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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203809700
Report Date: 08/16/2021
Date Signed: 08/16/2021 02:54:19 PM

Document Has Been Signed on 08/16/2021 02:54 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:GIRON, RAQUEL FAMILY CHILD CAREFACILITY NUMBER:
203809700
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 2DATE:
08/16/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Raquel GironTIME COMPLETED:
03:00 PM
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On 08/16/2021 Licensing Program Analysts (LPAs) Jeovanna Yanez and Cynthia Brannon, conducted an unannounced Annual Required Inspection and was met by Licensee, Raquel Giron. Licensee is Spanish Speaking. Days and hours of operation are Monday to Saturday, 3:00 AM – 6:00 PM.

LPAs toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that the kitchen, living room, dining room and hallway bathroom are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of plastic spinner knobs. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. LPAs observed canine dewormer medicine in the living room, Licensee immediately removed the dewormer and stored in an off-limits room. LPAs observed cleaning compounds in the bathroom, Licensee removed items and stored away in an off-limits room. The fireplace located in the living room is made inaccessible by a wooden dresser and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector. LPAs observed Child #1 climbing on furniture, causing items to wobble and shake. LPAs observed the ceiling fan was not working and ventilation was not provided during this inspection. As LPAs walked through the home, LPAs observed the front living room to be much hotter than the back living room. Licensee stated the back living room has air conditioning and the front living room has a small swap cooler. Licensee stated she was interested in a capacity increase, LPAs made recommendations for Licensee including putting anchors on all furniture and moving the daycare from the front living room to the back living room. LPAs inspected the back living room and had Licensee move children to the back living room. LPAs noticed an immediate difference in temperature and ventilation. Stairs are fenced or barricaded when children under age 5 years old are present. The backyard is currently off limits and has not been in use since 2019. Safe toys and play equipment are observed. The home has working telephone service and LPAs confirmed the phone number is (559) 718-9764. There are currently no infants in care. LPAs discussed Safe Sleep Regulations with licensee.

Continued on 809-C

SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2021
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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: GIRON, RAQUEL FAMILY CHILD CARE
FACILITY NUMBER: 203809700
VISIT DATE: 08/16/2021
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LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee has not completed the required Mandated Reporter Training. Licensee’s pediatric CPR/First Aid expires on 07/30/22. Licensee has immunization records on file for influenza, pertussis and measles. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.



LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited:(see next page, 809 D) Licensee was provided a copy of appeal rights.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/16/2021 02:54 PM - It Cannot Be Edited


Created By: Jeovanna Yanez On 08/16/2021 at 01:35 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: GIRON, RAQUEL FAMILY CHILD CARE
FACILITY NUMBER: 203809700

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/16/2021
Section Cited
CCR
102417(g)(4)

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Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement was not as evidenced by LPA's observation. During a walkthrough of the home, LPA observed
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Licensee immediately removed the canine dewormer and hard surface cleaner from the living room and placed in an off-limits room that is inaccessible to children.
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canine dewormer and a hard surface cleaning product that was easily accessible to children in care. This poses an immediate risk to the health, safety, and personal rights of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Diana deLeon
LICENSING EVALUATOR NAME:Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2021


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/16/2021 02:54 PM - It Cannot Be Edited


Created By: Jeovanna Yanez On 08/16/2021 at 01:41 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: GIRON, RAQUEL FAMILY CHILD CARE
FACILITY NUMBER: 203809700

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/17/2021
Section Cited
CCR
102417(b)

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The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.
This requirement was not met as evidenced by LPA's observation. During this inspection, LPAs observed a couch in the living room that is ripped and worn out. LPAs also observed a temperature of 85 degrees farenheight in
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Licensee stated she will have the couch removed and fix the gaps in the swamp cooler. Licensee moved children to the back living room and stated she will be using the back living room. Licensee will provide proof of corrections by POC due date.
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the front living room where children are playing, along with gaps surrounding the swamp cooler. This poses a potential risk to the health, safety, and personal rights of children in care.
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Type B
08/30/2021
Section Cited
CCR102417(g)(9)(A)(1)

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All homes shall conduct fire and disaster drills at least once every six months, and document the date and time of each drill.
This requirement was not met as evidenced by records review. Licensee could not provide a recent fire drill log and has not completed a fire drill since November 2019.
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Licensee stated she has received a new fire drill log and will conduct a fire drill with the children before the POC due date.
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This poses a potential risk to the health, safety and personal rights of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Diana deLeon
LICENSING EVALUATOR NAME:Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2021


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/16/2021 02:54 PM - It Cannot Be Edited


Created By: Jeovanna Yanez On 08/16/2021 at 01:55 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: GIRON, RAQUEL FAMILY CHILD CARE
FACILITY NUMBER: 203809700

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2021
Section Cited
HSC
1596.8662(b)(1)

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On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training...and shall complete renewal mandated reporter training every two years following … the initial mandated reporter training.
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Licensee stated she and staff will complete the required Mandated Reporter Training, and provide copies of certificates to LPA by POC due date.
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This requirement was not met as evidenced by records review. Licensee stated she did not take the required Mandated Reporter training because she was not aware it was available in Spanish. This poses a potential risk to the health, safety, and personal rights of children in care.
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Type B
08/30/2021
Section Cited
CCR102417(g)

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The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to...(4) Poisons ... cleaning compounds ... other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
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Licensee immediately removed the cleaning supplies in the bathroom and stated she will have the hole in the wall fixed, and provide proof of correction by POC due date.
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This requirement was not met as evidenced by LPA observation. LPAs observed cleaning supplies in the bathroom and a hole on the wall in the living room that exposes the wood. This poses a potential risk to the health, safety, and personal rights of children in care
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Diana deLeon
LICENSING EVALUATOR NAME:Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2021


LIC809 (FAS) - (06/04)
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