503910236-6-1-2023-04-CC-ATRN-CSDRFN-20230601125924

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 503910236
Report Date: 06/01/2023
Date Signed: 06/01/2023 12:59:31 PM

Document Has Been Signed on 06/01/2023 12:59 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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	VEGAS LOPEZ, JUNE FAMILY CHILD CARE		FACILITY NUMBER:	503910236
ADMINISTRATOR:	VEGAS LOPEZ, JUNE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 585-5433
CITY:	OAKDALE	STATE: CA	ZIP CODE:	95361
CAPACITY:	14	CENSUS: 5	DATE:	06/01/2023
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	June Vegas Lopez		TIME COMPLETED:	01:15 PM

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On 06/01/2023 at 11:20am Licensing Program Analyst (LPA) Anita Tristan, conducted an unannounced Annual Required Inspection and was met by Licensee, June Vegas Lopez. Also present was Staff #1 (S1). Days and hours of operation are Monday-Friday 7:15am-4:45pm. The home has working telephone service and LPA confirmed the phone number is (209) 585-5433.

LPA toured the home inside and outside and a census was taken; there were 5 children in care. Current facility sketch reviewed, and Licensee confirmed that the kitchen, bathroom and front living room, side room (craft room), and Main day care room (garage) are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of locked doors. The outdoor play area in the backyard is fenced and there are no hazards to children present. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

The fireplace located in the kitchen area and is made inaccessible by a wood cover and cushioned edge protector; fire place is not in use. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Safe toys and play equipment are observed

***CONTINUED ON 809-C***

SUPERVISOR'S NAME: Cynthia Brannon	TELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Anita Tristan	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

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

FACILITY NAME: VEGAS LOPEZ, JUNE FAMILY CHILD CARE	FACILITY NUMBER: 503910236
	VISIT DATE: 06/01/2023

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Licensee ensures that children in care are supervised at all times 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 as required. Licensee’s Mandated Reporter Training was completed on 02/2023. Licensee’s pediatric CPR/First Aid expires on 07/25/2023. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

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. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) are not currently being provided. (Incidental Medical Services (IMS) policy was discussed.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with the Licensee, June Vegas Lopez.

A Notice of Site visit and appeal rights was given and discussed and must remain posted for 30 days.

SUPERVISOR'S NAME: Cynthia Brannon	TELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Anita Tristan	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

LIC809 (FAS) - (06/04)

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