503808831-2-4-2020-04-CC-CROZ-BLGTMH-20200204135110

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 503808831
Report Date: 02/04/2020
Date Signed: 02/04/2020 01:51:18 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:	CCCSC INC., MARSHA'S HOUSE		FACILITY NUMBER:	503808831
ADMINISTRATOR:	GARCIA, COLLEEN		FACILITY TYPE:	830
ADDRESS:	2321 E. WHITMORE AVENUE		TELEPHONE:	(209) 577-0138
CITY:	CERES	STATE: CA	ZIP CODE:	95307
CAPACITY:	8	CENSUS: 4	DATE:	02/04/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:05 PM
MET WITH:	Ana Gonzalez		TIME COMPLETED:	02:30 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 02/04/2020, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced annual inspection. LPA met with Site Supervisor Ana Gonzalez, who accompanied LPA on a tour of the facility, inside and outside. LPA took a census and observed four (4) infants. Hours of operation are Monday – Friday, 5:30AM to 7:00PM. There are no bodies of water. Firearms and other weapons are not allowed or stored on the premises of a child care center. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children, are inaccessible to children. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. The facility has age-appropriate furniture and equipment including, but not limited to, cribs, cots, or mats. The facility has sufficient infant napping equipment. The facility has indoor activity space for infants that is physically separate from space used by preschool child care center/school-age child care center components. The child care center is clean, safe, sanitary, and in good repair at all times to ensure the safety and well-being of children, employees, and visitors. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. All medications are centrally stored, maintained with the child's name, are dated, and follow the conditions as prescribed. All storage containers for solid waste, including moveable bins, have tight fitting covers that are kept on, and are in good repair. Bottles, dishes, and containers of food brought by the infant's authorized representative are labeled with the infant's name and the current date. Menus are posted at least one week in advance in a place visible by the child's authorized representative, dated, kept on file for 30 days, and are made available upon request. Capacity as specified on the license is being maintained. No child is left without the supervision, including visual supervision, of a teacher at any time. There is a ratio of one staff supervising no more than four infants in attendance. (Continued on LIC 809-C)

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Candis Rodriguez	TELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2020

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: CCCSC INC., MARSHA'S HOUSE	FACILITY NUMBER: 503808831
	VISIT DATE: 02/04/2020

NARRATIVE

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Prior to working or volunteering in a licensed child care facility, all individuals subject to criminal record review have obtained a clearance or criminal record exemption. Community Care Licensing (CCL) shall notify a licensee to immediately terminate the employment of, or to remove/bar any person with specified convictions or for other reasons. The licensee shall comply with the notice.

The licensee ensures that personnel records are maintained on the licensee, administrator, and each employee. The facility ensures that staff being utilized as infant teachers meet the qualification requirements. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at off-site activities. The person who signs the child in/out, is responsible for the child, uses his/her full legal signature and records the time of day. The facility has an individual feeding plan for each infant that meets the requirements. The facility ensures that each infant has an Infant Needs and Services Plan, that is updated quarterly.

Required CCL forms are posted on parent's board.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. The following information regarding Americans with Disability Act (ADA) was provided: US Department of Justice toll free ADA Information line at (800) 514-0301(voice) and (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm for Commonly Asked Questions about Child Care Centers and the ADA.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINS), Quarterly Updates, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today. Site Visit Notice posted on the parent board. Exit interview was conducted with Ana Gonzalez.

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

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

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Candis Rodriguez	TELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2020

LIC809 (FAS) - (06/04)

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