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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153904183
Report Date: 04/21/2022
Date Signed: 04/21/2022 03:23:43 PM

Document Has Been Signed on 04/21/2022 03:23 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:GENOVA, DIANA FAMILY CHILD CAREFACILITY NUMBER:
153904183
ADMINISTRATOR:GENOVA, DIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 312-1840
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 14TOTAL ENROLLED CHILDREN: 3CENSUS: 3DATE:
04/21/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Diana Genova - Licensee TIME COMPLETED:
03:35 PM
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On 4/21/22, an unannounced Case Management - Plan of Correction (POC) Inspection was conducted by Licensing Program Analyst (LPA) Jessika Thompson. LPA met with Licensee Diana Genova to discuss the POCs associated to the deficiencies cited on 2/17/2022.

Today, licensee provided LPA with proof that measles immunization is stored within the FCCH for Staff #1: however, licensee stated that she has not obtained proof of Child Abuse Mandated Reporter certification for Staff #1 due to Staff #1 no longer assisting in providing child care services at the Family Child Care Home (FCCH). Staff #1 was not present during today's inspection. LPA advised Licensee that should Staff #1 resume assisting at the FCCH, she (licensee) is required to obtain proof of Child Abuse Mandated Reporter certification, for Staff #1, to be filed at the FCCH upon employment. LPA provided Licensee a list of requirements for Child Care Assistants and advised licensee to review the information therein prior to employing individuals at the FCCH.

LPA provided the licensee with a "Letter of Deficiency Citations Cleared." Letter must be filed in facility for three years and upon request made accessible to the public for review.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies were cited.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee. Appeal rights were provided to licensee.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Jessika Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 04/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/21/2022
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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