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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153910963
Report Date: 02/12/2025
Date Signed: 02/12/2025 02:46:38 PM

Document Has Been Signed on 02/12/2025 02:46 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
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:IZARRARAS, RAQUEL FAMILY CHILD CAREFACILITY NUMBER:
153910963
ADMINISTRATOR/
DIRECTOR:		IZARRARAS, RAQUELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 228-9573
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 6DATE:
02/12/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Raquel IzarrarasTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 02/12/2025 Licensing Program Analyst (LPA), Christopher Burnias conducted an unannounced Annual Random Inspection and was met by licensee Raquel Izarraras. Licensee speaks primarily Spanish but was able to communicate in English. Days and hours of operation are Monday through Friday from 5:00 AM to 5:30 PM and other hours as scheduled.

LPA toured the home inside and outside and a census was taken. LPA reviewed current facility sketch and confirmed that the Dining Room, Living Room, Bedroom 1, Restroom 1, and Restroom 2 are used for providing care and are accessible to children. LPA observed that bedroom 4; previously declared as accessible, is now inaccessible. LPA also observed that Bedroom 1 and Restroom 1; previously declared as off limits, is now being used for the day care. License did not previously report the changes to the Department and did not obtain an inspection or an approval from the Department to authorize the changes. This poses a potential risk to the health, safety, or personal rights of children in care. Citation has been issued.

LPA inspected Bedroom 1 and Restroom 1 which the Licensee wishes to make accessible to the day care. LPA observed Bedroom 1 with a bed, chairs, and furniture to store clothing. Licensee wishes to use the room as additional space for children to play and as additional space for children to nap on mats. LPA did not observe any hazards present in Bedroom 1. LPA inspected Restroom 1 and did not observe any hazards present. LPA reminded Licensee that any changes to the home including changes to accessible and inaccessible areas of the home must be reported to the Department, must be inspected by the Department, and must be approved by the Department prior to use of the area. Licensee submitted an updated facility sketch and LPA approved use of Bedroom 1 and Restroom 1 for use by the day care.

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SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 02/12/2025 02:46 PM - It Cannot Be Edited


Created By: Christopher Burnias On 02/12/2025 at 01:55 PM
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: IZARRARAS, RAQUEL FAMILY CHILD CARE
FACILITY NUMBER: 153910963

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA observation, the licensee did not comply with the section cited above. LPA observed broken drawer locks in Restroom 2 with accessible soap, shampoo, and toothpaste. LPA also observed off limits rooms with broken and unsecure locks which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/26/2025
Plan of Correction
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Licensee is to install new drawer locks for bathroom drawers and new lever locks for door handles for all off limits rooms of the house.
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above. LPA observed immunization documents were missing for one assistant. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/26/2025
Plan of Correction
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Licensee is to obtain immunization documents from assistant and provide the Department a copy of immunization documents.
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:Luisa Gavoutian
LICENSING EVALUATOR NAME:Christopher Burnias
LICENSING EVALUATOR SIGNATURE:
DATE: 02/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/12/2025


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Document Has Been Signed on 02/12/2025 02:46 PM - It Cannot Be Edited


Created By: Christopher Burnias On 02/12/2025 at 01:55 PM
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: IZARRARAS, RAQUEL FAMILY CHILD CARE
FACILITY NUMBER: 153910963

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.3(a)(6)
Alterations to Existing Building or Grounds
(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA observation, the licensee did not comply with the section cited above. Licensee failed to report changes to facility in making previously declared inaccessible room accessible to children in care. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/26/2025
Plan of Correction
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Licensee is to review licensing regulations relating to Alterations to Existing Buiding or Grounds, and provide the Department a written statement that they read and understood the regulations and will comply with licensing requirements.
Type B
Section Cited
CCR
102418(g)(1)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above. LPA observed two children's immunization documents missing dates when Measles vaccine was given. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/26/2025
Plan of Correction
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Licensee is to verify vaccination was given to both children and update immuization documents to show the date the Measles vaccine was given. Licensee is to provide the Department a copy of completed immunization documents.
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:Luisa Gavoutian
LICENSING EVALUATOR NAME:Christopher Burnias
LICENSING EVALUATOR SIGNATURE:
DATE: 02/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/12/2025


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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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: IZARRARAS, RAQUEL FAMILY CHILD CARE
FACILITY NUMBER: 153910963
VISIT DATE: 02/12/2025
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Upon inspection of Restroom 2, LPA observed that drawer locks were broken on pull out drawers underneath the sink. LPA observed soap, mouthwash, and shampoo accessible due to the broken locks. These items pose a potential risk to the health, safety, or personal rights of children in care. Citation has been issued. Licensee immediately placed all items inside a locked cabinet underneath the bathroom sink. LPA reminded Licensee that potentially hazardous items must be kept in an inaccessible area. LPA advised Licensee to replace drawer locks to ensure children do not have access to its contents.

Rooms off limits to the day care had cabinet door locks installed on the doors, but adhesives were not secure enough to prevent the door from being opened with force. This poses a potential risk to the health, safety, or personal rights of children in care. Citation has been issued. LPA advised Licensee to install lever locks on door handles or install handles with built in locks in order to prevent children from accessing off limits rooms. Licensee agreed to install new locks.

LPA did not observe hazards present in the living room, or dining room.

There is no swimming pool or other bodies of water on the premises.

There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, and medication 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.

This is a single level home and there are no stairs. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (805) 228-9573.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed that immunization documents for two children were missing a date when Measles vaccination was given. This poses a potential risk to the health, safety, or personal rights of children in care. Citation has been issued. Licensee is to verify vaccination status of the two children, update immunization documents, and provide proof to the Department that Measles Vaccine date is updated on Immunization documents. Other documents with emergency information are complete.

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SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
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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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: IZARRARAS, RAQUEL FAMILY CHILD CARE
FACILITY NUMBER: 153910963
VISIT DATE: 02/12/2025
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Licensee’s Mandated Reporter Training was completed on 02/19/2023. Licensee was reminded that their current certificate will expire soon. Licensee stated they will renew their Mandated Reporter Training before the expiration date of their current certificate. Licensee’s pediatric CPR/First Aid certification expires on 01/26/2027. Upon review of staff records, LPA observed that immunization documents were missing for one assistant. This poses a potential risk to the health, safety, or personal rights of children in care. Citation has been issued. Licensee is to obtain immunization documents for assistant and provide the Department proof of required immunizations. Licensee’s own records are on file for influenza, pertussis, and measles.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

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SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
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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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: IZARRARAS, RAQUEL FAMILY CHILD CARE
FACILITY NUMBER: 153910963
VISIT DATE: 02/12/2025
NARRATIVE
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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with licensee Raquel Izarraras. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, the following deficiencies are being cited: (see next page).

Licensee was provided appeal rights.

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: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
LIC809 (FAS) - (06/04)
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