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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543911262
Report Date: 05/12/2020
Date Signed: 05/12/2020 03:23:23 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:TORRES, ROSALVA FAMILY CHILD CAREFACILITY NUMBER:
543911262
ADMINISTRATOR:TORRES, ROSALVAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 738-0140
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:14CENSUS: 0DATE:
05/12/2020
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Rosalva TorresTIME COMPLETED:
03:40 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
THIS IS A CHANGE OF LOCATION PREVIOUS FACILITY NUMBER: 543907918.

On 05/12/2020, Licensing Program Analyst (LPA) Juvenal Moctezuma conducted a Pre licensing Inspection and met with Applicant, Rosalva Torres ad Husband. LPA explained the reason of the inspection and a tour of the home was conducted both inside and outside. Rosalva stated that children will have access the living room, dining room, kitchen area, one bedroom, one bathroom, and backyard. During todays inspection, LPA observed that the home was clean and free of toxins. Rosalva stated that they are not done moving in but will bring the children's toys and items once the house gets licensed.

Rosalva has placed children's plastic locks on all her kitchen drawers and cabinets. She has also placed her knives, medications, and vitamins up high so children don't have access to them. She has also placed children's plastic door knob/spinners on all the bedroom doors and closets for extra precaution since they will be inaccessible to children in care. The bathroom that children will have access to is clean and free of toxins. The laundry room is remained closed and locked and Rosalva has placed a plastic door knob/spinner in place for extra precaution. Rosalva stated that she will place all her cleaning supplies in the garage which will remain closed and locked during day-care hours. LPA explained that toxins, chemicals, and any other similar items need to be locked. Rosalva understands. The bedroom that children will have access to is empty at the moment.

The backyard has a fence that goes all around. There is plenty of grass and shade area for children to play. Rosalva has a Sodded area and cemented area on both sides of the house so children can use their tricycles. The AC unit has a metal frame around it so children don't have access to it.

Report Continued Onto LIC 809-C
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2020
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 2
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: TORRES, ROSALVA FAMILY CHILD CARE
FACILITY NUMBER: 543911262
VISIT DATE: 05/12/2020
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
26
27
28
29
30
31
32
Rosalva stated that she has contacted her local fire department but due to the local shelter in place orders, the fire department is not conducting any fire clearances at the moment. Rosalva understands that during this time, she will be licensed for 8 children but has applied for a waiver that allows her to care for up to 14 children while the shelter in place is in order. Once the order has been lifted, the waiver will end and Rosalva has to contact her local fire department so they can conduct a fire clearance.

Proof of ownership (title of the house) was reviewed. Rosalva has a service tag date of 04/14/2020 on her fire extinguisher, her CPR/First Aid certificate is good until 05/11/21. The carbon monoxide and smoke detector were tested and found in working condition. Rosalva stated that there are no guns or ammunition in the home and LPA did not observe any bodies of water during the inspection.

Applicant stated that she transports day care children. Rosalva understands that she must have proper restraints and/or car seats for all the children under her care when transporting children. Rosalva was reminded that any advertising (of day-care) such as business cards, flyers/posters, and/or signs must include facility number as per Title 22 Regulation "Advertisements and License Number" 102359 (a). Rosalva was made aware that smoking is prohibited on the premises of a family child care home as specified in Health and Safety Code Section 1596.795(a). Applicant stated that her home is smoke-free. LPA also advised applicant that fire drills are to be conducted at least once every 6 months and must be documented with date and time. A fire drill log was provided as an example.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

A 90 day Provisional License is approved for a Small Family Child Care effective today, 5/13/2020. License will be converted to a Large Family Child Care Home once Fire Safety Inspection Clearance is granted.

* Planned hours of operation are Monday through Saturday from 05:00 AM to 5:30 PM



This report was translated in Spanish by LPA Moctezuma.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2