103904789-8-27-2024-04-CC-BTAE-D8JUF2-20240827153202

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103904789
Report Date: 08/27/2024
Date Signed: 08/27/2024 03:32:20 PM

Document Has Been Signed on 08/27/2024 03:32 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	NUNEZ DE RODRIGUEZ, FANY FAMILY CHILD CARE		FACILITY NUMBER:	103904789
ADMINISTRATOR/ DIRECTOR:	NUNEZ DE RODRIGUEZ, FANY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 875-7862
CITY:	SANGER	STATE: CA	ZIP CODE:	93657
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 8	DATE:	08/27/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:00 AM
MET WITH:	Fany Nunez De Rodriguez		TIME VISIT/ INSPECTION COMPLETED:	03:45 PM

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On 8/27/2024 Licensing Program Analyst (LPA) Brandon Tate and Licensing Program Manager (LPM) Juvenal Moctezuma conducted an unannounced Annual Required Inspection and was met by licensee Fany Nunez De Rodriguez. LPA arrived at facility 11:00a.m. Also present were licensee’s husband, licensee’s adult daughter, and licensee’s adult son. Licensee is Spanish Speaking and LPM Moctezuma assisted with interpretation. Days and hours of operation are 5:00a.m. – 6:p.m., Monday - Friday.

LPA toured the home inside and outside and a census was taken. LPA reviewed current facility sketch and licensee Fany stated that she would like to remove currently accessible rooms. LIC 999A on file was found to not be accurate to the current layout of the home and licensee Fany stated she would provide an updated Facility Sketch to LPA Tate. All other rooms are off-limits and made inaccessible by use pad locks, door locks, and doorknob covers.

There is no swimming pool or other bodies of water on the premises.

Licensee was reminded that Firearms and ammunition need to be locked and stored separately. All firearms and ammunition are stored and locked separately in a large digitally secured weapon safe. All poisons are kept in a locked storage area. Detergents, cleaning compounds, medication and other hazardous items are made 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.

This is a single level home and there are no stairs. The home has working telephone service and LPA confirmed the phone number is (559)289-6334.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. The outdoor play area in the backyard is fenced and there are no hazards to children present. During the inspection, LPAs observed 5 infants under the age of 2 years old and 3 preschool children. LPA notified licensee that she was operating outside her license limitations and was out of ratio. Licensee indicated she understood and will adhere to her capacity & ratios moving forward. Children were picked up throughout the inspection.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Brandon Tate
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2024

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 08/27/2024 03:32 PM - It Cannot Be Edited

Created By: Brandon Tate On 08/27/2024 at 02:20 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: NUNEZ DE RODRIGUEZ, FANY FAMILY CHILD CARE	FACILITY NUMBER: 103904789
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/27/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102419(d)

Admission Procedures and Parental and Authorized Representative's Rights

(d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Upon file review, LPA noticed files missing from various children's files. Of the eight children present, one child did not have a file on record which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/10/2024
	Plan of Correction
1 2 3 4	LPA will conduct an unannounced POC visit at a later date.

Type B

Section Cited

CCR

102416.5(d)(1)

(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Upon LPA observation and file review, licensee was found to be caring for five children under the age of 24 months which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/10/2024
	Plan of Correction
1 2 3 4	LPA will conduct an unannounced POC visit at a later date.

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:

Juvenal Moctezuma

LICENSING EVALUATOR NAME:

Brandon Tate

LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2024

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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: NUNEZ DE RODRIGUEZ, FANY FAMILY CHILD CARE	FACILITY NUMBER: 103904789
	VISIT DATE: 08/27/2024

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LPA reviewed a sample of children’s files and observed files were incomplete. LPA observed one child’s file was not present.

Licensee’s Mandated Reporter Training was completed on 2/27/2024. Licensee’s pediatric CPR/First Aid certification expires on 11/3/2024. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

Licensee Fany was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed safe sleep regulations with licensee Fany and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee Fany of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee Fany was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Brandon Tate
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2024

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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: NUNEZ DE RODRIGUEZ, FANY FAMILY CHILD CARE	FACILITY NUMBER: 103904789
	VISIT DATE: 08/27/2024

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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with licensee Fany. During the exit interview, the confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited on the LIC 809D page.

Licensee Fany was provided 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.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Brandon Tate
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2024

LIC809 (FAS) - (06/04)

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