543907142-5-19-2022-04-CC-ROCA-CEKREK-20220519125741

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543907142
Report Date: 05/19/2022
Date Signed: 05/19/2022 12:58:07 PM

Document Has Been Signed on 05/19/2022 12:58 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:	REYES, SILVIA & ANNA FAMILY CHILD CARE		FACILITY NUMBER:	543907142
ADMINISTRATOR:	REYES, SILVIA & ANNA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 306-4132
CITY:	PORTERVILLE	STATE: CA	ZIP CODE:	93257
CAPACITY:	14	CENSUS: 5	DATE:	05/19/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Silvia Reyes		TIME COMPLETED:	01:15 PM

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On 5/19/2022, Licensing Program Analyst (LPA), Ruby Ocegueda, conducted an unannounced Annual Required Inspection and was met by Licensee, Silvia Reyes. Also present was Assistant/Husband. Licensee is Spanish Speaking and LPA assisted with interpretation. Days and hours of operation are Monday through Friday 5:00 AM to 5:30 PM.

LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that the kitchen, bathroom, living room, and play room are used for providing care and are accessible to children. There are two restrooms outside that licensee indicated came with the home at time of purchase and stated the children use them when playing outside. The restrooms were not on the facility sketch at the facility or at the Department. License stated the restrooms were previously inspected by a previous LPA during past inspections. Today, the restrooms were inspected and were observed to be functioning. Licensee stated a facility sketch of her back yard that includes the restrooms would be included on the sketch and submitted to the Department. All other rooms are off-limits and made inaccessible by use of door knob safety covers. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. During the inspection of the accessible hall restroom and kitchen, LPA Ocegueda observed an electric razor, shaving cream, Lysol cleaning supplies, scissors and medication. Licensee removed the items immediately and made them inaccessible.

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. 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) 306-4132.

Report continued to 809-C

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022

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 05/19/2022 12:58 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: REYES, SILVIA & ANNA FAMILY CHILD CARE	FACILITY NUMBER: 543907142
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/19/2022

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
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. On 5/19/2022, LPA observed an electric razor, Lysol cleaning product and shaving cream in the restroom. In the kitchen, LPA observed that there was medication and scissors in one drawer that had a broken safety latch. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/09/2022
	Plan of Correction
1 2 3 4	Today, Licensee removed the items in the restroom and in the kitchen and made them inaccessible. Licensee stated she would monitor her drawers and home to ensure all potentially hazardous items were inaccessible and that child safety locks were working properly. Deficiency cleared today.

Type B

Section Cited

CCR

102416.1(a)(6)

Personnel Records

(a) Personnel records shall be maintained on each employee and shall contain the following information: (6) Documentation of completion of training on preventative health practices as required by Section 102416(c). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review and interview, the licensee did not comply with the section cited above. Today, licensee stated that her assistant/husband had required CPR/First Aid, but upon records review, licensee stated he did not have CPR/First Aid. Licensee went to pick up a child from school and left assistant/husband to care for children. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/09/2022
	Plan of Correction
1 2 3 4	Licensee stated she would have her assistant/husband obtain approved and required CPR/First Aid training and submit proof to the Department. Licensee also completed a written plan that indicated that she would have her daughter/assistant come and be present during her school pick up until her husband/assistant received the CPR/First Aid training. Daughter/assistant has current CPR/First Aid and was verified to be current by LPA today. Copy of First Aid/CPR for assistant/husband will be submitted to the Department by POC date 6/9/2022.

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: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022

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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: REYES, SILVIA & ANNA FAMILY CHILD CARE	FACILITY NUMBER: 543907142
	VISIT DATE: 05/19/2022

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LPA discussed Safe Sleep Regulations with licensee. There is one crib or play yard for each infant in care, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan was reviewed today and reminded licensee that it should be completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping.

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.

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 4/30/2022. Licensee’s pediatric CPR/First Aid expires on 5/20/2021. A review of records indicates that licensee had proof of immunization records on file for influenza, 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.

Report continued to 809-C

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022

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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: REYES, SILVIA & ANNA FAMILY CHILD CARE	FACILITY NUMBER: 543907142
	VISIT DATE: 05/19/2022

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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.

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: 05/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022

LIC809 (FAS) - (06/04)

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