155620188-12-6-2023-57-CC-PGAA-CYA5LP-20231206190329

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 155620188
Report Date: 12/06/2023
Date Signed: 12/06/2023 07:03:33 PM

Document Has Been Signed on 12/06/2023 07:03 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:	GUTIERREZ, CRISTINA FAMILY CHILD CARE		FACILITY NUMBER:	155620188
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 2	DATE:	12/06/2023
TYPE OF VISIT:	Post Licensing	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Christina Gutierrez		TIME COMPLETED:	01:30 PM

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On December 6, 2023, an unannounced case management inspection was conducted today by Licensing Program Analysts (LPA), Paul Garcia. LPA met with licensee Christina Gutierrez. The purpose of today's inspection is to conduct a 90 Day follow-up on initial pre-licensing visit that took place on August 29, 2023. This is a single story, four (4) bedroom and three (3) bathroom home and children will have access to the living room, playroom, sleeping room, hallway bathroom and the backyard play area. Off-limits rooms are made inaccessible by use of door locks. Safe toys and cabinets without unsafe items, and a clean and orderly home are all observed. There is a fireplace located in the living room and is made inaccessible by a safety screen. The fireplace will not be used when children are present. Children are supervised when outside in the fenced play area. The homes swimming pool is fenced per regulation. The pool gate is self-latching, self-closing and opens away from the swimming pool. No windows or doors have direct access to the pool area. Firearms and ammunition are stored and locked separately.

There is one medium sized dog and one cat in the home. Licensee understands the liability of pets around day care children and accepts responsibilities of any action taken by pets.

No poisons were observed on the premises. Cleaning compounds, medications and other hazardous items are inaccessible to children. Operable fire extinguisher, smoke alarm, carbon monoxide and first aid kit are in place. There is a working telephone and number was verified. Licensee’s CPR and first aid training are current with an expiration date January 27, 2025. LPA discussed with licensee, fire drills are required to be conducted and documented at least every 6 months. Licensee has provided parents with a copy of the Family Child Care Home Notification of Parent's Rights (LIC 995A). Licensee is aware that any authorized employee of the Department may enter and inspect any place providing personal care and services at any time, with or without advance notice. Background clearances are discussed and licensee understands that the adults living in the home and/or providing care and supervision to children shall be background cleared. Continued on 809-C

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

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: GUTIERREZ, CRISTINA FAMILY CHILD CARE	FACILITY NUMBER: 155620188
	VISIT DATE: 12/06/2023

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Days and hours of operation are Monday through Friday from 7:00 AM- 5:00 PM and as arranged. No overnight care will be provided.

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. 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: http://www.ada.gov/childqanda.htm.

LPA & licensee discussed the Community Care Licensing Website, Lead Safety, and Mandated Reporter Training: 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. LPA left a copy of A Child Care Provider’s Guide to Safe Sleep.

Per Title 22, Division 12, of the California Code of Regulations, no deficiencies were cited.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

LIC 9213 NOTICE OF SITE INSPECTION FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

LIC809 (FAS) - (06/04)

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