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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203908603
Report Date: 04/16/2024
Date Signed: 04/16/2024 04:00:10 PM

Document Has Been Signed on 04/16/2024 04:00 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:VARGAS, MARIA FAMILY CHILD CAREFACILITY NUMBER:
203908603
ADMINISTRATOR/
DIRECTOR:		VARGAS, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 481-5134
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
04/16/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:20 AM
MET WITH:VARGAS, MARIATIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 04/16/2024 Licensing Program Analyst (LPA), Stephanie Vega-Gonzalez conducted an unannounced Annual/Random Inspection and was met by licensee Maria Vargas. LPA arrived at facility 11:20 A.M. Also present was licensee’s assistant. Licensee is Spanish and English Speaking and LPA assisted with interpretation.

Days and hours of operation are Monday through Saturday from 1:00am to 12:30am, 23.5 hours of operation. Facility is not open on Sundays.

LPA toured the home inside and outside and a census was taken. LPA reviewed current facility sketch and confirmed that the kitchen, dining room, bathroom, living room, and converted garage that is the day care room, and backyard are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of door knob spinners. LPA Observed the following in the entrance hallway: A gallon size sip blog bag with various hand creams and small super glue tube. In the restroom LPA observed the following: A plastic organizing container with no lid that had various screws, sharp objects, T50 staples box, a handheld heavy duty staple gun, and other small objects that can pose a choking hazard to children in care. LPA observed in the living room a metal and wood hammer. LPA observed as Licensee moved all objects and placed them in an out of reach area. LPA observed that restroom door had a plastic door spinner cover. LPA reviewed personal rights regulation with licensee. Licensee removed plastic door spinner cover.

LPA observed the following: In the front yard LPA observed a green and black container filled with water. It had rained previously on April 14, 2024. It did not rain on April 15 or 16, and water had not been dumped. LPA was informed that children had attend care on April 15 and 16. LPA observed in the backyard the following: a large red gas container with liquid inside. LPA observed as Licensee moved red gas container in backyard shed that has a lock. LPA observed that the part of the pool fence was loose to the touch and that fence was loose in the bottom due to a missing screw and foundation. LPA observed a silver trash can with a large planter on top of it that was leaned against the pool fence, a metal planter that was leaned against the pool fence, and a metal three tier storage shelf leaning against the pool fence, and that was the same height as the pool fence.

(Continue on LIC809-C)

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2024
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 04/16/2024 04:00 PM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 04/16/2024 at 02:02 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: VARGAS, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 203908603

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/16/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in LPA observed various items as stated in LIC 809, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/16/2024
Plan of Correction
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During the inspection Licensee made items inaccessible to children in care. Licensee stated she understood the importance of not having items that can pose a potential health and safety risk to children in care.
Type B
Section Cited
CCR
102417(g)(5)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observed, the licensee did not comply with the section cited above in that LPA observed various containers in the front of the home and backyard with water, large planters were leaned against pool fence, and pool fence is in need of repair, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/19/2024
Plan of Correction
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Licensee stated that pool fence will be fixed and that large planters will be moved away from the pool fence. Licensee stated she will submit proof to the department once corrections had been made.
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: 04/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/16/2024


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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: VARGAS, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 203908603
VISIT DATE: 04/16/2024
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LPA observed two floor large planters that were near the pool fence. LPA informed Licensee that the large planters had to be moved further away from the fence. LPA reviewed bodies of water and pool regulations with licensee and printed a copy for licensee to have. LPA observed a white painter's bucket filled with greenish water by the pool fence, a green bucket filled with water by the side house in the backyard. On the side of the house in the backyard LPA observed a blue storage container half filled with water. LPA observed the following by the play structure and sand area: a blue bucket with collected water, an LA hard baseball hat with collected water, and a blue water table with collected water. LPA discussed best practices with licensee, to do daily walk through of the facility prior to children being present. LPA observed the converted garage/ play room to have appropriate toys and furniture. LPA observed that the three play yards did not have fitted sheets. LPA reviewed safe sleep regulations with licensee.

LPA reviewed PIN 23-11-CCP 6.19.2023 Large License Single Action Door Handle/ Single Action Lock, and PIN 23-20-CCP Required Notification Prior for Making Changes to Child Care Facilities. Licensee stated she will communicate with the department if she had any follow up questions.



There is a built-in swimming pool in the backyard which is fenced and made inaccessible. LPA had observed that part of the fence was loose due to the foundation and missing a screw. Licensee will not use the backyard until corrections are made, and an inspection has been conducted by an LPA. The pool gate is self-latching, self-closing and opens away from the swimming pool. No windows or doors have direct access to the pool area.

There are no firearms or ammunition on the premises. There is one iron fireplace and electric fireplace in the home located in the living room and is made inaccessible by a iron door, and glass cover 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) 481-5134.

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. 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: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
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: VARGAS, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 203908603
VISIT DATE: 04/16/2024
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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 01/30/2024. Licensee’s Assistants Mandated Reporter Training was completed on 04/06/2026. Licensee’s pediatric CPR/First Aid certification expires on 02/11/2025. Assistant’s pediatric CPR/First Aid certification expires on 02/05/2024. 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.

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: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
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: VARGAS, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 203908603
VISIT DATE: 04/16/2024
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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 confirmed 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 deficiencies are being cited: (see next page).

Licensee was provided appeal rights.

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: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
LIC809 (FAS) - (06/04)
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