543903669-4-22-2022-04-CC-ROCA-CDQSYT-20220422141804

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543903669
Report Date: 04/22/2022
Date Signed: 04/22/2022 02:18:16 PM

Document Has Been Signed on 04/22/2022 02:18 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	ORTIZ, DEBORAH FAMILY CHILD CARE		FACILITY NUMBER:	543903669
ADMINISTRATOR:	ORTIZ, DEBORAH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 920-0860
CITY:	PORTERVILLE	STATE: CA	ZIP CODE:	93257
CAPACITY:	14	CENSUS: 0	DATE:	04/22/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Deborah Ortiz		TIME COMPLETED:	02:35 PM

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On 4/22/2022, Licensing Program Analyst (LPA), Ruby Ocegueda conducted an unannounced Annual Required Inspection and was met by Licensee, Deborah Ortiz. Days and hours of operation are Monday through Friday 7:00 AM – 6:00 PM.

LPA toured the home inside and outside and a census was taken. Licensee does not have any children enrolled at this and there were no children present today but stated she is open to caring for children. Current facility sketch reviewed, and Licensee confirmed that the kitchen, living room, dining room, family room and one hall bathroom are accessible and used for providing care. All other rooms are off-limits and made inaccessible by use of door locks. 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 was no water inside the pool today. 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.

The fireplace located in the family room is made inaccessible by a screen and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 920-0860.

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

Licensee 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 was fenced and it was inspected. LPA observed discarded furniture, unused wood cabinets and a broken refrigerator. Licensee requested that her back yard be made inaccessible until these items were removed. Licensee understands that her yard will need to be inspected before she could make it accessible again. Capacity as specified on the license is being maintained. Report continued to page 809-C.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2022

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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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: ORTIZ, DEBORAH FAMILY CHILD CARE	FACILITY NUMBER: 543903669
	VISIT DATE: 04/22/2022

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LPA reviewed a list of all required documents that should be in children's files and a list was provided to licensee as a guide for when she has children enrolled again. Licensee could not provide proof of Mandated Reporter Training today. Licensee could not find proof of pediatric CPR/First Aid today. Past Department documentation was reviewed and indicated that licensee had submitted proof of immunization for influenza, pertussis and measles. Today, licensee could not find her immunization record. LPA Ocegueda reviewed the requirement to have all documents and forms available for Department review.

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 today.

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: 04/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022

LIC809 (FAS) - (06/04)

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