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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153905200
Report Date: 02/09/2022
Date Signed: 02/09/2022 01:46:05 PM

Document Has Been Signed on 02/09/2022 01:46 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:SIXTOS, IRENE FAMILY CHILD CAREFACILITY NUMBER:
153905200
ADMINISTRATOR:SIXTOS, IRENEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 721-2118
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
02/09/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:SIXTOS, IRENETIME COMPLETED:
02:00 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
On 2/9/2022, Licensing Program Analyst (LPA), Roman Iglesias, arrived at facility to conduct an unannounced Case Management inspection due to a previous inspection visit. LPA met with Licensee Irene Sixtos, LPA discussed the purpose of the inspection, LPA tour the inside/ outside of the facility, and LPA took a census.

Based on interviews that were conducted, it was determined that Ms. Irene uses inappropriate language when day-care children are present.

Per California Code of Regulations, Title 22, Division 12, Chapter 3 (FCCH), the following deficiency is being cited on the attached LIC9099D, see next page.



An exit interview conducted with Licensee, Irene Sixtos. A copy of this report and Appeal Rights were provided and discussed with Ms. Sixtos.

A Notice of Site Inspection Form was posted on parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Roman Iglesias
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2022
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
Document Has Been Signed on 02/09/2022 01:46 PM - It Cannot Be Edited


Created By: Roman Iglesias On 02/09/2022 at 08:54 AM
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: SIXTOS, IRENE FAMILY CHILD CARE
FACILITY NUMBER: 153905200

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/09/2022
Section Cited
CCR
101223(a)(3)

1
2
3
4
5
6
7
Personal Rights: (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse...

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee stated that she will not be using innapropriate language while day-care children are present. Additionally, Licensee provided LPA on this day with a written statement indicating that she will not use innapropriate language while day-care children are in care.
8
9
10
11
12
13
14
Based on interviews that were conducted, it was determenined that Licensee, Irene Sixtos, uses innapropriate language while day-care children are present. This poses a potential risk to the health, safety, and/or personal rights of children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Alice Juarez
LICENSING EVALUATOR NAME:Roman Iglesias
LICENSING EVALUATOR SIGNATURE:
DATE: 02/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/09/2022


LIC809 (FAS) - (06/04)
Page: 2 of 2