153911304-8-15-2022-57-CC-NLOI-CHBQPF-20220815122042

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153911304
Report Date: 08/15/2022
Date Signed: 08/15/2022 12:21:08 PM

Document Has Been Signed on 08/15/2022 12:21 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:	ARGUELLO, ESBEYDY FAMILY CHILD CARE		FACILITY NUMBER:	153911304
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 6	CENSUS: 6	DATE:	08/15/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Esbeydy Arguello		TIME COMPLETED:	12:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On August 15, 2022, Licensing Program Analyst (LPA), Norma Lomeli conducted a capacity increase inspection from a Small Family Child Care Home to a Large Family Child Care Home. Present at time of inspection was licensee, her two minor children and five day care children. Licensee, her husband and two minor children reside in the home. Verified licensee’s CPR and First Aid was completed through Pediatric Plus with Emergency Medical Services Authority stickers (EMSA) and expires on June 19, 2023. Licensee’s Assistant will be her Husband, Christopher Green, who completed the training through EMS Safety with Emergency Medical Services Authority stickers (EMSA) and expires on March 8, 2024. Background criminal record clearances are verified and discussed, and LIS 531 is signed indicating that the adults living in the home and/or providing care and supervision to children have a criminal record clearance. LPA observed two adults fingerprints in process but licensee confirmed they do not live in the home. Fire clearance was granted on August 3, 2022. A tour of the home, inside and outside, as shown on the facility sketch, was conducted and the following was discussed and/or observed: Fire clearance was received on August 10, 2022. Fire pull alarm is located on the home’s dining room (day care room) on the left hand side wall. During today’s inspection; licensee informed LPA that she would like to make bedroom #1, bedroom #2 and the backyard accessible to the day care children. LPA inspected the bedrooms and ensure both meet Title 22 Regulations. LPA witnessed licensee update her facility sketch by circling both rooms, indicating that they are now accessible. LPA also inspected the backyard and observed a trampoline with a netted enclosure that licensee states she will keep locked during day care hours. (Continued on LIC809-C):

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022

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: ARGUELLO, ESBEYDY FAMILY CHILD CARE	FACILITY NUMBER: 153911304
	VISIT DATE: 08/15/2022

NARRATIVE

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LPA observed children size furniture, safe toys and books for the children. LPA also observed a high chair, a diaper changing table and two play yards. There is a parent’s board that is located on the right hand side wall of the home’s entry way.
There is a pet fish in a one gallon aquarium located in bedroom #2.
Licensee states she does not have weapons, firearms or ammunition in the home. Poisons are kept locked inside a shed that is located in the backyard.
Facility has 3A40BC fire extinguisher, carbon monoxide alarm, working smoke alarm and first aid kit in place.
Licensee is advised at least one staff member with current training in pediatric first aid and pediatric CPR is to be on site at all times children are present.
Licensee is advised that smoking is prohibited on the premises of a family child care home as specified in Health and Safety Code Section 1596.795(a). Licensee states the home is smoke-free.
Licensee states she does transport day care children. Licensee understands that she must have proper restraints and/or car seats for all the children under her care when transporting children.
Required items are posted in the Child Care Home where parents may easily view.
During visit capacity worksheet was provided and discussed.
Licensee completed the Mandated Reporter Training on December 30, 2021. Licensee’s Assistant completed the training on December 29, 2021.
LPA discussed safe sleep pending regulations and Safe Sleep Regulation Concepts were given licensee.

LPA & licensee discussed the Community Care Licensing website: LPA and licensee discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN.

(Continued on LIC809-C):

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022

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: ARGUELLO, ESBEYDY FAMILY CHILD CARE	FACILITY NUMBER: 153911304
	VISIT DATE: 08/15/2022

NARRATIVE

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Licensee states her hours of operation are Monday through Friday from 7:00 AM to 5:30 PM and as arranged. Licensee advised she does not provide care for more than 24 hours. Licensee is advised she may access forms and updated information on the CCLD website at www.ccld.ca.gov.

The home meets the description of a safe and healthy environment for children as described in Chapter 3, Division 12, Title 22 of the California Code of Regulations and is adequate for a Large Family Day Care Home (LFDCH). Licensure as a Large Family Day Care Home capacity of 14 children will be recommended effective August 15, 2022.

* Licensee is advised that once she completes the following corrections in the backyard and provides LPA with proof of corrections of the following:

Licensee will cover several potholes with dirt.
Licensee will remove or make inaccessible a metal valve and a tree root that is protruding from the ground.
Licensee will level the dirt area in the backyard that is located in the far left of the yard.

The following items must be corrected since they can all be a potential danger to the day care children. Licensee understands that once LPA receives proof of corrections. LPA will approve the backyard as an area accessible to the day-care children.

During exit interview, LPA observed licensee post the Notice of Site Visit on parent’s board and understands it must remain posted for 30 days and retain evaluation report for 3 years.

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022

LIC809 (FAS) - (06/04)

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