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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801694
Report Date: 03/09/2022
Date Signed: 03/09/2022 03:04:06 PM


Document Has Been Signed on 03/09/2022 03:04 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
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: 16DATE:
03/09/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Twila Silva, Site SupervisorTIME COMPLETED:
03:15 PM
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On 03/09/2022, a case management inspection was conducted today by Licensing Program Analyst, Pete Espinoza. LPA met with Twila Silva, Site Supervisor, to discuss COVID-19 Inquiries/Concerns reported on 02/04/2022. A complete file review was conducted prior to visit. LPA toured facility and Census was taken. LPA interviewed Site Supervisor.

Ms. Silva stated the facility follows California Department of Industrial Relations - Division of Occupational Safety & Health (Cal/OSHA). Ms. Silva stated staff were provided Cal/OSHA guidelines Titled: "What Employers and Workers Need to Know About COVID-19 Isolation and Quarantine" Dated: 01/19/2022. Cal/OSHA guidelines state: "The chart reflects the new California Department of Public Heath (CDHP) isolation and quarantine periods guidance from January 6, 2022, which overrides the Cal/OSHA COVID-19 Prevention Emergency Temporary Standards in certain circumstances". Ms. Silva stated Cal/OSHA information was provided to staff on 02/09/2022.

Ms. Silva stated there have been staff who are fully vaccinated but not yet booster eligible, who have returned to work based on the Cal/OSHA guidelines. Ms. Silva stated children enrolled in center who test positive for COVID-19 and/or are exposed to someone in the immediate family who tests positive for COVID-19 are required to quarantine for ten days. Ms. silva stated all staff/children enrolled in center who have tested positive have reported to her and she has reported those cases to Fresno Regional Office as required.

Ms. Silva provided copy of Cal/OSHA guidelines and sign-in sheet indicating staff who received Cal/OSHA guidelines on 02/09/2022.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit.
LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:
DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/09/2022
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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