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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543903669
Report Date: 04/11/2023
Date Signed: 04/11/2023 02:22:24 PM


Document Has Been Signed on 04/11/2023 02:22 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:ORTIZ, DEBORAH FAMILY CHILD CAREFACILITY NUMBER:
543903669
ADMINISTRATOR:ORTIZ, DEBORAHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 920-0860
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 2DATE:
04/11/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Deborah OrtizTIME COMPLETED:
02:35 PM
NARRATIVE
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On 04/11/2023, 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 from 6:00 AM to 6:00 PM.

LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed, and Licensee confirmed that the kitchen, one bathroom and living room are used for providing care and are accessible to children. There were three other bedrooms that also were accessible to children as they did not have any child safety mechanisms. Licensee confirmed that the three bedrooms are supposed to be inaccessible and off limits. The back yard is not approved for care at this time, however licensee confirmed that the children pass through the area to go inside the home. There was a lawn mower in the back yard. There is an in ground swimming pool in the back yard that is gated. There is no water inside the pool and has dirt and vegetation growing inside of it. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Today, LPA observed Windex brand cleaner and Clorox cleaner under the accessible sink. LPA also observed various razors in an accessible cabinet in the accessible bathroom. In a hall closet, there was Clorox brand toilet bowl cleaner. The closet had a top safety latch that was not in use. Licensee confirmed these observations and removed the items and placed them in inaccessible areas.

The fireplace located in the living 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. Licensee stated she had not conducted fire drills and there was no log available for review. 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 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. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained. Report continued to 809-C

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:
DATE: 04/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2023
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 04/11/2023 02:22 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: ORTIZ, DEBORAH FAMILY CHILD CARE

FACILITY NUMBER: 543903669

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/11/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

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. LPA observed razors in the bathroom, accessible Clorox cleaner in the cabinet under the kitchen sink and in a hall closet. There was also windex cleaner under the kitchen cabinet as well as sticky mouse traps (non poisonous). In the play yard that children pass through was a lawn mower. Also, in the dining room was outlets that were not covered with any safety plugs. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/25/2023
Plan of Correction
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Today, licensee removed the cleaning products and razors out of reach of children in care. Licensee latched the existing safety latch on in the hall closet where the Clorox cleaner was observed. Licensee stated she would be placing a safety latch in the kitchen sink where her cleaning supplies go. Licensee stated she would be putting the lawn mower in the storage room and placing safety plugs on any exposed outlets. Licensee understands that she is required to inspect her home on a daily basis to ensure children are free from having access to any potentially hazardous items. Proof of corrections will be submitted to the Department by POC date 4/25/2023.
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on file review and interview, the licensee did not comply with the section cited above. Licensee stated that she has not completed fire drills. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/25/2023
Plan of Correction
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Licensee stated that she would complete and document a fire drill and would submit proof to the Department by POC date 4/25/2023.
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: 04/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/11/2023 02:22 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: ORTIZ, DEBORAH FAMILY CHILD CARE

FACILITY NUMBER: 543903669

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/11/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.3(a)(6)
Alterations to Existing Building or Grounds
(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.

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. Today, LPA observed that one bedroom was completely opened. Two other bedrooms were unlocked and had not child safety locks or door knob covers. Licensees yard has not been approved for care, however licensee stated she uses it to pass through with the children to enter the home. Child #1 was observed playing with a scooter, indicating that the yard is used for care. Observed in the play yard were multiple holes on the ground, a door with peeling wood and a lawn mower. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/25/2023
Plan of Correction
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Today, Licensee stated she would keep bedroom doors locked and that she would work toward ensuring her yard was safe so that it could be approved for care. Today, LPA observed several holes in the yard and an accessible lawn mower. Licesensee stated she would cover the holes (that create tripping hazards) and place the lawn mower in the inacessible storage room and remove the peeling wood from the door. Proof will be submitted to the Department by POC date 4/25/2023.
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: 04/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2023
LIC809 (FAS) - (06/04)
Page: 3 of 5


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: ORTIZ, DEBORAH FAMILY CHILD CARE
FACILITY NUMBER: 543903669
VISIT DATE: 04/11/2023
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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 7/11/2022. Licensee’s pediatric CPR/First Aid expires on 03/11/2025. A review of records indicates that all employees and/or volunteers have immunization records on file for pertussis and measles.

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, the following deficiencies are being cited: (see next page, 809 D) Licensee was provided a copy of appeal rights.

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: 04/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023
LIC809 (FAS) - (06/04)
Page: 5 of 5