543907057-5-23-2023-57-CC-ROCA-CS4TN4-20230523145208

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543907057
Report Date: 05/23/2023
Date Signed: 05/23/2023 02:52:34 PM

Document Has Been Signed on 05/23/2023 02:52 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:	ANAYA, LORRAINE FAMILY CHILD CARE		FACILITY NUMBER:	543907057
ADMINISTRATOR:	ANAYA, LORRAINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 920-5442
CITY:	PORTERVILLE	STATE: CA	ZIP CODE:	93257
CAPACITY:	14	CENSUS: 0	DATE:	05/23/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Lorraine Anaya		TIME COMPLETED:	03:10 PM

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On 05/23/2023, Licensing Program Analyst (LPA) Ruby Ocegueda, conducted an unannounced Annual Required Inspection and was met by Licensee, Lorraine Anaya. Also present was Staff #2 (S2). Days and hours of operation are Monday through Friday from 6:30 AM to 4:30 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, living room and day care room (located near entry) are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of door knob safety covers and chain door guard. The play yard and swimming pool area was inspected. All three gates are self-latching and self-closing. Today, it was observed that there were 3 bedroom windows that have access to the pool. LPA will consult further with manager as this was possibly pre-licensed this way. Licensee stated she would ensure that a rod iron fence was added to make it compliant to Title 22 regulations and provide proof to the Department. LPA reminded licensee and assistant/husband that any gates should open away from the pool and that fencing had to be 5 ft high and the openings between each bar (if using rod iron fence) should be no more than 4 inches apart. The bedrooms doors have door knob safety covers and there were no day care children present. Licensee voluntarily wrote a statement indicating she would actually lock the bedroom doors during day care hours, while the fence was being placed as an extra safety measure. Licensee and LPA will be in communication as it pertains to the fence being built. Firearms and ammunition are stored and locked separately. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

The fireplace located in the living room is made inaccessible by a glass door 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. The home has working telephone service and LPA confirmed the phone number is (559) 920-5442.

There are currently no infants in care. LPA discussed Safe Sleep Regulations with licensee. Report continued to 809-C

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2023

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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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: ANAYA, LORRAINE FAMILY CHILD CARE	FACILITY NUMBER: 543907057
	VISIT DATE: 05/23/2023

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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. The outdoor play area in the backyard is fenced and inspected today. Capacity as specified on the license is being maintained.

Licensee has a current roster of the children. An emergency fire/disaster drill has been completed and documented within the last 6 months. Licensee’s Mandated Reporter Training was completed on 5/19/2021. Licensee stated she would be completing updated Mandated Reporter Training this month. Licensee’s pediatric CPR/First Aid expires on 3/4/2025. Licensee has previously provided the Department with proof of immunizations for pertussis and measles. Licensee provided proof flu declination today. LPA reviewed all documents that should be in the 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.

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.

LPA conducted an exit interview with licensee Lorriane Anaya. 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 Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2023

LIC809 (FAS) - (06/04)

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