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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155620266
Report Date: 12/19/2023
Date Signed: 12/19/2023 06:47:07 PM

Document Has Been Signed on 12/19/2023 06:47 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-ALCARAZ, MARIA FAMILY CHILD CAREFACILITY NUMBER:
155620266
ADMINISTRATOR:GUTIERREZ-ALCARAZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 561-1928
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
12/19/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
04:55 PM
MET WITH:Maria Gutierrez-AlcarazTIME COMPLETED:
07:00 PM
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On 12/19/23, Licensing Program Analyst (LPA), Norma Lomeli met with Applicant, Maria Gutierrez-Alcaraz for a pre-licensing inspection. Applicant, her husband, and two 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. Fire clearance was granted on 12/4/23.

Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed:
  • Fire clearance was received on 12/4/23. Fire pull alarm is located on the home’s entry way on the left hand side wall.
  • This is a single story, three bedrooms, office and two bathrooms home and children will have access to the living room #1, living room #2 (day care room), kitchen/dining room, formal dining room, and hallway bathroom. Off-limits rooms/ closets are made inaccessible by use of plastic door knob covers. The entrance to the home will be through the left side run of the home that leads to the backyard and to the sliding glass door.
  • There is central air heating/cooling ventilation for safety and comfort.
  • LPA observed in the day care room toys, and books for the children. There is a parents board in the dining room. There is a diaper changing table. Children will nap in the day care room on cots. Infants will nap in a crib or play yard. Applicant understands she is to supervise children at all times. LPA provided applicant with Individual Sleeping Plan and Safe Sleep handout.
  • Facility has 3A40BC fire extinguisher, smoke alarm, carbon monoxide alarm and first aid kit in place.
(Continued on LIC809-C):
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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-ALCARAZ, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 155620266
VISIT DATE: 12/19/2023
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  • Applicant’s Pediatric CPR and First Aid certification was completed through American Heart Association and expires on 7/6/25. Applicant’s Assistant, will be her Husband, Jose Castillo Ramirez who completed the Pediatric CPR and First Aid through American Heart Association and expires on 6/16/25.
  • Preventative Health and Safety with Prevention of Lead exposure certification was completed on 9/7/23.
  • Knives are stored inside a bottom kitchen cabinet that is made inaccessible by the use of a child proof magnetic lock. Medications are stored inside a top kitchen cabinet. Cleaning compounds are stored inside the cabinet that is located underneath the kitchen sink and made inaccessible by the use of a child proof sliding cabinet 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.
  • 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. Poisons are kept locked inside a Tuff Shed that is located on the fenced right side run of 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 child care home as specified in Health and Safety Code Section 1596.795(a). Applicant states the home is smoke-free.
  • Applicant states she 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.
(Continued on LIC809-C)
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
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-ALCARAZ, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 155620266
VISIT DATE: 12/19/2023
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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 12/20/23.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
LIC809 (FAS) - (06/04)
Page: 4 of 4
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-ALCARAZ, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 155620266
VISIT DATE: 12/19/2023
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Fenced backyard has a cemented and a sodded for the children. There are scooters and a tricycle. There is a wooden swings/slide play structure that is cemented to the ground. There is patio furniture and patio porch for shade. There is a large rectangular trampoline that has a netted enclosure that applicant states it will be zipped down and latch to make it inaccessible to the day care children.
  • Applicant completed the Mandated Reporter Training on 8/30/23. Applicant’s assistant completed the training on 11/8/23.
  • LPA discussed safe sleep pending 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.

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 7:00 AM to 5:00 PM 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.


(Continued on LIC809-C):
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
LIC809 (FAS) - (06/04)
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