153910094-7-6-2022-57-CC-GRES-CG3QXL-20220706123342

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153910094
Report Date: 07/06/2022
Date Signed: 07/06/2022 12:33:58 PM

Document Has Been Signed on 07/06/2022 12:33 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:	MARISCAL, LETICIA FAMILY CHILD CARE		FACILITY NUMBER:	153910094
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 2	DATE:	07/06/2022
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Leticia Mariscal		TIME COMPLETED:	01:00 PM

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On 07/06/22 Licensing Program Analysts (LPAs), Gloria Reyes and Ruby Ocegueda conducted an unannounced Annual Required Inspection and was met by Licensee, Leticia Mariscal. Present today, were her children and no day-care children were present. In addition to today’s annual inspection, LPAs provided technical assistance to licensee since she had been on inactive status since 2018 and has not had children enrolled. Days and hours of operation are Monday through Saturday, 5:00 AM to 5:00 PM, or other hours as arranged.

LPAs toured the home inside and outside and a census was taken. Current facility sketch reviewed, and Licensee confirmed that the kitchen, bathroom and living room and day-care room are used for providing care and are accessible to children. During the inactive status, Licensee enclosed the previously inspected enclosed screened patio area. Licensee added stucco, electrical lighting, heating ventilation, AC for comfort, and no permits were required per Licensee. All other rooms are off-limits and made inaccessible by use of plastic door knob safety covers. Licensee emptied her inflatable pool during visit and LPAs observed that the pool was emptied. LPAs reviewed regulations to Bodies of Water. Firearms and ammunition are stored and locked separately. All poisons are kept in a locked storage area. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

There are no fireplaces or open face heaters in the home. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (661) 927-8368.

LPAs discussed Safe Sleep Regulations with licensee. (see next page)

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Gloria Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2022

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: MARISCAL, LETICIA FAMILY CHILD CARE	FACILITY NUMBER: 153910094
	VISIT DATE: 07/06/2022

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Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. LPAs consulted regarding transportation of children. Car seats are used for transportation purposes only and are not used for sleeping children. The outdoor play area in the backyard is fenced and was inspected today. The (2) Patio Heaters were moved to the South side of the home and made inaccessible to children. Capacity as specified on the license is being maintained.

LPAs did not review a sample of children’s files as there were no children in care. LPAs reviewed regulations regarding children's records with Licensee. Licensee’s Mandated Reporter Training was completed on 10/26/21. Licensee’s pediatric CPR/First Aid expires on 3/2023. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

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.

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. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPAs and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

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

An 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: 07/06/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2022

LIC809 (FAS) - (06/04)

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