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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503906437
Report Date: 01/23/2020
Date Signed: 02/12/2020 01:54:56 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:RUIZ, EVELIA FAMILY CHILD CAREFACILITY NUMBER:
503906437
ADMINISTRATOR:RUIZ, EVELIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 892-6546
CITY:PATTERSONSTATE: CAZIP CODE:
95363
CAPACITY:14CENSUS: 8DATE:
01/23/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Evelia RuizTIME COMPLETED:
01:00 PM
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An annual required visit is being conducted by LPA Claudia Henley. I was met by licensee, spouse and her two adult assistants. There were 8 children present. A tour of the home, inside and outside, as shown on the facility sketch is provided. Staff and children were spoken to during visit. There are no firearms in the home. There is a large dough boy pool on the premises. The gate swings away from the pool, self closes and latches. There was an installed latch on this gate. There was a door from the shed area that would enter into the pool area that is locked. Poisons, cleaning compounds, medications and other hazardous items are inaccessible to children. Fireplace is inaccessible to children. Fire/disaster drill conducted every six months. There is a working fire extinguisher, a smoke detector, carbon monoxide and there is adequate heating and ventilation for safety and comfort. This is a two story home and there is an installed gate at the stairway/kitchen area making the steps inaccessible to the children. Safe toys and play equipment are observed. There is a working telephone. Adequate supervision is being provided during this visit. Children are supervised when outside in the fenced play area. No pets on the premises. Capacity as specified on the license is being maintained. Staff-child ratios are being maintained today during the inspection. 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 CPR & Pediatric First/Aid is current on licensee and assistants. A children's roster is being maintained. Eight children files reviewed. Licensee has an Incidental Medical Services Plan on file. Licensee and assistants are current on online Mandated Reporter Training and have record of the immunization. The hours and days of operation are: Monday through Friday, 5:00 a.m. to 5:00 p.m.

No deficiencies cited today.

Site Visit Notice posted on the parent board. Exit interview was conducted.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2020
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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