543909572-11-6-2019-04-CC-JTHN-BHP3HH-20191106171559

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543909572
Report Date: 11/06/2019
Date Signed: 11/06/2019 05:16:04 PM

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:	GONZALEZ, STEPHANIE FAMILY CHILD CARE		FACILITY NUMBER:	543909572
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	11/06/2019
TYPE OF VISIT:	Office	ANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Stephanie Gonzalez - Licensee		TIME COMPLETED:	11:05 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	An Informal Office Meeting was conducted today at the Fresno Regional Child Care Office. In attendance at this meeting were Licensee Stephanie Gonzalez, Licensing Program Analyst Jessika Thompson, Licensing Program Manager Diana Deleon, and Licensing Program Manager Duane Matsubara. The purpose of this meeting was to discuss recent violations of Title 22 Regulations. The following issues/violations were discussed: 08/26/19- During a complaint investigation, it was substantiated that the licensee inappropriately restrained day-care children. On 08/26/19, LPA observed one child strapped inside an infant-toddler rocker within the day-care room, and another child strapped inside of a highchair/booster seat within the day-care room. The licensee approximated the children were strapped in the above listed devices for roughly 20 minutes. 08/26/19- During a complaint investigation, it was substantiated that the licensee operated over her licensed capacity. LPA found that the licensee cared for up to nine children on 08/01/19, and up to ten children on 08/06/19, when she is only licensed for a capacity of eight children. Additionally, during today's inspection, the licensee confirmed she has operated over her licensed capacity on several occasions in the past. 08/26/19- During a case management deficiencies inspection, LPA observed two children lying on the bed in the licensee's off-limit master bedroom. 08/26/19- During a case management deficiencies inspection, LPA observed the licensee caring for eight children, all of whom were between the ages of one and four, deeming her out of ratio. 10/29/19 - During a complaint investigation, it was substantiated that the licensee allowed an uncleared adult to reside in the home. LPA observed in the licensee's bedroom, mail belonging to the licensee's boyfriend, Adult #1, which was addressed to the FCCH. In addition, LPA observed male toiletries in the licensee's master bedroom. (Continued on LIC809-C)

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika Thompson	TELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2019

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: GONZALEZ, STEPHANIE FAMILY CHILD CARE	FACILITY NUMBER: 543909572
	VISIT DATE: 11/06/2019

NARRATIVE

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(continued from LIC809-C) Information obtained from the Licensing Information System by LPA confirmed that Adult #1 had not obtained background clearance. In addition, during an interview conducted with the licensee, she stated that her mother, Adult #2, has assisted in caring for children at the FCCH, on more than one occasion, before obtaining background clearance

Licensing Program Manager Duane Matsubara discussed the application the licensee recently submitted for an increase in capacity. The licensee was advised that her application is currently under review and that a Department representative will conduct an inspection at the home in the near future to discuss the review.

It was discussed that continued violation of Title 22 Regulations could result in a Non-Compliance meeting, and that her FCCH may be referred to the Legal Division for possible Administrative Action.

A copy of this signed report was given today to Licensee Stephanie Gonzalez.

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika Thompson	TELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2019

LIC809 (FAS) - (06/04)

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