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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153911130
Report Date: 11/02/2021
Date Signed: 11/02/2021 02:08:15 PM

Document Has Been Signed on 11/02/2021 02:08 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:ARCINIEGA, MARICELA FAMILY CHILD CAREFACILITY NUMBER:
153911130
ADMINISTRATOR:ARCINIEGA, MARICELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 303-3920
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
11/02/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Maricela ArciniegaTIME COMPLETED:
02:00 PM
NARRATIVE
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On 11/2/2021, Licensing Program Analysts (LPAs) Theresa Marquez and Araceli Gibson conducted a Case Management inspection and met with Licensee Maricela Arciniega. Assistant Karla Barajas was also present. The purpose of this inspection was to address 2 deficiencies discovered during an investigative inspection.

During an investigative inspection conducted on 8/26/2021, LPA Marquez and LPA Gibson observed several children asleep in the day care home; one infant asleep in a highchair in the living room area, one child sleeping in a toddler bed in bedroom 2, one child (not an infant) sleeping in the hallway in a bassinet, and four children sleeping in the master bedroom, an off-limits room.

During the 8/26/2021 inspection, Licensee was over capacity with 24 children in care. Refer to LIC9099 and LIC9099-D dated 8/26/2021.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies were found: Licensee failed to provide a safe sleep environment for children in care and Licensee allowed children to sleep in rooms designated as "off limits" to children.

A copy of Licensee's Appeal Rights was provided to Maricela Arciniega today.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2021
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 11/02/2021 02:08 PM - It Cannot Be Edited


Created By: Theresa Marquez On 11/01/2021 at 02:34 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: ARCINIEGA, MARICELA FAMILY CHILD CARE
FACILITY NUMBER: 153911130

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/02/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/02/2021
Section Cited
CCR
102425(i)

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INFANT SAFE SLEEP - If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible. This requirement was not met as evidenced by observation. On 8/26/2021, LPA Marquez and LPA Gibson observed an infant sleeping in a highchair in the
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On 8/26/2021 and today on 11/2/2021, Licensee was provided a Safe Sleep informational handout in Spanish. License understands infants are to be moved to a crib or play yard as soon as they fall asleep. No children were observed sleeping
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living room area. This poses a potential risk to the health, safety or personal rights of children in care.
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during todays visit.
DEFICIENCY CLEARED
Type B
11/02/2021
Section Cited
CCR102416.3(a)(2)

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ALTERATIONS TO EXISTING BUILDINGS AND GROUNDS - Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Dept. of the proposed changed, including, but not limited to, the following: Room additions to the family child care home.
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On 8/26/2021, Licensee removed the 4 sleeping children from the master bedroom. Licensee stated the master bedroom will remain off-limits and inaccessible to children by use of a spinner door knob which was observed today on the master bedroom door.
DEFICIENCY CLEARED
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This requirement was not met, as evidenced by LPAs observations. On 8/26/2021, LPA Marquez and LPA Gibson observed 4 children in the master bedroom of the child On 8/26/2021, LPA Marquez and LPA Gibson observed 4 children sleeping in the master bedroom, an off-limit area. This poses a potential risk to the Health & Safety 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:Susie Fanning
LICENSING EVALUATOR NAME:Theresa Marquez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/02/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/02/2021


LIC809 (FAS) - (06/04)
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