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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503907184
Report Date: 03/18/2020
Date Signed: 03/18/2020 12:51:27 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:OKITUKUNDA, MBOYO FAMILY CHILD CAREFACILITY NUMBER:
503907184
ADMINISTRATOR:OKITUKUNDA, MBOYOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 499-6812
CITY:PATTERSONSTATE: CAZIP CODE:
95363
CAPACITY:14CENSUS: 0DATE:
03/18/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Mboyo OkitukundaTIME COMPLETED:
01:30 PM
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An unannounced one year required visit is being conducted by LPA Claudia Henley. I was met by licensee Ms. Okitukunda and her adult son. There were no day care children present. There are no "bodies of water" or firearms in this home. Poisons, cleaning compounds, medications and other hazardous items are inaccessible to children. Fireplace is not used during day care hours. 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. A child proof gate is installed. 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. 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 & First/Aid is current until 11/26/2020. Children's files were reviewed. Licensee has proof of immunization and the online Child Abuse Reporting training has been completed.

The day care hours/days of operation are: Monday through Friday, 6:00 a.m. to 6:00 p.m.

No deficiencies were cited during the inspection today. Site Visit Notice posted on the parent board. Exit interview was conducted.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if he/she provides these services. LPA and Licensee discussed the Community Care Licensing (CCL) 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.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2020
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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