503910885-6-5-2024-04-CC-JYAZ-D5XRKB-20240605130516

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 503910885
Report Date: 06/05/2024
Date Signed: 06/05/2024 01:05:28 PM

Document Has Been Signed on 06/05/2024 01:05 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:	ABALOS, ZENY & CALIMQUIM, RANDY FAMILY CHILD CARE		FACILITY NUMBER:	503910885
ADMINISTRATOR:	ABALOS,ZENY/CALIMQUIN,RAND		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 585-9789
CITY:	TURLOCK	STATE: CA	ZIP CODE:	95380
CAPACITY:	14	CENSUS: 10	DATE:	06/05/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Zeny Abalos & Randy Calimquim		TIME COMPLETED:	01:15 PM

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On 06/05/2024, Licensing Program Analyst (LPA), Jeovanna Yanez conducted an unannounced Annual Required Inspection and was met by Licensees’ Zeny Abalos and Randy Calimquim. Also present was Staff #1 (S1). Days and hours of operation are Monday - Friday, from 7:30 AM to 5:00 PM. The home has a working telephone service and LPA confirmed the phone number is (209) 585-9789.

This is a single level home and there are no stairs. Safe toys and play equipment are observed. LPA toured the home inside and outside and a census was taken. LPA reviewed current facility sketch and confirmed that the living room, dining room, study room, bedroom #1 (nap room), 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 child safety gates, secure door latches, and plastic door knob spinners. There is a fireplace in the home located in the living room and is made inaccessible by shelving built in front of fireplace 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. The outdoor play area in the backyard is fenced and there are no hazards to children present.

Licensee stated they have one (1) dog in an off-limits part of the home. Licensee understand the liability of pets around day care children and accepts responsibilities of any action taken by pets There is no swimming pool or other bodies of water on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Capacity as specified on the license is being maintained. Licensee stated that she provides meals to the children in care.

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Both Licensee’s Mandated Reporter Training was completed on 06/13/2023. S1 Mandated Reporter Training was completed on 02/12/2023. (CONTINUED ON 809-C)

SUPERVISOR'S NAME: Juvenal Moctezuma	TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Jeovanna Yanez	TELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024

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 06/05/2024 01:05 PM - It Cannot Be Edited

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: ABALOS, ZENY & CALIMQUIM, RANDY FAMILY CHILD CARE	FACILITY NUMBER: 503910885
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/05/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above. Both Licensees' had expired Pediatric CPR/First Aid training certifications, and Staff #1's Pediatric CPR/First Aid training could not be verified as EMSA certified, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/05/2024
	Plan of Correction
1 2 3 4	Licensees' will enroll in an approved CPR & First Aid training for themselves and Staff #1 as soon as possible, and will provide a copy of updated Pediatric CPR & First Aid Certificate to CCL by POC due date.

Type B

Section Cited

HSC

1596.871(c)(1)(A)

Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above. Licensee failed to ensurethat Staff #1's fingerprints were transferred and associated to the family child care home, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/12/2024
	Plan of Correction
1 2 3 4	Licensee submitted LIC 9182 for Staff #1 to LPA on this date. Licensee will write a statement that she understands all adults providing care and supervision in the home must have fingerprint clearance and facility association prior to initial prescence, and submit to CCL by POC due date.

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: Jeovanna Yanez	TELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024

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: ABALOS, ZENY & CALIMQUIM, RANDY FAMILY CHILD CARE	FACILITY NUMBER: 503910885
	VISIT DATE: 06/05/2024

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Licensee Zeny’s Pediatric CPR/First Aid certification expired on 02/28/2023. Licensee Randy’s Pediatric CPR/First Aid certification expired on 08/10/2023. S1’s Pediatric CPR/First Aid expires on 07/18/2025 but could not be verified as ESMA certified. A review of records indicates that not all employees and/or volunteers have immunization records on file for influenza, pertussis and measles. LPA observed S1 did not have immunizations on file.

Licensees’ were 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 Child Care 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. LPA observed S1 did have criminal record clearance but did not have this clearance transferred to the facility. LPA advised Licensee that all staff/volunteers must have criminal record clearance or exemption transferred before being present in the home. Licensee understood and completed LIC 9182 transfer request to submit to CCL.

There are three (3) infants in care. LPA discussed safe sleep regulations with licensee and discussed the Child Care 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/.

(CONTINUED ON 809-C)

SUPERVISOR'S NAME: Juvenal Moctezuma	TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Jeovanna Yanez	TELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024

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: ABALOS, ZENY & CALIMQUIM, RANDY FAMILY CHILD CARE	FACILITY NUMBER: 503910885
	VISIT DATE: 06/05/2024

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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. 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).

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, Zeny Abalos. 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.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page). Licensee was provided appeal rights.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Juvenal Moctezuma	TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Jeovanna Yanez	TELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024

LIC809 (FAS) - (06/04)

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