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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153804768
Report Date: 07/28/2022
Date Signed: 07/28/2022 01:36:36 PM

Document Has Been Signed on 07/28/2022 01:36 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CHILDREN'S PLAYHOUSEFACILITY NUMBER:
153804768
ADMINISTRATOR:RODRIGUEZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 396-1720
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 13DATE:
07/28/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Licensee, Maria RodriguezTIME COMPLETED:
01:45 PM
NARRATIVE
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On 07/28/2022, LPA Jose Penate conducted Case Management Inspection visit today. LPA met with Licensee, Maria Rodriguez who is Spanish speaking and her Assistant. LPA Penate provided services in Spanish. On todays inspection conducted, LPA observed an above ground pool that is not fenced per regulation. Licensee stated that she assumed that the fencing was per regulation due to prior having it approved by Community Care Licensing (CCL). LPA advised licensee that the fencing cannot be chain linked fence due to the separation of the fence could not be larger than the size of a golf ball. LPA also advised licensee that windows that lead to a pool also have to be fenced off to not allow access.

During inspection LPA observed 3 adults outside in the front yard of the home while conducting inspection, LPA asked licensee who the person/s were, and licensee confirmed that they are family members. Licensee stated that adult male is spouse, one adult female was a family member who was visiting and has not been near any of the daycare children and the other adult female has been residing in the home for over 6 months now and licensee verbally stated that she was aware that adult female is not fingerprint cleared.

Per California Code of Regulations Title 22, Division 12, deficiency cited during today’s visit (See LIC809-D).

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

A Notice of Site Visit was posted on parent board.

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2022
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 07/28/2022 01:36 PM - It Cannot Be Edited


Created By: Jose Penate On 07/28/2022 at 12:45 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: CHILDREN'S PLAYHOUSE
FACILITY NUMBER: 153804768

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/05/2022
Section Cited
CCR
102370(d)(1)

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CRIMINAL RECORD CLEARANCE: All individuals subject to a criminal record review as specified in H&S Section 1596.871 prior to working, residing or volunteering in a licensed home, shall obtain a California clearance or a criminal
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As for now my mother will not be around daycare children and has not been around daycare children. Licensee will immediatley take her elderly family member to get finger prints completed.
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record exemption. This requirement was not met as evidenced by the licensee admitting to having her unfingerprinted family member living at the residence for over 6 months. This is an immediate risk to the health, safety or personal rights of children in care.
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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 Matsubara
LICENSING EVALUATOR NAME:Jose Penate
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2022


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/28/2022 01:36 PM - It Cannot Be Edited


Created By: Jose Penate On 07/28/2022 at 12:52 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: CHILDREN'S PLAYHOUSE
FACILITY NUMBER: 153804768

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/28/2022
Section Cited
CCR
102417(g)(5)(A)

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Operation of a Family Child Care Home. the pool, self-close and have a self-latching device located no more than six inches from the top of the gate. Pool covers shall be strong enough to completely support the weight of an adult and shall be placed on the pool and locked while the pool is not in use. LPA observed that current pool cover will not support the weight of an adult.
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Licensee will disassemble pool and will have construction done to meet regulations for pools and once completed will have licensee return to approve pool.
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The pool gate does not self latch when opened from a short or a longer distance. This is a potential risk to the health, safety or personal rights of children in care.
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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 Matsubara
LICENSING EVALUATOR NAME:Jose Penate
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2022


LIC809 (FAS) - (06/04)
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