543807156-12-20-2021-04-CC-ROCA-C9VULN-20211220144101

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543807156
Report Date: 12/20/2021
Date Signed: 12/20/2021 02:41:13 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:	ESPINOZA, DELIA FAMILY CHILD CARE		FACILITY NUMBER:	543807156
ADMINISTRATOR:	ESPINOZA, DELIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 667-5049
CITY:	FARMERSVILLE	STATE: CA	ZIP CODE:	93223
CAPACITY:	14	CENSUS: 0	DATE:	12/20/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Delia Espinoza		TIME COMPLETED:	03:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 12/20/2021, Licensing Program Analyst (LPA), Ruby Ocegueda conducted an unannounced Annual Required Inspection and was met by Licensee, Delia Espinoza. Licensee is Spanish Speaking. Days and hours of operation are Monday through Friday and is available 24 hours a day. LPA toured the home inside and outside and a census was taken. Licensee had no children in care today. Current facility sketch reviewed and Licensee confirmed that the converted garage, attached bathroom and living room are available for care. All other rooms are off-limits and made inaccessible by use of door knob safety cover. Swimming pool is fenced per regulation. The pool gate is self-latching, self-closing and opens away from the swimming pool. No windows or doors have direct access to the pool area. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. There are no fireplaces or open face heaters in the home. There is a working fire extinguisher, smoke detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Safe toys and play equipment are observed were observed inside the home. The home has working telephone service and LPA confirmed the phone number is (559) 667-5049. 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. The outdoor play area in the backyard is fenced. Licensee had two play houses that were broken located in the side play yard. Licensee will discard the unused play houses before she uses the side yard. Licensee has a separate fenced front yard that is available for use and no hazards were observed. Capacity as specified on the license is being maintained. Report continued to 809-C.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021

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: ESPINOZA, DELIA FAMILY CHILD CARE	FACILITY NUMBER: 543807156
	VISIT DATE: 12/20/2021

NARRATIVE

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LPA reviewed one child's file (for technical assistance purposes) and observed files were complete with emergency information as required. Licensee could not find proof of Mandated Reporter training, licensee indicated that it was completed, however could not find proof today. Licensee’s pediatric CPR/First Aid expires on 4/9/2023. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

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, no deficiencies are cited.

An exit interview was conducted with licensee Delia Espinoza. 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: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021

LIC809 (FAS) - (06/04)

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