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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801694
Report Date: 09/10/2019
Date Signed: 09/10/2019 11:52:10 AM

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:FAMILY F.O.C.U.S.FACILITY NUMBER:
543801694
ADMINISTRATOR:TANNER, PRUDY JFACILITY TYPE:
830
ADDRESS:1504 S. KESSINGTELEPHONE:
(559) 784-2214
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:45CENSUS: 36DATE:
09/10/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Larissa Harrison, Site SupervisorTIME COMPLETED:
12:00 PM
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(3) LPA Pete Espinoza made an unannounced Annual/Random inspection. LPA met with Larissa Harrison, Site Supervisor. There are no bodies of water. Firearms and other weapons are not allowed or stored on the premises of a child care center. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children, shall be inaccessible to children. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition, and is free of hazards. All storage containers for solid waste, including moveable bins, have tight fitting covers that are kept on, and are in good repair. The licensee takes measures to keep the facility free of flies, other insects, and rodents. The facility has age-appropriate furniture and equipment including, but not limited to, cribs, cots, or mats. A baby walker is not allowed on the premises of a child care center. The facility has sufficient infant napping equipment. The facility has indoor activity space for infants that is physically separate from space used by preschool child care center/school-age child care center components. The child care center is clean, safe, sanitary, and in good repair at all times to ensure the safety and well-being of children, employees, and visitors. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Bottles, dishes, and containers of food brought by the infant's authorized representative are labeled with the infant's name and the current date. While in use, infant changing tables are placed within arm's reach of a sink. The facility ensures that each infant is never left unattended, and under the direct visual supervision of a staff person at all times. The facility is in compliance with the staff-infant ratios required. Prior to working or volunteering in a licensed child care facility, all individuals subject to criminal record review have obtained a clearance or criminal record exemption. The licensee ensures that personnel records are maintained on the licensee, administrator, and each employee. In centers where the licensee chooses to handle medications, all medications are centrally stored, maintained with the child's name, and are dated, and follow the conditions as prescribed. The facility ensures that staff being utilized as infant teachers during the compliance review meet the qualification requirements. Menus are posted at least one week in advance. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. The facility has an individual feeding plan for each infant that meets the requirements. The facility ensures that each infant has an Infant Needs and Services Plan.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FAMILY F.O.C.U.S.
FACILITY NUMBER: 543801694
VISIT DATE: 09/10/2019
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Director provided proof required immunizations (Pertussis/Measles/Influenza) and/or written declaration declining flu shot AND certificate of completion for required AB 1207 - California Child Care Workers: Mandated Reporter Training for all staff present at facility at time of visit.
Business hours are Mon-Fri 6:00 AM to 6:00 PM.

Providing MIS:
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

NO DEFICIENCIES OBSERVED IN THE AREAS INSPECTED DURING TODAY’S VISIT.



LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

To view e-learning modules: https://ccld.childcarevideos.org/
To order forms, etc. visit our website at www.ccld.ca.gov.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2019
LIC809 (FAS) - (06/04)
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