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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153911649
Report Date: 06/22/2022
Date Signed: 06/22/2022 01:33:46 PM

Document Has Been Signed on 06/22/2022 01:33 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:BOJORQUEZ, DAISY FAMILY CHILD CAREFACILITY NUMBER:
153911649
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
06/22/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Daisy BojorquezTIME COMPLETED:
10:30 AM
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On June 22, 2022, Licensing Program Analyst (LPA), Diane Mercado met with Applicant, Daisy Bojorquez for a pre-licensing inspection. Applicant, her partner, mother in law and five minor children reside in the home. Background clearances are discussed, and LIS 531 is signed indicating that the adults currently living in the home and/or providing care and supervision to children have a criminal record clearance and exemption.

Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed:This is a two-story home and upstairs area will be off-limits to the day-care children.
  • There is a gate at the bottom of the stairs making upstairs area inaccessible. Care and supervision will be provided on the first floor. Areas accessible are day room, dining room, living room, kitchen, downstairs bedroom, hallway bathroom, and backyard.
  • There is a fireplace in the living room that applicant states will or will not be used during day-care hours.
  • There are games, toys, and books for the children. Children will nap in down stairs bedroom and day room. Applicant understands she is to supervise children at all times. LPA provided applicant with Individual Sleeping Plan and Safe Sleep handout.
  • Facility has 1-A:10-B:C fire extinguisher (incorrect), smoke alarm, carbon monoxide alarm and first aid kit in place.
  • Applicant’s Pediatric CPR and First Aid certification was completed through Medic First Aid Emergency Medical Services Authority stickers (EMSA) and expires on 11/2023.
  • Preventative Health and Safety with Prevention of Lead exposure certification was completed on November 23, 2021.
  • Knives and medications are stored in locked drawer in kitchen. Cleaning compounds are stored under the locked kitchen sink cabinets.

Continued 809-C
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Diane Mercado
LICENSING EVALUATOR SIGNATURE: DATE: 06/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/22/2022
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: BOJORQUEZ, DAISY FAMILY CHILD CARE
FACILITY NUMBER: 153911649
VISIT DATE: 06/22/2022
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  • Advised applicant fire drills are to be conducted once every 6 months and must be documented with date and time. A fire drill log was provided as an example.
  • Applicant 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.
  • There are bodies of water (inflatable pool) in the home or premises.
  • There is a dog that is kept in the backyard and in the living room inside a kennel. Applicant has three birds in a bird cage located in the living room. Applicant is advised it is her responsibility to ensure the safety of children in care at all times from the pets.
  • Firearms are stored in accordance with Title 22 Regulations and ammunition are not stored separate in accordance with Title 22 Regulations.
  • Applicant is reminded that any advertising (of day-care) such as business cards, flyers/posters, and/or signs must include facility number as per Title 22 Regulation "Advertisements and License Number" 102359 (a).
  • Applicant is advised that smoking is prohibited on the premises of a family childcare home as specified in Health and Safety Code Section 1596.795(a). Applicant states the home is smoke-free.
  • Applicant states is unsure if she will or will not be transporting day care children. Applicant understands that she must have proper car restraints and/or car seats for all the children under her care when transporting children.
  • Fenced backyard has a play structure for the children.
  • SB 792 immunization's verified and on file.
  • Applicant completed the Mandated Reporter Training on November 16, 2021. The required training can be found at www.ccld.ca.gov.
  • LPA discussed safe sleep regulations and Safe Sleep Regulation Concepts were given to applicant.

Incidental Medical Services (IMS) policy was discussed. Incidental Medical Services (IMS) are not currently being provided. 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.

Continued 809-C

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Diane Mercado
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2022
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: BOJORQUEZ, DAISY FAMILY CHILD CARE
FACILITY NUMBER: 153911649
VISIT DATE: 06/22/2022
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Required postings, forms packet, which included Parent Notification Requirement and LIC9224 were provided and discussed in detail. Applicant is advised that she may access CCLD website at www.ccld.ca.gov for additional forms and licensing updates. Applicant is also reminded that it is her responsibility to read the regulations periodically. Applicant states she will operate her day care Monday through Friday from 7am to 6pm and as arranged. No overnight care will be provided.

LPA & applicant discussed the Community Care Licensing website: LPA and applicant 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.

Corrections needed:


Applicant is advised the following items must be corrected and documentation be sent to Fresno CCL within the next 30 days to avoid possible withdraw.
  • Applicant needs to purchase a 2:A-10:BC fire extinguisher.
  • Applicant needs to repair/fix fence board in backyard.
  • Applicant needs to fence backyard side run.
  • Applicant needs to fence cactus plant.
  • Applicant needs to store ammunition in a locked box.
  • Applicant needs to remove water inside 3 ft pool.

Pending verification of corrections of the above items and a final review of her application, licensure as a Small Family Day Care Home capacity of 6 children ages under 18 years will be recommended.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Diane Mercado
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2022
LIC809 (FAS) - (06/04)
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