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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543902809
Report Date: 09/05/2019
Date Signed: 09/05/2019 11:15:37 AM

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: 4DATE:
09/05/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Tammy Andrade, LicenseeTIME COMPLETED:
11:30 AM
NARRATIVE
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LPA Pete Espinoza conducted Plan of Correction inspection today regarding deficiencies cited on 08/14/2019. Upon arrival, LPA was met at door by Assistant. Assistant stated Licensee was NOT home and she will get Licensee's daughter to answer the door. Licensee's daughter answered the door and allowed entry into the home. LPA observed six (6) children present in the home and observed fence was NOT in place at bottom of stairway. Licensee arrived at facility and LPA met with Tammy Andrade, Licensee. LPA informed Licensee of past due fees in the amount of $222.00. Licensee provided copy of Facility Transaction History.

LPA viewed on Licensee's phone a picture of the Certificate of Completion for Licensee and her daughter. LPA reviewed updated Facility Roster.

During visit LPA provided Letter of Deficiency Citations Cleared. Exit interview conducted with Tammy Andrade, Licensee.

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

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
A Notice of Site Visit was posted on parent board.

To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2019
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: ANDRADE, TAMMY FAMILY CHILD CARE
FACILITY NUMBER: 543902809
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/05/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/05/2019
Section Cited

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Operation of a Family Child Care Home - Where children less than five years old are in care, stairs shall be fenced or barricaded. This requirement is not met as evidenced by observation during today's
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inspection .LPA observed fence for stairway was not in place, therefore making the upstairs accessible to children.
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Type B
09/13/2019
Section Cited

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Licensing Fees - After initial licensure, a fee shall be charged by the department annually, on each anniversary of the effective date of the license. This requirement was not met as evidenced by review of
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Facility Transaction history indicating a balance due of $140.00 + 82.00 past due fees. Total fees due are $222,00. This poses a potential risk to the health, safety, or personal rights of the children in care.
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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: 09/05/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/05/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2