• This is a two story, two bedrooms and two bathrooms 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 in family room, living room (day care room), dining room and downstairs bathroom. Off-limit rooms/ closets area made inaccessible by the use of a child proof safety gate and door security guards.
• There is a fireplace in the family room that applicant states it will not be used during day-care hours. There is central air heating/cooling ventilation for safety and comfort and a Through-the-Wall air conditioner unit in the day care room.
• LPA observed in the day care room, child size furniture, safe toys, and books for the children. There is a diaper changing table, an infant swing and a high chair. There is a flat screen television and a parents board mounted onto the wall. Children will nap in the day care room on cots. Infants will nap in play yards. 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 that is mounted onto the day care room wall. There is a smoke alarm, carbon monoxide alarm and first aid kit in place.

• Applicant’s Pediatric CPR and First Aid certification was completed through American Heart Association and expires on 3/17/24.
• Preventative Health and Safety with Nutrition and Prevention of Lead exposure certification was completed on 3/17/24.
• Knives are stored inside a drawer in the inaccessible kitchen. Medications are stored in an upstairs bedroom. Cleaning compounds are stored inside the cabinet that is located underneath the kitchen sink and made inaccessible by the use of a child proof safety latch.
• 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, ammunition or poisons in the home or premises.
• 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 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 cemented and sodded area for the children. There is a child size table and chairs, book and safe toys. There is a round picnic table with an umbrella for shade. There is a toddler play house and slide. There is a metal stairway that leads to the top of the home with a gate at the bottom of the stairs making upstairs area inaccessible.
• Applicant completed the Mandated Reporter Training on 7/6/24.

• LPA discussed safe sleep pending regulations and Safe Sleep Regulation Concepts were given to applicant.
• Applicant is advised it is her responsibility to read and maintain her facility incompliance with Title 22 Regulations. Title 22 Regulations can be found at www.ccld.ca.gov.
• SB 792 immunizations are on file.
• Applicant is advised Fresno Community Care Licensing Department has inspection authority and can inspect all rooms in the home, garages and/or separate dwellings on the premises.
• 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.

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.