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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543902809
Report Date: 08/11/2022
Date Signed: 08/11/2022 02:01:07 PM


Document Has Been Signed on 08/11/2022 02:01 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:ANDRADE, TAMMY FAMILY CHILD CAREFACILITY NUMBER:
543902809
ADMINISTRATOR:ANDRADE, TAMMYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 542-4647
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 8DATE:
08/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Andrade, TammyTIME COMPLETED:
02:20 PM
NARRATIVE
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On 08/11/2022, Licensing Program Analyst (LPA) Ruby Ocegueda, conducted an unannounced Annual Required Inspection and was met by Licensee, Tammy Andrade. Also present were Staff 2 (S2) and Staff 3 (S3). Days and hours of operation are Monday-Friday 6:00 AM – 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 the kitchen, one outside bathroom, one indoor bathroom and living room spaces are used for providing care and are accessible to children. All other rooms/areas are upstairs, off-limits and made inaccessible by use of baby gate. 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. All poisons are kept in a locked storage area. No poisons were observed during the inspection. Today, while inspecting the restroom accessible through the children’s play yard, LPA observed that the toilet rim and fixtures were stained. The sink was also unclean and had dirt type debris on it. The base boards had compacted dirt on them, and the floor had stains and were unkept. Today, licensee had assistants clean and disinfect the restroom. In the living area to the right of the main entryway, LPA observed about 20 scattered shoes and the couch full of documents and other nonhazardous items. There was exercise equipment that the children could potential hit if they tripped on all of the shoes on the ground.

There are no fireplaces or open face heaters in the home. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Stairs are fenced or barricaded when children under age 5 years old are present. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 542-4647.

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

Report continued 809-C

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:
DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2022
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 08/11/2022 02:01 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: ANDRADE, TAMMY FAMILY CHILD CARE
FACILITY NUMBER: 543902809

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/11/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(b)
Operation of A Family Child Care Home
(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation the licensee did not comply with the section cited above. Upon inspection of the restroom outside, it was observed that the toilet area had some urine stains, the floors and base boards were dirty and the sink and sink fixtures were also unkept and stained. In the living room there were multiple shoes on the ground creating tripping hazards as well as papers and other objects on the sofa couch. This is a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/25/2022
Plan of Correction
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Today, Licensee cleaned and sanitized the restroom as well as cleaned the living room, removing shoes and objects from the couch. LPA reminded licensee of the regulation stated above. Licensee agreed to monitor her home for clean and safe conditions at all times. Deficiency cleared today.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, 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 every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on file review, the licensee did not comply with the section cited above. Licensee had expired Mandated Reporter training (expired on 8/2021) and S2 and S3 had not completed Mandated Reporter Training. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/25/2022
Plan of Correction
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Licensee stated she and S2 and S3 would complete required Mandated Reporter Training and submit proof to the Department by POC date 8/25/2022.

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 FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:
DATE: 08/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/11/2022 02:01 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: ANDRADE, TAMMY FAMILY CHILD CARE
FACILITY NUMBER: 543902809

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/11/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on file review, the licensee did not comply with the section cited above. Licensee and S3 could not provide proof of required immunizations (pertussis and measles) during the file review. Licensee and S3 also did not have proof of Tuberculosis. Licensee did not have staff documents available for Department review. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/25/2022
Plan of Correction
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Licensee stated she would find proof of required immunizations and organize staff files with all required documents. LPA provided a list of documents that should be kept and available for Department review at all times. Proof of required immunizations will be submitted to the Department by POC date 8/25/2022.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:
DATE: 08/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2022
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: ANDRADE, TAMMY FAMILY CHILD CARE
FACILITY NUMBER: 543902809
VISIT DATE: 08/11/2022
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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. There are two separate outside yard areas. One which is used for day care and the other which licensee identified as off limits. Although the yard is off limits per licensee, it is still accessible through the living area (sliding glass door). Today LPA observed that the handle was removed making it very difficult to open, especially for children. This side of the yard had multiple sharp tools, electric tools, a propane tank that was connected to a BBQ pit and other building materials. LPA explained that although the yard was identified as off limits, it was still accessible as were the tools and hazardous items. Today the children present were too young to open the door, however licensee does care for older school aged children that could potentially open the sliding door, even without the handle. Today, Licensees husband placed an additional gate where the tools and materials were and disconnected the propane tank from the BBQ. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was completed on 8/2019 and was expired today. S2 and S3 did not have required Mandated Reporter Training. Licensee’s pediatric CPR/First Aid expires on 12/2022. LPA conducted a staff file review and observed that licensee and staff #3 did not have proof of required immunization's today (pertussis, measles). A flu declination statement was observed for licensee and staff. Licensee and S3 did not have proof of TB on file.

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.


Report continued on 809-C
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2022
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: ANDRADE, TAMMY FAMILY CHILD CARE
FACILITY NUMBER: 543902809
VISIT DATE: 08/11/2022
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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 deficiencies are being cited: (see next page, 809 D) Licensee was provided a copy of appeal rights.

An exit interview was conducted with licensee Tammy Andrade. 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 FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2022
LIC809 (FAS) - (06/04)
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