<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203809700
Report Date: 09/08/2021
Date Signed: 09/08/2021 03:28:25 PM

Document Has Been Signed on 09/08/2021 03:28 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: 3DATE:
09/08/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Raquel GironTIME COMPLETED:
03:45 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 9/8/21, Licensing Program Analysts (LPAs) Brannon and Yanez conducted a case management inspection. LPA Yanez provided Spanish interpretation. Upon arriving at the facility, LPAs observed licensee and three children in the front unlicensed room. This room was to be off-limits to children as of 8/16/21. The front room does not have adequate air conditioning, whereas the back room has air conditioning.

LPAs observed that licensee was not wearing a face mask as required for adults during the pandemic. LPA Yanez reviewed with licensee the requirement to mitigate COVID-19.

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.

Exit interview conducted and report was reviewed with the licensee, Raquel Giron.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 09/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/08/2021
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 3
Document Has Been Signed on 09/08/2021 03:28 PM - It Cannot Be Edited


Created By: Cynthia Brannon On 09/08/2021 at 02:09 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: 09/08/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/22/2021
Section Cited
CCR
102417(b)

1
2
3
4
5
6
7
Operation of a Family Child Care Home. The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement was not met as evidenced by LPAs observation of children in the front part of the home that does not have adequate cooling. Licensee was previously cited on 8/16/21 for keeping children in the hot
1
2
3
4
5
6
7
Licensee has provided a statement that the children will not have access to the front room due to not having adequate heating and air conditioning.
8
9
10
11
12
13
14
front room. This is an immediate personal rights, health and safety risk to children in care. The weather in Madera has in the three digits. A civil penalty of $250 has been assessed, with $100 per day until corrected.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Michael Duarte
LICENSING EVALUATOR NAME:Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:
DATE: 09/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/08/2021


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 09/08/2021 03:28 PM - It Cannot Be Edited


Created By: Cynthia Brannon On 09/08/2021 at 02:46 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: 09/08/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/22/2021
Section Cited
CCR
102423(a)(2)

1
2
3
4
5
6
7
Personal Rights. Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged. These rights include, but are not limited to, the following:
To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
This requirement was not met as evidenced
1
2
3
4
5
6
7
Duirng today's visit, licensee put on a face mask and provided a written statement on her policy of wearing face mask during the pandemic to keep children in care safe.
8
9
10
11
12
13
14
by LPAs observation of licensee and spouse not wearing face masks. This is a potential health and safety risk to children care during the pandemic.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Michael Duarte
LICENSING EVALUATOR NAME:Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:
DATE: 09/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/08/2021


LIC809 (FAS) - (06/04)
Page: 3 of 3