESTOSTATE: CAZIP CODE:
95357
CAPACITY:14CENSUS: 8DATE:
01/27/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jerrolin BestTIME COMPLETED:
12:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Angelica Mejia conducted an unannounced annual/random inspection and met with Licensee Jerrolin Best. Also present was her assistant Heaven. LPA explained the reason for the inspection, conducted a tour of the home both inside and outside, and a census was taken.

The rooms accessible to children in care are: playroom, bedroom #1, hall bathroom, living room, kitchen, dining room, fenced front yard and back yard. Off-limits rooms are made inaccessible via plastic doorknob spinners and child safety gates. Licensee has four large dogs and three cats; Licensee understands the liability and safety of children around pets and accepts responsibility. There are no "bodies of water" on the premises. During the inspection, LPA observed a bathtub in the hall bathroom that contained mini blinds soaking in approximately four inches of water. Licensee immediately drained the water from the bathtub after LPA advised her of the hazard. There are no firearms or ammunition in the home. No poisons were observed on the premises. Cleaning compounds, medications and other hazardous items are inaccessible to children. There is no fireplace in the home. There is a working fire extinguisher, smoke detector, carbon monoxide indicator, and adequate heating and ventilation for safety and comfort. There are no stairs in the home. Safe toys and play equipment were observed.

There is a working telephone and the number was verified. Adequate supervision is being provided during this inspection. Capacity as specified on the license is being maintained. Licensee has a current roster of the children and maintains emergency information and forms as required. A review of records indicates that immunization records are on file for children and adults. Licensee has provided parents with a copy of the Family Child Care Home Notification of Parent's Rights (LIC 995A). Fire/disaster drills are conducted every six months and documented; the last drill was conducted on 01/13/2020. 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.

(Continued on LIC809-C)

SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica MejiaTELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2020
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 3
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: BEST, JERROLIN
FACILITY NUMBER: 503606748
VISIT DATE: 01/27/2020
NARRATIVE
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There are no excluded individuals present in the 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. Pediatric CPR/First Aid is current and at least one trained person is present at all times. Mandated Reporter training AB 1207 has not been completed; Licensee will have all staff complete Mandated Reporter training within the next 30 days. 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 advance notice. Postings such as Emergency Disaster Plan, Earthquake Preparedness checklist, facility license and notification of parent’s rights poster are posted on playroom wall. Licensee confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address. Days and hours of operation are Monday – Friday, 07:30 AM – 05:30 PM, and as arranged.

This facility does not provide Incidental Medical Services (IMS). Licensee is aware that an IMS plan is required to be submitted to Community Care Licensing (CCL) if any of these services are provided. LPA discussed IMS with Licensee and left the Plan for Providing Incidental Medical Services (IMS) – FCCH Requirements. 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 and Licensee discussed the Community Care Licensing website www.ccld.ca.gov, Provider Information Notices (PINS), Quarterly Updates, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Unusual Incident Reporting, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency was found: (see next page: LIC809-D)
Licensee was provided a copy of appeal rights.

An exit interview was conducted with Licensee and a copy of this report was provided and discussed.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
NOTICE OF SITE VISIT (LIC9213) IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica MejiaTELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: BEST, JERROLIN
FACILITY NUMBER: 503606748
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/27/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/27/2020
Section Cited

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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 be limited to: This requirement was not met as evidenced by LPA observation. A bathtub in a bathroom used by children in care contained mini blinds
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soaking in approximately four inches of water. The door to the bathroom was open, however daycare children were in the playroom behind a child safety gate that does not latch completely. This poses a potential health, safety, or personal rights risk to the 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: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica MejiaTELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:
DATE: 01/27/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/27/2020
LIC809 (FAS) - (06/04)
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