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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543909731
Report Date: 05/25/2021
Date Signed: 05/25/2021 05:09:58 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:SANCHEZ, RAQUEL FAMILY CHILD CAREFACILITY NUMBER:
543909731
ADMINISTRATOR:SANCHEZ, RAQUELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 602-0305
CITY:TULARESTATE: CAZIP CODE:
93274
CAPACITY:14CENSUS: 9DATE:
05/25/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Raquel SanchezTIME COMPLETED:
05:30 PM
NARRATIVE
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On 05/25/2021, Licensing Program Analysts (LPAs), Norma Lomeli and Daniel Alvarez arrived at facility to conduct a Case Management- Deficiencies inspection. Met with Spanish-speaking Licensee, Raquel Sanchez who accompanied LPA Alvarez during tour of facility both inside and outside and census was taken. During complaint investigation, Licensing Program Analysts, Pete Espinoza and Nancy Her revealed that they observed and spoke with the excluded male adult that was in the home during day care hours when four day care children were in her licensee assistant's care. LPAs identified the excluded male adult as the individual they both saw in the licensee's home on November 20, 2020. This poses an immediate risk to the health, safety, or personal rights of children in care.

In exit interview the licensee was advised of appeals rights and was provided with Appeals Rights. Licensee was also advised this report with Type A Deficiencies must be posted for 30 days where parents may easily view and filed in facility file for public review for 3 years.

Licensee is advised to make this licensing report accessible to the public and to provide copies of this licensing report and LIC809-D with Type A citation to parents/legal guardians of children in care and to parents/legal guardians of children newly enrolled at the facility during the next 12 months. Licensee is to keep verification of receipt (LIC9224) in each child's file at the facility.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found (Continued on LIC809-D):

SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma LomeliTELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2021
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: SANCHEZ, RAQUEL FAMILY CHILD CARE
FACILITY NUMBER: 543909731
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/25/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/25/2021
Section Cited

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Criminal Record Clearance - Section 102370(a)(d)(1): All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a
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licensed facility, obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by LPAs observations on 11/20/20, that revealed that the excluded male adult was in the home during day care hours when four day care children were in licensee assistant's care. This poses an immediate risk to the health, safety, or personal rights of children in care. An immediate civil penalty of $500 is hereby assessed.
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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: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma LomeliTELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:
DATE: 05/25/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/25/2021
LIC809 (FAS) - (06/04)
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