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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543902809
Report Date: 08/14/2019
Date Signed: 08/14/2019 12:44:46 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:ANDRADE, TAMMY FAMILY CHILD CAREFACILITY NUMBER:
543902809
ADMINISTRATOR:ANDRADE, TAMMYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 756-3959
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 3DATE:
08/14/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Tammy Andrade, LicenseeTIME COMPLETED:
01:00 PM
NARRATIVE
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(3) LPA Pete Espinoza attempted to complete an Annual/Random inspection. Upon arrival at facility Cindy Olmos, Licensee's sister answered the door. LPA introduced himself and stated the reason for the visit. Ms. Olmos then asked for LPA to wait while she went to get Assistant. Ms. Olmos eventually opened the door and as LPA observed three (3) children in the room. At that time Jessistar Andrade, Assistant introduced herself and stated she was watching children while her mom (Licensee Tammy Andrade) was away from the facility. Licensee arrived at facility. A review of Facility Personnel Report Summary indicates Ms. Olmos is NOT associated to the facility.
There are no firearms in this facility. Swimming pool is fenced per regulation. Storage areas for poisons, detergents, cleaning compounds, medications and other items which could pose a danger to children are stored where they are inaccessible to children; and poisons are locked. There is no fireplace. Fire extinguishers and smoke/carbon monoxide detectors meet State Fire Marshall standards. The home is kept clean and orderly, with heating and ventilation for safety and comfort. Where children less than five years old are in care, stairs are fenced or barricaded. When temporarily absent from the home, the licensee arranges for a substitute adult to care for and supervise children in her/his absence. Each child has safe, healthful, and comfortable accommodations, furnishings, and equipment. The home has a current roster of the children. The home conducts fire and disaster drills at least once every six months, and documents the date and time of each drill. Licensee documents immunizations and maintains and updates records for children in care. The licensee and other personnel as specified have completed training on preventive health practices including pediatric CPR and First Aid.

Business hours are Mon-Fri 6:00 AM to 6:00 PM.

Licensee provided proof of required immunization (Pertussis/Measles/influenza and/or written declaration declining flu shot).
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019
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: ANDRADE, TAMMY FAMILY CHILD CARE
FACILITY NUMBER: 543902809
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/14/2019
Section Cited
CCR
102370(d)(1)
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Criminal Record Clearance - All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility; Obtain a California clearance or a criminal record exemption as required by the Department.
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Ms. Olmos left facility and Licensee stated she will no longer be allowed to enter facility during operating hours.

Deficiency Cleared.
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This requirement is not met as evidenced by records review conducted during today’s inspection. A review of Facility Personnel Report Summary indicates Licensee's sister (Cindy Olmos) is NOT associated to the facility.
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An immediate civil penalty of $100.00 is assessed.
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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: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019
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: ANDRADE, TAMMY FAMILY CHILD CARE
FACILITY NUMBER: 543902809
VISIT DATE: 08/14/2019
NARRATIVE
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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.

The following is cited per Title 22 Div. 12 of the CCR: (see page 2) Copy of appeal Rights left with center representative/licensee.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
Notes:* Any Licensing reports indicating a Type A deficiency shall be posted immediately and for the next 30 days and copies provided of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Health & Safety Section 1596.859(a) shall be cited and a civil penalty of $100.00 for failure to provide copies to parents/guardians of children in care and newly enrolled children, and for failure to maintain written verification of receipt of licensing reports indicating a Type A violation (LIC 9224).

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

To view e-learning modules: https://ccld.childcarevideos.org/
Advocate e-mail: childcareadvocatesprogram@dss.ca.gov
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019
LIC809 (FAS) - (06/04)
Page: 2 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: ANDRADE, TAMMY FAMILY CHILD CARE
FACILITY NUMBER: 543902809
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/28/2019
Section Cited
HSC
1596.8662(b)(1)
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MANDATED REPORTER TRAINING - On or before 3/30/2018, a person who, on 1/1/2018, is a licensed child care provider or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training
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Licensee will send to Fresno Regional Office by 08/28/2019; proof of completion of Mandated Reporter Training.
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every two years following the date on which he or she completed the initial mandated reporter training. This requirement was not met as evidenced by record review. Licensee could not provide evidence of completion of Mandated Reporter Training. This poses a potential Health, Safety, Personal Rights risk to children in care.
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Type B
08/28/2019
Section Cited
CCR
102417(g)(8)
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Operation of a Family Child Care Home - Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement is not met as evidenced by records review conducted during today’s inspection. The licensee failed to provide copy of updated Facility Roster.
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Licensee will send updated Facility Roster to Fresno Regional office by 08/28/2019.
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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: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4