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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153905200
Report Date: 09/07/2022
Date Signed: 09/07/2022 10:18:19 AM

Document Has Been Signed on 09/07/2022 10:18 AM - 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: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: 25DATE:
09/07/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Irene SixtosTIME COMPLETED:
09:30 AM
NARRATIVE
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On 09/07/2022, Licensing Program Analyst (LPA) Gloria Reyes conducted an unannounced case management inspection. LPA arrived to the facility at 7:00 AM, where LPA stayed in her vehicle for 11 minutes. LPA observed 9 school-age children getting into an SUV which was parked in front of the licensed home. Ms. Sixtos was following behind the children. LPA exited her vehicle and approached the SUV. LPA observed 9 school-age children were not using seat belts. LPA greeted Licensee, Irene Sixtos. LPA confirmed later that the SUV belong to Ms. Sixtos. LPA informed Ms. Sixtos that she was in violation of exceeding the number of children by (2) to transport in her SUV and for not having the children in seat belts. Two school-age children were asked to exit the vehicle and the reminder children placed their seat belts on and later were transported to school. Licensee returned inside the home and exited her home with her adult son/assistant, Arnold Sixtos who was holding his younger son in his arms and he transported two other school-age children. Licensee told LPA that Arnold helps with transporting the children to school. Licensee told LPA that she needed to leave to take the school-age children to school and that her husband/assistant Artemio Sixtos would be staying with the other day-care children. LPA also observed 8 more school-age children sitting in the front yard waiting to be transported to school. LPA obtained the names of the children while Mr. Sixtos provided supervision. Licensee returned and transported the second group of children to school. LPA entered the home and toured the facility with Mr. Sixtos. LPA observed (5) napping children and (1) additional school-age child, totaling a total of 25 children. When licensee returned to facility, she reported that this does not take place. However, today some parents dropped off their school-age children because their parents work in the field and the parents started early due to the heat. (see next page)

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D) Licensee was provided a copy of appeal rights.

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Gloria Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: SIXTOS, IRENE FAMILY CHILD CARE
FACILITY NUMBER: 153905200
VISIT DATE: 09/07/2022
NARRATIVE
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Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee.

Exit interview was conducted with licensee. 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: Duane Matsubara
LICENSING EVALUATOR NAME: Gloria Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 09/07/2022 10:18 AM - It Cannot Be Edited


Created By: Gloria Reyes On 09/07/2022 at 08:32 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: 09/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/09/2022
Section Cited
CCR
102416.5(a)

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Staffing Ratio and Capacity. The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.
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Licensee shall notify parents that she must operate within the limitations of her license and will not accept more than the maximum number specified on her license.
Licensee provided a written statement to LPA during today's visit.
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Based on observation, the licensee did not comply with the section cited above. During today's visit, LPA observed 25 children. This poses an immediate health, safety or personal rights risk to persons in care.
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Type A
09/07/2022
Section Cited
CCR102423(a)(2)

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Personal Rights. Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
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Licensee said that she will take the Transportation Training through the CCLD website. LPA provided licensee with the link. Licensee provided a signed video transcript during visit.
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To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. Based on observation, the licensee did not comply with the section cited above. During today's visit, LPA observed that 9 children were in an 8 passenger SUV without seat belts on. This poses an immediate health, safety or personal rights risk to persons 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:Gloria Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 09/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/07/2022


LIC809 (FAS) - (06/04)
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