503910223-3-19-2025-04-CC-PKVE-DEWQGF-20250319120929

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 503910223
Report Date: 03/19/2025
Date Signed: 03/19/2025 12:09:55 PM

Document Has Been Signed on 03/19/2025 12:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	VINCENT, BETHANY FAMILY CHILD CARE		FACILITY NUMBER:	503910223
ADMINISTRATOR/ DIRECTOR:	VINCENT, BETHANY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 579-4714
CITY:	MODESTO	STATE: CA	ZIP CODE:	95351
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 5	DATE:	03/19/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:40 AM
MET WITH:	Bethany Vincent		TIME VISIT/ INSPECTION COMPLETED:	12:20 PM

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On 03/19/2025 Licensing Program Analyst (LPA) Pa Kou Vue conducted an unannounced Annual Required Inspection and was met by Licensee Bethany Vincent. LPA explained to Licensee the purpose of today’s inspection. Licensee stated days and hours of operation are Monday to Friday 7:00AM – 6:00PM. The home has working telephone service and LPA confirmed the phone number is 209-579-4714.

LPA toured the home inside and outside and a census was taken. LPA reviewed current facility sketch and confirmed that the daycare room, living room, backyard and hallway bathroom are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of a baby gate and doorknob spinners. LPA inspected the restroom and observed the restroom to be clean and sanitized. The sink and toilet are functioning properly within. LPA observed that the accessible living room is not kept clean and orderly. LPA observed clothes, toys and miscellaneous items all over the carpet floor and on the couch.

On the day of the inspection, there was an infant in care. In accessible daycare room, LPA observed 1 crib. Licensee stated the infant in care does sleep in the crib. LPA observed a light gray fitted bedding/mattress in the crib. The fitted bedding was covered in brown spots. Licensee stated she cleans the bedding with Lysol spray and cleaning wipes.

Licensee has pets on the premises. Licensee is aware of the safety of children around animals. Licensee understands her liability and responsibility regarding pets.

There is no swimming pool or other bodies of water on the premises. Licensee stated there are no firearms or ammunitions on the premises. Licensee stated poisons (Raid spray) is kept in locked garage and made inaccessible by the use of a doorknob spinner. Licensee stated there is no smoking on the premises. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

Continued on 809-C

Juvenal Moctezuma	TELEPHONE: (559) 650-7869
Pa Kou Vue	TELEPHONE: (559) 341-4624
	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

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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Document Has Been Signed on 03/19/2025 12:09 PM - It Cannot Be Edited

Created By: Pa Kou Vue On 03/19/2025 at 11:26 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: VINCENT, BETHANY FAMILY CHILD CARE	FACILITY NUMBER: 503910223
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/19/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(b)

Operation of A Family Child Care Home

(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA observations, the licensee did not comply with the section cited above in LPA observed accessible living room is not kept clean and orderly. LPA observed an excessive amount of clothes, toys and miscellaneous items all over the carpet floor and on the couch which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/21/2025
	Plan of Correction
1 2 3 4	Licensee stated accessible living room will be cleaned and maintained moving forward and pictures will be sent to LPA via email by end of business on 03/21/2025 for confirmation.

Type B

Section Cited

CCR

102425(a)(6)

Infant Safe Sleep

(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (6) Each infant's bedding shall be used for him/her only. Bedding that touches the infant’s skin shall be cleaned at least weekly or before use by another infant. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA observations and Licensee interview, the licensee did not comply with the section cited above in on the day of the inspection, there was an infant in care. In accessible daycare room, LPA observed 1 crib. Licensee stated the infant in care does sleep in the crib. LPA observed the light gray fitted bedding was covered in brown spots which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/21/2025
	Plan of Correction
1 2 3 4	Licensee stated she will through crib away and sent pictures to LPA via email by end of business on 03/21/2025.

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:

Juvenal Moctezuma

TELEPHONE: (559) 650-7869

LICENSING EVALUATOR NAME:

Pa Kou Vue

TELEPHONE: (559) 341-4624

LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: VINCENT, BETHANY FAMILY CHILD CARE	FACILITY NUMBER: 503910223
	VISIT DATE: 03/19/2025

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There is one fireplace in the home located in the accessible daycare room and is made inaccessible and blocked off by a wooden board and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort.

This is a single level home and there are no stairs. Safe toys and play equipment’s are observed. The outdoor play area in the backyard is fenced and there are no hazards to children present. Licensee was reminded to conduct daily checks on the outdoor play structures and equipment’s for normal wear and tear overtime, to be free of loose, pointed, or sharp edges prior to day-care children accessing outdoor area.

Licensee ensures that children in care are always supervised and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete with emergency information and all required forms were present and completed as required. Licensee’s Mandated Reporter Training expires on 01/28/2027. Licensee’s pediatric CPR/First Aid certification expires on 09/15/2026. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis, and measles. All staff files were complete with necessary forms and signed appropriately. Upon LPA records review and Licensee interview, the last fire drill was conducted on 02/13/2024 at 8:30AM.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Childcare Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS. Guardian background clearances were verified and discussed with Licensee.

Continued on 809-C

SUPERVISOR'S NAME: Juvenal Moctezuma	TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Pa Kou Vue	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: VINCENT, BETHANY FAMILY CHILD CARE	FACILITY NUMBER: 503910223
	VISIT DATE: 03/19/2025

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LPA discussed safe sleep regulations with Licensee and discussed the Childcare Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with Licensee Bethany Vincent.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, the following deficiencies are being cited: (see 809-D for further details).

Licensee was provided appeal rights.

This report shall be made available to the public upon request. LIC 9213 A Notice of Site Visit is provided and required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Juvenal Moctezuma	TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Pa Kou Vue	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

LIC809 (FAS) - (06/04)

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