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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543802461
Report Date: 02/17/2023
Date Signed: 02/17/2023 01:06:11 PM


Document Has Been Signed on 02/17/2023 01:06 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:OWENS FAMILY CHILD CAREFACILITY NUMBER:
543802461
ADMINISTRATOR:OWENS, KATHERINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 783-9065
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 6DATE:
02/17/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Katherine Owen'sTIME COMPLETED:
01:30 PM
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On 2/17/2023, Licensing Program Analyst (LPA) Ocegueda conducted an unannounced case management inspection with licensee the purpose of reviewing records and providing technical assistance. LPA met with licensee Katherine Owens today. LPA toured the facility and took a census.

Today, LPA reviewed children's files and licensee facility records. Licensee had a CPR/Training certificate from an online CPR program. Licensee indicated that she completed the training during the Covid-19 pandemic as she could not find an in person training. The certificate is dated 8/4/2021. LPA provided licensee a list of documents that should be available for review in children's files and staff files.

Today, Licensee stated that she does not use the back yard due to the weather and because it is unsafe. Today, LPA observed a child safety gate leading to the back yard that made the yard inaccessible. LPA updated the facility sketch to reflect that the back yard is officially off limits. Licensee understands that she should not use the yard or any part of the home that is not approved for care. Licensee understands that an inspection of the yard or any previously inaccessible room must be completed before she uses it for care and supervision.

Today, LPA observed two space heaters in the home. LPA confirmed that during an inspection on 1/13/2023, LPA's Ocegueda and Daniel Alvarez discussed the requirement to maintain heaters and fire places inaccessible. Licensee stated she would maintain the heaters out of reach of children. Licensee plans to place the space heater in an area where the children cannot reach them.

Report continued to 809-C
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:
DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/17/2023
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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: OWENS FAMILY CHILD CARE
FACILITY NUMBER: 543802461
VISIT DATE: 02/17/2023
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Today, LPA provided licensee with written resources related to safe sleep and a list of forms that should be posted at her facility and a list of documents that should be available for review in children's files and staff files. LPA encouraged licensee visit the ccld.ca.gov website for further information on requirements, regulations and resources.

Per Title 22, division 12, chapter 3 of the California Code of Regulations, the following deficiency was cited today.

An exit interview was conducted with licensee Katherine Owens. Appeal Rights were Provided. Notice of Site Inspection LIC 9212 will be posted for 30 days
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 02/17/2023 01:06 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: OWENS FAMILY CHILD CARE
FACILITY NUMBER: 543802461

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/24/2023
Section Cited

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(g)The home shall be free from defects or conditions which might endanger a child... (1) Fireplaces and open-face heaters shall be screened to prevent access by children.
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Today, Licensee turned the heaters off and stated she would place the heaters out of reach of children. Licensee does not have central AC and heating in day care room and uses the heaters during Winter months. Licensee understands that she cannot have any space heater or fire place accessible to children. Proof will be submitted to the Department by POC date 2/24/2023.
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This requirement was not me as evidenced by: observation. LPA observed two space heaters that were accessible to children in the day care room. This poses a potential risk to the health, safety and personal rights of children in care.
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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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:
DATE: 02/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/17/2023
LIC809 (FAS) - (06/04)
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