543806741-5-19-2023-57-CC-ROCA-CRYR2E-20230519123813

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543806741
Report Date: 05/19/2023
Date Signed: 05/19/2023 12:38:33 PM

Document Has Been Signed on 05/19/2023 12:38 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:	GOVEA, SOCORRO FAMILY CHILD CARE		FACILITY NUMBER:	543806741
ADMINISTRATOR:	GOVEA, SOCORRO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 783-8192
CITY:	PORTERVILLE	STATE: CA	ZIP CODE:	93257
CAPACITY:	14	CENSUS: 6	DATE:	05/19/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Socorro Govea		TIME COMPLETED:	12:55 PM

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On 05/19/2023, Licensing Program Analyst (LPA) Ruby Ocegueda, conducted an unannounced Annual Required Inspection and was met by Licensee, Socorro Govea. Also present were Staff #2 and #3 (S2 and S3). Licensee is Spanish Speaking and LPA Ocegueda provided services in Spanish. Days and hours of operation are Monday through Friday from 6:00 AM to 6:00 PM or other hours as arranged.

LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that one bathroom and two living room spaces located in the back of the home are used for providing care and supervision. Entrance to the day care is through a side gate that leads to the play yard from the drive way. All other rooms are off-limits and made inaccessible by use of baby gates and door knob covers. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Today, during the inspection of the accessible bathroom, it was observed that under the sink were several hair and hygiene products as well as Windex brand cleaner. Licensee stated she forgot to lock the bottom cabinet today. Today, licensee locked the cabinet. There were no medications or other hazardous items observed in the home.

The fireplace is located in the living room and is completely blocked by a bookshelf and will not be used during day care hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. The home has working telephone service and LPA confirmed the phone number is (559) 783-8192.

There are currently no infants in care. LPA discussed Safe Sleep Regulations with licensee.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2023

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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Document Has Been Signed on 05/19/2023 12:38 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: GOVEA, SOCORRO FAMILY CHILD CARE	FACILITY NUMBER: 543806741
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/19/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(4)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above. Today, LPA observed chipped paint on several boards of the wooden fence in the play yard. Some of the paint was curled up, making it easy for children to pick off. LPA also observed multiple nails that were protruding and there was multiple cobwebs under a plastic play structure. Inside the home, there was Windex glass cleaner and multiple hair and hygiene products under the accessible bathroom sink. Licensee confirmed all of the observations. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/16/2023
	Plan of Correction
1 2 3 4	Licensee made the bathroom sink inaccessible. Licensee stated she would pain the boards with chipped and curled paint as well as remove any cobwebs from all equipment. Proof of Corrections will be submitted to the Department by POC date 6/16/2023.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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 Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2023

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: GOVEA, SOCORRO FAMILY CHILD CARE	FACILITY NUMBER: 543806741
	VISIT DATE: 05/19/2023

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The outdoor play area in the backyard is fenced and was inspected. LPA observed chipped and paint that was curled up on the back wood fence. There was also protruding nails at the bottom of the fence in several areas. LPA also observed multiple cob webs on the plastic play structures that children were playing on today. LPA addressed these observations and Licensee confirmed the observations. Capacity as specified on the license is being maintained.

Licensee has a current roster of the children. An emergency fire/disaster drill has been completed and documented within the last 6 months. Licensee’s Mandated Reporter Training was completed on 4/24/2022. Licensee’s pediatric CPR/First Aid expires on 12/22/2024. A review of records indicates that licensee and staff #2 have immunization records on file for influenza, pertussis and measles. Staff #3 did not have proof of pertussis and measles or influenza.

All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D) Licensee was provided a copy of appeal rights.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2023

LIC809 (FAS) - (06/04)

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