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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153910077
Report Date: 06/21/2021
Date Signed: 06/22/2021 07:09:09 AM

Document Has Been Signed on 06/22/2021 07:09 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:WASHINGTON, DENNIESHA FAMILY CHILD CAREFACILITY NUMBER:
153910077
ADMINISTRATOR:WASHINGTON, DENNIESHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 381-7328
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
06/21/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Denniesha WashingtonTIME COMPLETED:
12:30 PM
NARRATIVE
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On 6/21/21 Licensing Program Analyst, (LPA) Caroline Harris conducted an unannounced annual inspection. LPA met with Licensee, Denniesha Washington. LPA conducted a tour of the home, inside and outside, as shown on the facility sketches (LIC 999A) provided. The LPA observed all required licensing forms to be posted in a visible location for authorized representatives to view them. A census was taken and there were four day care children present. The LPA observed the licensee to have 1 dog, a turtle and fish. The licensee is aware of the safety of children around animals and takes responsibility for any action taken by her pets. The LPA observed inaccessible rooms to be off limits to children by the use of door knob spinners/locks. The accessible rooms were the front room, day care room, kitchen and living room and hall bathroom. The LPA observed safe toys and play equipment both indoors and outside. There were no poisons observed on the premises accessible to children. Licensee is aware that poisons are required to be locked and inaccessible to children. Upon inspection of the kitchen, the LPA observed some drawers where the latches did not work and there were keep out of reach items accessible, such as batteries and tools. In the bathroom, the LPA observed such items as toothpaste, cleaning supplies, and shampoo that were accessible to children. There are no firearms or ammunition present at this facility. Fireplace is not in use during day care hours. There is a working fire extinguisher, smoke detector, carbon monoxide indicator, and adequate heating and ventilation for safety and comfort. The LPA observed the hallway air conditioning vent to be dirty and filled with dust. The licensee has a complete first aid kit, including bandages, scissor, thermometer, gloves and a first aid manual. There are no stairs in the home. There is a working telephone and the above telephone number was verified. Adequate supervision is being provided during this visit. Capacity as specified on the license is being maintained. The outdoor play area in the back yard is fenced. Licensee is aware that children are to be supervised when outside an unfenced play area. LPA observed two water slides that were deflated and a couple of play structures in the back yard. The licensee also had a large trampoline in the back yard that was not netted at the bottom and another small trampoline in the day care room that the netting was ripped.
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2021
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 06/22/2021 07:09 AM - It Cannot Be Edited


Created By: Caroline Harris On 06/21/2021 at 11:40 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: WASHINGTON, DENNIESHA FAMILY CHILD CARE
FACILITY NUMBER: 153910077

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/28/2021
Section Cited
CCR
102417(g)(4)

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Operation of a Family Child Care Home. Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger to children shall be stored where they are inaccessible to children.
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The licensee agrees to replace child safety latches on any drawers and cabinets that contain hazardous items and make sure that items are put away when not in use. A return visit will take place in order to clear this deficiency.
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This requirement was not met as evidenced by the LPA observing out of reach items accessible to children as described in the 809 report. This is a possible risk to the health, safety or personal rights of children in care.
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Type B
06/28/2021
Section Cited
CCR102418(a)

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Immunizations Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.
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The licensee agrees to have immunizations, for all children enrolled, available for review by the due date of 6/28/21. A return visit will take place to clear this deficiency.
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This requirement was not met as evidenced by the licensee not having record of immunizations for two out of four children's files reviewed. This is a possible 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:Alice Juarez
LICENSING EVALUATOR NAME:Caroline Harris
LICENSING EVALUATOR SIGNATURE:
DATE: 06/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2021


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/22/2021 07:09 AM - It Cannot Be Edited


Created By: Caroline Harris On 06/21/2021 at 11:53 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: WASHINGTON, DENNIESHA FAMILY CHILD CARE
FACILITY NUMBER: 153910077

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/28/2021
Section Cited
CCR
102417(d)

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Operation of a Family Child Care Home. The home shall provide safe toys, play equipment and materials. This requirement was not met as evidenced by the LPA observing two trampolines, one not netted off underneath and another one where the netting was ripped. This poses a possible risk to the health, safety, or personal rights of children in care.
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The licensee agrees to remove the small trampoline from the day care room and make it inaccessible to children. The licensee further agrees to secure the underneath area of the large trampoline in the back yard, so that child can not get underneath.
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A return visit will take place in order to clear this deficiency.
Type B
06/28/2021
Section Cited
HSC1596.8662(b)(1)

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On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training, and shall complete renewal mandated reporter training every two years following the date on which he
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The licensees agreed to renew the training and have the certificate available for review by the due date of 6/28/21.
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or she completed the initial mandated reporter training. This requirement was not met as evidenced by: Based on records review, Licensees' failed to renew the mandated reporter training. This poses 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:Alice Juarez
LICENSING EVALUATOR NAME:Caroline Harris
LICENSING EVALUATOR SIGNATURE:
DATE: 06/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2021


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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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: WASHINGTON, DENNIESHA FAMILY CHILD CARE
FACILITY NUMBER: 153910077
VISIT DATE: 06/21/2021
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LPA reviewed four children’s files. All required licensing documents were observed in each of the children’s files, except for immunizations in two of the files. Incidental Medical Services (IMS) policy was discussed. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services.
Fire drills are conducted and documented with the date, time and how many children present, every six months. Licensee is aware that children are never to be left in parked vehicles. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Licensee is aware that upon notice from the Department, any excluded individual must be immediately removed from the home and prevented from returning to the home or having contact with children in care. Licensee is aware that any authorized employee of the Department may enter and inspect any place providing personal care and services at any time, with or without advance notice. Pediatric CPR/First Aid are current and expire on 5/29/23. Licensee also maintains documentation of immunizations against pertussis, measles or influenza for herself. Days and hours of operation are Monday – Friday; 5:00 AM – 10:00 PM.

An exit interview was conducted with the Licensee. LPA reviewed with licensee the Mandated Child Abuse Reporter Training (AB 1207), which the licensee completed on 4/17/19. It is required to be updated every two years. There are currently no infants in care. LPA discussed Safe Sleep Regulations with licensee. Information on Lead Poisoning was also provided to the licensee and she was informed that the information is required to be posted on the parent board. The LPA and licensee discussed the Community Care Licensing website: www.ccld.ca.gov. which provides access to Provider Information Notifications (PINS), Quarterly Updates that inform licensees of new legislation and regulations, training's, and Licensing forms and updated information. The licensee was also advised that it is her responsibility to stay current with regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are found (see next page): 809 D A copy of this report, along with appeal rights was provided to the licensee and was reviewed. This report shall be made available to the public upon request. The LIC 9213 Notice Of Site Visit form is required to be posted for 30 days.
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2021
LIC809 (FAS) - (06/04)
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