155620524-9-26-2024-57-CC-NLOI-D9GSVM-20240926141255

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 155620524
Report Date: 09/26/2024
Date Signed: 09/26/2024 02:13:08 PM

Document Has Been Signed on 09/26/2024 02:13 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	HINOJOSA LOPEZ, MARIA FAMILY CHILD CARE		FACILITY NUMBER:	155620524
ADMINISTRATOR/ DIRECTOR:	HINOJOSA LOPEZ, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 910-4595
CITY:	SHAFTER	STATE: CA	ZIP CODE:	93263
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	09/26/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:20 PM
MET WITH:	Maria Hinojosa Lopez		TIME VISIT/ INSPECTION COMPLETED:	02:20 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 9/26/24, Licensing Program Analyst (LPA), Norma Lomeli met with Applicant, Maria Hinojosa Lopez for a pre-licensing inspection. Applicant and three 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 7/11/24. Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed: Fire clearance was received on 7/10/24. Fire pull alarm is located on the hall way wall. This is a single story, four bedrooms and two bathrooms home and children will have access to the living room (day care room) and hallway bathroom. Off-limits rooms/ closets are made inaccessible by use of child proof doorknob covers and child proof safety gates. 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. LPA observed in the day care room, child size furniture, safe toys, educational poster, manipulatives, and books for the children. LPA also observed two play yards, a diaper changing table, and two high chairs. There is a parents board mounted onto the right wall of the home's entry way. Children will nap in the living 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 mounted onto the kitchen wall. There is a smoke alarm, carbon monoxide alarm and first aid kit in place. (Continued on LIC809-C):

SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: HINOJOSA LOPEZ, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 155620524
	VISIT DATE: 09/26/2024

NARRATIVE

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Applicant’s Pediatric CPR and First Aid certification was completed through EMS Safety with Emergency Medical Services Authority stickers (EMSA) and expires on 6/25/24. Applicant’s Assistant, Minerva Valdez has not completed the training. Applicant understands that her assistant cannot be left alone to provide care and supervision to the day care children.
Preventative Health and Safety with Nutrition and Prevention of Lead exposure certification was completed on 6/25/24.
Knives and medications are stored inside kitchen cabinets. Cleaning compounds are stored inside the dishwasher. The kitchen is made inaccessible by the use of a child proof safety gate.
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.
There are two dogs that are kept in an inaccessible bedroom. Applicant is advised it is her responsibility to ensure the safety of children in care at all times from the pets.
Applicant states there are no firearms or ammunition in the home or premises. Poisons XX.
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.
Fenced backyard has a cemented and artificial turf area for the children. There is a child size table and chairs, a Little Tikes basketball hoop, a Little Tikes picnic table, tricycles, balls, a Step 2 climbing structure, a Step 2 slide, a Kid Kraft play house, and a swings/slide play structure. There is a canopy and shade sails for shade.

(Continued on LIC809-C):

SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: HINOJOSA LOPEZ, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 155620524
	VISIT DATE: 09/26/2024

NARRATIVE

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Applicant completed the Mandated Reporter Training on 2/5/23. Applicant’s assistant completed the training 2/5/23.
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.
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 7:15 AM to 5:15 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: Gloria Reyes
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: HINOJOSA LOPEZ, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 155620524
	VISIT DATE: 09/26/2024

NARRATIVE

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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 will anchor to the surface a swings/slide play structure that is located in the backyard.
Applicant will provide LPA with proof of Assistant's Minerva Valdez, current Tuberculosis clearance, Measles (MMR), Pertussis (TDap), and Influenza immunizations. Or provide a statement opting out of Influenza immunization.

Pending verification of corrections of the above items and a final review of her application, licensure as a Large Family Day Care Home capacity of 14 children ages under 18 years will be recommended.

SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

LIC809 (FAS) - (06/04)

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