203904637-11-14-2024-04-CC-SVGZ-DAZQPH-20241114112046

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 203904637
Report Date: 11/14/2024
Date Signed: 11/14/2024 11:21:04 AM

Document Has Been Signed on 11/14/2024 11:21 AM - 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	MORENO, MARIA FAMILY CHILD CARE		FACILITY NUMBER:	203904637
ADMINISTRATOR/ DIRECTOR:	MORENO, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 352-6258
CITY:	MADERA	STATE: CA	ZIP CODE:	93638
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 5	DATE:	11/14/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:09 AM
MET WITH:	MORENO, MARIA		TIME VISIT/ INSPECTION COMPLETED:	11:30 AM

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On 11/14/2024 Licensing Program Analyst (LPA), Stephanie Vega-Gonzalez conducted an unannounced Annual Required Inspection and was met by licensee Maria Moreno. LPA arrived at facility 8:09 a.m. Also present were licensee’s assistants. Assistant #1 and Assistant #2. Licensee is Spanish Speaking and LPA assisted with interpretation. Days and hours of operation are Monday through Sunday from 5:00am to 4:30pm.

LPA toured the home inside and outside and a census was taken. During the inspection, LPA observed the following: In the daycare room's restroom LPA observed Cornstarch baby powder, 40% zinc oxide Diaper Rash Cream, Destin 40% zinc oxide, and Triamcinolone Acetonide Ointment USP, 0.1%. LPA observed as Licensee placed items in a higher cabinet that is out of reach of children during the inspection. In the backyard LPA observed two infant swings attached to a wood gazebo. LPA observed that there was cement on the bottom and the swings were close to a stone outdoor table. LPA was informed by licensee that infants/ children that are placed in the swings are always supervised and never left unattended. LPA discussed best practices since the swings were on a cement area and not a soft cushioning area of the yard. Licensee stated that swings will be removed and only used with full supervision. LPA observed a grounded rod on the side of the home that was accessible to children in care. Rod is located by the daycare room's window. LPA discussed with licensee that best practice would be to cover the grounded rod with a electric box. Licensee stated that she normally has it covered with the a daycare stroller that seats six. LPA discussed that it would be best to cover rod with a permanent box to ensure children do not have access to it. Licensee stated she understood and that it would be done. LPA observed as licensee placed a wooden table on top of the rod to make it inaccessible to children. LPA observed that the daycare room had a window AC unit. LPA observed that Licensee had placed the window on top of the AC unit on the outer side of the house. LPA informed licensee that it would be best practice to obtain a proper window cover when using the AC unit. Licensee stated that window AC will be coming down due to it being winter. Licensee stated that she will get a proper cover for the window.

(CONTINUE ON LIC809-C)

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024

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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Document Has Been Signed on 11/14/2024 11:21 AM - It Cannot Be Edited

Created By: Stephanie Vega-Gonzalez On 11/14/2024 at 10:29 AM

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: MORENO, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 203904637
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/14/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(a)(3)

Infant Safe Sleep

(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in which LPA observed two play yards with folded blankets on top of the mattress with a loose sheet, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/14/2024
	Plan of Correction
1 2 3 4	Licensee removed folded blankets and fitted the sheets during the inspection. Licensee stated that she will place sheet fasteners to make sheets fitted.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Juvenal Moctezuma

LICENSING EVALUATOR NAME:

Stephanie Vega-Gonzalez

LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024

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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: MORENO, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 203904637
	VISIT DATE: 11/14/2024

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LPA observed Child #1 being placed in the playpen. LPA observed that Licensee had folded two blankets for both of the playpens and had placed a sheet over them with the mattress. Licensee stated that the mattresses were too hard for the children and thought that the added folded blanket would provide comfort. LPA reviewed Safe Sleep regulations with licensee. LPA Observed as licensee removed the folded blankets and adjusted the sheet on the firm mattress. LPA observed that sheets were not fitted and informed Licensee. Licensee stated that she will make sure they are fitted by adding bed sheet fasteners for both playpens.

LPA reviewed current facility sketch and confirmed that the living room, kitchen, dinning room, daycare room, daycare restroom, and backyard are accessible to children. All other rooms are off-limits and made inaccessible by use of a baby gate, door knob spinners. LPA reviewed PIN 23-11-CCP 6.19.2023 Large License Single Action Door Handle/ Single Action Lock. Licensee stated she will communicate with the department if she had any follow up questions.

There is no swimming pool or other bodies of water on the premises.

There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

There is one fireplace in the home located in the Livingroom and is made inaccessible by a glass door and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort.

This is a single level home and there are no stairs. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 352-6258.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained.

(CONTINUE ON LIC809-C)

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024

LIC809 (FAS) - (06/04)

Page: 6 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: MORENO, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 203904637
	VISIT DATE: 11/14/2024

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LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was completed on 08/20/2024. Licensee’s pediatric CPR/First Aid certification expires on 8/23/2026. LPA observed during record review that both Assistant #1 and Assistant #2 had current CPR/First Aid certifications on file. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

(CONTINUE ON LIC809-C)

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024

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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: MORENO, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 203904637
	VISIT DATE: 11/14/2024

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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with licensee. During the exit interview, the licensee stated that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: (see next page).

Licensee was provided appeal rights in Spanish and English.

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: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024

LIC809 (FAS) - (06/04)

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