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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543805116
Report Date: 09/26/2019
Date Signed: 09/26/2019 03:59:08 PM

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:ESPERANZA'S DAY CAREFACILITY NUMBER:
543805116
ADMINISTRATOR:RAMIREZ, LETICIA & JOSEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 636-0812
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:14CENSUS: 16DATE:
09/26/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Leticia & Jose RamirezTIME COMPLETED:
04:15 PM
NARRATIVE
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An unannounced Annual/Random Inspection was conducted today by Licensing Program Analyst (LPA) Jessika Thompson. LPA met with Licensees Leticia and Jose Ramirez and a census was taken. A tour of the facility was made. Background clearances were discussed all adults residing and/or providing care and supervision have a criminal record clearance. Licensees have pediatric CPR and First Aid that both expire on 10/21/19. The home is clean and orderly, with heating and ventilation for safety and comfort. Off-limit rooms are made inaccessible by using plastic door knob covers. Safe, healthful, and comfortable accommodations, furnishings, toys and equipment were observed. There is a working telephone. A current roster of children in care is maintained. LPA verified that immunization records are maintained. Licensees provide a copy of Parent’s Rights to all parents and/or child’s representative. Licensees ensure that children in care are supervised at all times. Fire and disaster drills are conducted at least once every six months, documented with the date and time. Detergents, cleaning compounds, medications, and other items which could pose a danger to children are stored where they are inaccessible to children. Facility has required fire extinguisher and smoke detector, both meet State Fire Marshall standards. Facility has one functioning carbon monoxide detector that meets statutory requirements. A pool was observed and is fenced in accordance with Title 22 Regulations. Licensees understand that children may not be left in parked vehicles. Safe sleep practices for infants was discussed and LPA provided Licensees with a handout. Lead safety was discussed and LPA provided Licensees with a brochure. Licensees understand that lead safety information must also be provided to parents and/or authorized representatives of children in care. Licensees were also advised that it is their responsibility to stay current with regulations. Licensees stated that currently they do not have any children enrolled that require IMS. Licensees understands that if/when any IMS is provided, a Plan for Providing IMS must be submitted to the Department (continued on LIC809-C).
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019
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 4
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: ESPERANZA'S DAY CARE
FACILITY NUMBER: 543805116
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/05/2019
Section Cited

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An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement was not met, as evidenced by records review. During today's visit, LPA found that children's files did not contain Consent for Emergency Medical Treatment (LIC627) forms.
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This poses a potential risk to the health, saftety or 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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:
DATE: 09/26/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/26/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: ESPERANZA'S DAY CARE
FACILITY NUMBER: 543805116
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/08/2019
Section Cited

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Staffing Ratio and Capacity. The capacity specified on the license shall be the maximum number of children for whom care can be provided. This requirement was not met, as LPA observed
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licensees caring for 16 children when they are licensed for a maximum capacity of 14. This poses an immediate risk to the health, safety or 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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:
DATE: 09/26/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/26/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: ESPERANZA'S DAY CARE
FACILITY NUMBER: 543805116
VISIT DATE: 09/26/2019
NARRATIVE
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Hours of operation are Monday through Friday from 5:30 AM to 11:30 PM and as arranged; less than 24 hours. Licensees are reminded of inspection authority by employees of the Department at any time, with or without advance notice.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found: (see LIC809-D)

In exit interview licensees were advised of appeals rights and was provided with Appeals Rights. Licensees were also advised that this report with Type A Deficiencies must be posted for 30 days where parents may easily view and filed in facility file for public review for 3 years.

Licensees were advised to make this licensing report accessible to the public and to provide copies of this licensing report and 809D with Type A citation to parents/legal guardians of children in care and to parents/legal guardians of children newly enrolled at the facility during the next 12 months. Licensees are to keep verification of receipt (LIC9224) in each child's file at the facility. An LIC9224 and Assembly Bill 633 fact sheet was provided to licensee on this date.

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: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4