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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503901696
Report Date: 10/03/2019
Date Signed: 10/03/2019 11:40:59 AM

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:FYVIE, TAMI FAMILY CHILD CAREFACILITY NUMBER:
503901696
ADMINISTRATOR:FYVIE, TAMIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 863-0591
CITY:RIVERBANKSTATE: CAZIP CODE:
95367
CAPACITY:14CENSUS: 10DATE:
10/03/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Tami FyvieTIME COMPLETED:
12:15 PM
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An annual random inspection #3 is being conducted by LPA Claudia Henley. LPA was met by licensee, her spouse and her daughter/helper. There were 10 children present. A tour of the home, inside and outside, as shown on the facility sketch is provided. There is an in-ground swimming pool and there is a 5 foot removable fence surrounding the pool according to regulation. Per licensee, no firearms in the home. Poisons, cleaning compounds, medications and other hazardous items are inaccessible to children. No fireplace in the home. There is a working fire extinguisher, a smoke detector, carbon monoxide detector and there is adequate heating and ventilation for safety and comfort. This is a two story home and the second story is not accessible to the children. There was an installed child proof gate installed at tDatabase Link Iconhe foot of the stairs. There is also an additional child proof gate in the area by the kitchen/dining room to keep the children from having access to this area. Safe toys and play equipment are observed. Fire/disaster drill was conducted on September 25, 2019 and documented. There is a working telephone. Adequate supervision is being provided during this visit. Licensee stated that she uses the neighborhood park down the street and the front yard for children to play. Licensee reminded that children must be visually 100% supervised when outside to the park and the front yard. There is four dogs accessible to the children. There is a bird in a cage inaccessible to the children. Licensee is aware of the liability when it comes to pets on the premises. Capacity as specified on the license is being maintained. Staff-child ratios are maintained. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Pediatric First/Aid is current and valid until June 2020. Licensee and assistant is current on immunization and has completed the mandated child abuse reporter training. Children's files were reviewed. No medication is being given. The child care hours and days of operation are: Monday through Friday, 7:00 a.m. to 5:30 p.m. A current children's roster is maintained.

No deficiencies were cited during today's visit. Site Visit Notice posted on the parent board.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019
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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