543805379-1-24-2020-04-CC-ROCA-BL5U3B-20200124141316

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543805379
Report Date: 01/24/2020
Date Signed: 01/24/2020 02:13:28 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:	OLIVAS FAMILY CHILD CARE		FACILITY NUMBER:	543805379
ADMINISTRATOR:	OLIVAS, EMMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 735-9018
CITY:	VISALIA	STATE: CA	ZIP CODE:	93292
CAPACITY:	14	CENSUS: 6	DATE:	01/24/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Emma Olivas		TIME COMPLETED:	02:30 PM

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On this date, Licensing Program Analyst (LPA), Ruby Ocegueda conducted an unannounced annual inspection. LPA met with Licensee, Emma Olivas. Present in the home were six day care children. Licensee stated that she currently has one assistant who was not present today. LPA took a census and toured the facility inside and outside. Licensee stated that accessible rooms were the play room (converted garage) and one hall bathroom. The children must pass through a laundry room to access the restroom in the hall way. The bedrooms were made inaccessible by way of lock. Licensee stated that there were no firearms or ammunition at this home. There was a working fire extinguisher, and adequate heating and ventilation for safety and comfort. The smoke detector alarm and carbon monoxide detector were tested and functioning today. There was a fireplace at this home that that was covered by way of glass cover. Fire drills were observed to be documented and completed once every six months. There was a working telephone and number was verified. Adequate supervision was being provided during this inspection. Capacity as specified on the license was being maintained. Licensee has a current roster of the children. LPA inspected two children’s files today. Licensee maintains documentation of immunizations for the children. Licensee has provided parents with a copy of the Family Child Care Home Notification of Parent's Rights (LIC 995A). All required documents were in the children’s’ files. Licensee stated that she does not transport children. All individuals residing at the home have criminal background/fingerprint clearances. There were no excluded individuals present at this home. Licensee is aware that upon notice from the Department, any excluded individual must be immediately removed from the home and prevented from returning to the home or having contact with children in care. Licensee stated she took her Pediatric CPR/First Aid training on 1/18/2020, however did not yet have the card. Today licensee was able to provide a receipt indicating that she completed required CPR/First Aid. CPR First Aid expires 1/18/2022. Licensee showed proof of completed Mandated Reporter Training (AB1207) completed on 1/18/2020 for herself and assistant (Eulalia Mendoza). Immunization's for licensee and assistant (Eulalia Mendoza) were verified. Licensee is aware that any authorized employee of the Department may enter and inspect any place providing personal care and services at any time, with or without advance notice. Report continued on 809-C

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: OLIVAS FAMILY CHILD CARE	FACILITY NUMBER: 543805379
	VISIT DATE: 01/24/2020

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Incidental Medical Services (IMS) policy was discussed. Licensee stated that she does not provide IMS services at this time. Licensee understands that if IMS is ever provided, a written plan must be submitted to the department.

At this time, licensee is not caring for infants. LPA informed Licensee of Safe Sleep practices for infants and how to provide Safe Sleep environments. LPA informed Licensee to visit the Department’s website (www.ccld.ca.gov) for updates and changes related to licensing regulations and procedures.

Hours of operation are Monday – Friday 6:00 AM – 10:00 PM or hours as arranged.

LPA & licensee discussed the Community Care Licensing website and Mandated Reporter Training: LPA and licensee discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN. LPA left a copy of A Child Care Provider’s Guide to Safe Sleep.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies cited today.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: OLIVAS FAMILY CHILD CARE	FACILITY NUMBER: 543805379
	VISIT DATE: 01/24/2020

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During inspection LPA inspected areas where infant’s sleep. LPA informed Licensee of Safe Sleep practices for infants and how to provide Safe Sleep environments. LPA informed Licensee to visit the Department’s website (www.ccld.ca.gov) for updates and changes related to licensing regulations and procedures.

Hours of operation are Monday – Friday 6:00 AM – 10:00 PM or hours as arranged.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

LIC809 (FAS) - (06/04)

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