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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543903590
Report Date: 07/29/2019
Date Signed: 08/21/2019 11:46:12 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:AVILA, SOLEDAD FAMILY CHILD CAREFACILITY NUMBER:
543903590
ADMINISTRATOR:AVILA, SOLEDADFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 739-7951
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:14CENSUS: 7DATE:
07/29/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Soledad Avila -Licensee TIME COMPLETED:
01:50 PM
NARRATIVE
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An unannounced Annual/Random Inspection was conducted today by Licensing Program Analysts (LPAs) Jessika Thompson and Angelica Mejia. LPAs met with Licensee Soledad Avila and a census was taken. Also present during the inspection was licensee’s assistant, Sintia Avila. A tour of the facility was made. Background clearances were discussed and licensee signed LIS531 indicating all adults residing and/or providing care and supervision have a criminal record clearance. Licensee has current pediatric CPR and First Aid, expiring 02/03/2020. The home is clean and orderly, with heating and ventilation for safety and comfort. The day-care room and bathroom are the only accessible areas within the home. The remainder of the home is made inaccessible by use of spinning plastic door knob cover(s). There are no stairs in the home. Safe, healthful, and comfortable accommodations, furnishings, toys and equipment were observed. There is a working telephone. Licensee has two dogs that are made inaccessible to children by means of gated area on the side of the home. Licensee understands that she is responsible for any actions taken by family pets. A current roster of children in care is maintained and updated accordingly. LPAs verified that immunization records are maintained, and licensee updates records for children in care. Licensee provides a copy of Parent’s Rights to all parents and/or child’s representatives. Licensee ensures that children in care are supervised at all times. Licensee states there are no firearms or ammunition are in the home. Facility has required fire extinguisher and smoke detector, both meet State Fire Marshall standards. Facility has one functioning carbon monoxide detector that meets statutory requirements. LPAs verified proof of Child Abuse Mandated Reporter training, completed 09/05/18. Licensee maintains proof of immunization for herself within the family child care home. Licensee understands children may not be left in parked vehicles. Safe sleep practices for infants was discussed and LPAs provided the licensee with a handout. Lead safety was discussed, and LPAs provided Licensee with a brochure. Licensee understands that lead safety information must also be provided to parents and/or authorized representatives of children in care. Provider Information Notices were discussed, and licensee is aware that forms and updated information may be obtained on the CCLD website (www.ccld.ca.gov).

(Continued on LIC809-C)
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2019
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 3
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: AVILA, SOLEDAD FAMILY CHILD CARE
FACILITY NUMBER: 543903590
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/29/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/12/2019
Section Cited
CCR
102417(g)(9)(A)(1)
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Operation of a Family Child Care Home. All homes shall conduct fire and disaster drills at least once every six months, and document the date and time of each drill. This requirement was not met as evidenced by records review. Today, LPAs found that the last documented fire & disaster drill occurred 09/17/18. This poses a potential risk to the Health & Safety of children in care.
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Licensee will conduct and document a fire & disaster drill and submit a copy of the log to the Fresno Community Care Licensing office by 08/12/19.
Type B
07/29/2019
Section Cited
CCR
102417(g)(4)
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 Operation of a Family Child Care Home. Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger to children shall be stored where they are inaccessible to children. This requirement was not met as evidenced by LPAs observations. During today's inspection, LPAs observed a container of insecticide on a shelf within the backyard. The insecticide was placed high enough to be deemed inaccessible; however, it was not locked as required. This poses a potential risk to the Health & Safety risk to children in care.
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During today's visit, the licensee placed aforementioned insecticide in a gated, locked area of the backyard.

Deficiency cleared at visit.
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observations. During today's inspection, LPAs observed a container of insecticide on a shelf within the backyard. The insecticide was placed high enough to be deemed inaccessible; however, it was not locked as required. This poses a potential risk to the Health & Safety risk to 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: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3
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: AVILA, SOLEDAD FAMILY CHILD CARE
FACILITY NUMBER: 543903590
VISIT DATE: 07/29/2019
NARRATIVE
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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. Licensee stated that currently, she does not have any children enrolled requiring IMS. Licensee was advised by LPAs that if/ when any IMS is provided, a Plan for Providing IMS must be submitted to the Department.

Hours of operation are Monday through Friday from 7:00 AM to 6:00 PM and as arranged; less than 24 hours. Licensee is reminded of inspection authority by employees of the Department at any time, with or without advance notice. Licensee is also advised that it is her responsibility to stay current with regulations.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found: (see LIC809-D)

In exit interview the licensee was advised of appeals rights and was provided with Appeals Rights.

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

SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2019
LIC809 (FAS) - (06/04)
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