<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543910361
Report Date: 07/08/2019
Date Signed: 07/08/2019 06:17:15 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:LOPEZ, MARIA FAMILY CHILD CAREFACILITY NUMBER:
543910361
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
07/08/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Maria LopezTIME COMPLETED:
12:00 PM
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 unannounced Annual Random inspection was conducted at this Family Child Care Home today by LPA Patricia Musso. A tour of the home and grounds was conducted. Licensee is within capacity limit. Licensee said there were no weapons or poisons kept at the home. Licensee understands that weapons and poisons are to be locked not just inaccessible. Medications/cleaning compounds and other harmful items are stored in inaccessible areas. There is a working fire extinguisher, smoke detector and carbon monoxide detector and first aid kit are in place per regulation. There is adequate heating and ventilation for safety and comfort. Safe toys, safe indoor and outdoor play areas observed. Off-limit rooms are made inaccessible by using child safety gates. The home has a working phone. Outdoor play area is fenced. Discussed children shall be supervised at all times. There are no bodies of water on the premises during this inspection. Licensee has 1 small dog that licensee says does not share space with the day care children.\. Licensee understands that she is responsible for child safety around pets at all times. Licensee is aware that any adults providing care and supervision or living in the home must be background cleared and LIS 531 was signed. Licensee maintains a copy of children's emergency information in children's files. Licensee has taken Mandated Reporter Training. Licensees CPR and First Aid training are current. Fire drills are conducted as required at least every 6 months and documented with date and time. Postings are correct. Licensee is responsible to stay current with regulations and forms through the CCLD web site (www.ccld.ca.gov). LPA and licensee discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN. Licensee has required immunization per SB792. Incidental Medical Services (IMS) policy was previously discussed and reviewed again today. Licensee stated she does not administer medication but wanted the additional refresher. LPA also provided licensee with a copy of the IMS – FCCH Requirements. Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, there are no deficiencies. During exit interview LPA observed licensee post the Notice of Site Visit prior to leaving the facility.
Hours of operation; Mondays - Friday; 7:00AM to 5:00PM and as arranged.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Patricia MussoTELEPHONE: (559) 341-5422
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1