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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543806870
Report Date: 07/12/2019
Date Signed: 07/12/2019 03:24:14 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:GARCIA, MARGARITA FAMILY CHILD CAREFACILITY NUMBER:
543806870
ADMINISTRATOR:GARCIA, MARGARITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 562-4532
CITY:LINDSAYSTATE: CAZIP CODE:
93247
CAPACITY:14CENSUS: 7DATE:
07/12/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Margarita GarciaTIME COMPLETED:
03:45 PM
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Licensing Program Analysts (LPAs) Robert Gutierrez & Angelica Mejia conducted an unannounced annual inspection. LPAs met with Licensee Maragarita Garcia. Licensee is Spanish speaking. LPAs conducted a tour of the home, inside and outside, as shown on the facility sketches (LIC 999A) provided. The rooms accessible to children in care are the kitchen, dining room, family room, living room #1 and #2, computer room, hallway bathroom and back yard. Off-limits bedrooms are made inaccessible via plastic door knob spinners and locks. No pets were observed during today's inspection. There are no firearms in this home. The facility has a pool waiver on file. Currently there is no water in the swimming pool. LPAs inspected the pool gate entrances and observed the pool gate located north of the facility had difficulty self-latching and self-closing. Licensee was informed prior to adding water to the pool she must make this gate in compliance to Title 22 regulations. Failure to achieve this compliance shall result in a deficiency and possibly civil penalty. Licensee shall contact the Fresno regional office prior to filling the pool with water. No poisons were observed on the premises. Cleaning compounds, medications and other hazardous items are inaccessible to children. Restroom cabinets and drawers have functional plastic latches making items inside inaccessible to children in care. Kitchen cabinets and drawers did not contain items that could pose danger to children in care. Fireplace located in living room #2 is screened and inaccessible to children in care. There is a working fire extinguisher, smoke detector, carbon monoxide indicator, and adequate heating and ventilation for safety and comfort. There are no stairs in the home. There is a working telephone (559) 562-4532 and number was verified. Adequate supervision is being provided during this inspection. Capacity as specified on the license is being maintained. Licensee has a current roster of the children. Licensee maintains documentation of immunizations for the children. Licensee maintains documentation of immunizations for pertussis, measles and influenza for herself. Licensee has provided parents with a copy of the Family Child Care Home Notification of Parent's Rights (LIC 995A). Fire drills are conducted and documented with the date and time every six months. Licensee is aware that children are never to be left in parked vehicles. 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. 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. Pediatric CPR/First Aid is current and expires 01/24/2021. Mandated Reporter training AB 1207 is current and expires 01/16/2020. 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. Postings such as Emergency Disaster Plan, facility license and notification of parents rights poster are posted near the entrance of the facility. Licensee confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address. Days and hours of operation are Monday – Saturday; 6:00 AM – 5:30 PM.

Continued on 809-C

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert GutierrezTELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019
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 2
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: GARCIA, MARGARITA FAMILY CHILD CARE
FACILITY NUMBER: 543806870
VISIT DATE: 07/12/2019
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm


LPA & licensee discussed safe sleep regulations and lead information.

LPA left a copy of LIC 9227.

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



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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert GutierrezTELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2