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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203906160
Report Date: 07/26/2022
Date Signed: 07/28/2022 11:28:21 AM

Document Has Been Signed on 07/28/2022 11:28 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:GARCIA, MANUELA FAMILY CHILD CAREFACILITY NUMBER:
203906160
ADMINISTRATOR:GARCIA, MANUELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 871-8191
CITY:CHOWCHILLASTATE: CAZIP CODE:
93610
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
07/26/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:07 PM
MET WITH:Manuela GarciaTIME COMPLETED:
01:15 PM
NARRATIVE
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On 07/26/2022, Licensing Program Analyst (LPA) Stephanie Vega-Gonzalez conducted an unannounced case management to amend a report and to obtain signatures at facility. LPA wore a N95 mask during today's unannounced visit. A census was taken of 4. LPA toured facility, and inspected hallway, living room, dinning room, family room, and kitchen. LPA interviewed Licensee Garcia Manuela and LPA obtained copies of facility roster.

This case management is based of the observations obtained on 7/25/2022 unannounced visit. LPA knocked on door, rang doorbell and waited 2 minutes. LPA then called Licensee at (559) 871-8191. During phone conversation LPA was informed that Licensee had COVID and facility was closed. LPA heard children. Licensee then stated she was caring for children. Licensee then stated that assistant had COVID. LPA asked for Licensee to open door. LPA was eventually allowed inside facility. LPA met with Licensee Manuela Garcia, explained purpose of inspection, toured facility and took a census of 11 children. 2 children out of the 11 were infants, and Licensee had no assistant present. LPA wore a N95 mask during unannounced visit on 07/25/2022. Licensee later clarified that Licensee did not have COVID, that her assistant was the one who tested positive. Licensee understand that she is to follow her license capacity. On 07/26/2022, LPA created a COVID-19 Initial Positive and collect UIR from Licensee.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D)

Also, LPA Stephanie Vega-Gonzalez informed the licensee to provide a copy of this licensing report dated 07/25/2022 and 07/26/2022 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted with Licensee Manuela Garica. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2022
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 07/28/2022 11:28 AM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 07/26/2022 at 09:49 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: GARCIA, MANUELA FAMILY CHILD CARE
FACILITY NUMBER: 203906160

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/26/2022
Section Cited
CCR
102416.5(e)

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Staffing Ratio and Capacity. The capacity specified on the license shall be the maximum number of children for whom care can be provided. Staffing Ratio and Capacity(e)If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
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Licensee called parents to pick up children. A total of 7 children were dismissed during today's unannounced visit.
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This requirement is not met as evidence by: Based upon observation on today’s unannounced visit LPA counted a total census of 11 children. 2 out of the 11 children were infants, with no assistant. This poses an immediate risk to the health, safety, or personal rights of children in care.
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 Licensee stated that they will host a training for themselves, which will include the viewing of the childcare licensing video titled – How Many Children Can Attend a Family child care home. Licensee will submit a statement regarding what they have learned to community care licensing by no later than 07/26/2022.

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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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2022


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/28/2022 11:28 AM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 07/27/2022 at 03:55 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: GARCIA, MANUELA FAMILY CHILD CARE
FACILITY NUMBER: 203906160

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/26/2022
Section Cited
HSC
1596.885(c)

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 Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the
facility or the people of this state. This requirement is not met as evidence by: Upon entrance Licensee stated she had COVID and was closed. Licensee later clarified that
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 Licensee stated that they will host a training for themselves, which will include the viewing of the childcare licensing video titled – Community Care Licensing Inspection Authority.
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she did not have COVID, that her Assistant had COVID and had called out for the day. Licensee then stated that facility was open for the day and that she was caring for children. This poses an immediate risk to the health, safety, or personal rights of children in care.
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Licensee will submit a statement regarding what they have learned to community care licensing by no later than 07/27/2022.

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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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/27/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/27/2022


LIC809 (FAS) - (06/04)
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