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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153911875
Report Date: 07/18/2022
Date Signed: 07/18/2022 10:50:56 AM

Document Has Been Signed on 07/18/2022 10:50 AM - 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:LOPEZ, LAURA FAMILY CHILD CAREFACILITY NUMBER:
153911875
ADMINISTRATOR:LOPEZ, LAURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 428-5219
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
07/18/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Laura LopezTIME COMPLETED:
11:00 AM
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On July 18, 2022, Licensing Program Analyst (LPA), Diane Mercado met with Applicant, Laura Lopez for a pre-licensing/change of location inspection. Applicant, her daughter resides in the home. Verified applicant’s and applicant’s assistant Pediatric CPR and First Aid certification was completed through Pediatric Plus with Emergency Medical Services Authority stickers (EMSA) and expires on 07/2023. Fire clearance was granted on June 29, 2022.

Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed:
  • Fire clearance was received on July 14, 2022. Fire alarm is located on the home’s living room wall next to the sliding glass door.
  • This is a single story, four bedrooms and two-bathroom home and children will have access to the living room, bedroom #3, hallway restroom, dining room, and backyard.
  • There is a fireplace in the living room that applicant states it will not be used during day-care hours. Fireplace is covered with a wood board.
  • LPA observed in the living room; children size furniture, safe toys, and books for the children. A parent’s board is located in the the home's entry way wall. Children and infants will nap in the living room on mats and/or pack n play for infants.
  • Applicant understands she is to supervise children at all times. LPA provided applicant with Individual Sleeping Plan and Safe Sleep handout.
  • Facility has 2A10BC fire extinguisher, smoke alarm, carbon monoxide alarm and first aid kit in place.
  • Knives and medications are stored inside a top kitchen cabinet above the fridge. Cleaning compounds are stored in the garage that is made inaccessible by the use of key and lock.
  • 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.

Continued 809-C
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Diane Mercado
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2022
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: LOPEZ, LAURA FAMILY CHILD CARE
FACILITY NUMBER: 153911875
VISIT DATE: 07/18/2022
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  • 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 no bodies of water in the home or premises.
  • Applicant states there are no pets in the home or on the premises.
  • Applicant states there are no firearms or ammunition in the home or premises. There are no poisons in the home.
  • 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 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 cemented and fake grass area for the day care children. LPA Mercado observed child size table and chairs. Children will have access to left side of the backyard and is fenced in with an iron rod gate. The rest side of the backyard is off limits to children. Children will only have access to the enclosed gated area.
  • SB 792 immunizations verified and on file.
  • Applicant completed the Mandated Reporter Training on May 29, 2022. Applicant’s assistant completed Mandated Reporter Training and was completed on July 6, 2021.
  • LPA discussed safe sleep regulations and Safe Sleep Regulation Concepts were given to applicant.
  • Preventive Health & Safety including Lead Poisoning Prevention was completed June 26, 2022.
  • Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department.
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. She is also reminded that it is her responsibility to read the regulations periodically. Applicant states she will operate her day care Monday through Saturday from 5:00 am to 5:00 PM and as arranged. No overnight care will be provided.

Continued 809-C

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

DATE: 07/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2022
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: LOPEZ, LAURA FAMILY CHILD CARE
FACILITY NUMBER: 153911875
VISIT DATE: 07/18/2022
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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.

Pending a final review of application file, licensure as a Large Family Day Care Home capacity of 14 children ages under 18 years will be recommended effective July 19, 2022.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Diane Mercado
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2022
LIC809 (FAS) - (06/04)
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