203911675-3-21-2023-04-CC-DJIZ-CQ629F-20230321171151

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 203911675
Report Date: 03/21/2023
Date Signed: 03/21/2023 05:12:28 PM

Document Has Been Signed on 03/21/2023 05:12 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:	VASQUEZ, PATRICIA FAMILY CHILD CARE		FACILITY NUMBER:	203911675
ADMINISTRATOR:	VASQUEZ, PATRICIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 514-1463
CITY:	MADERA	STATE: CA	ZIP CODE:	93637
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 24	CENSUS: 5	DATE:	03/21/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Patricia Vasquez		TIME COMPLETED:	03:45 PM

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On 03/21/2023 Licensing Program Analyst (LPA) Denisia Jimenez conducted an unannounced Annual Required Inspection and was met by Licensee, Patricia Vasquez. Also present was Staff #1 Juana Ramirez. Licensee stated days and hours of operation are Monday thru Saturday from 3:00 AM to 5:00 PM. The home has working telephone service and LPA confirmed the phone number is (559) 514-1463.

LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed, and Licensee confirmed that the kitchen, dining room, living room, den, nook, and hallway bathroom, are used for providing care and are accessible to children. LPA observed all other rooms are off-limits and made inaccessible by use of spinner knobs. LPA observed the outdoor play area in the backyard has a concrete wall and there are no hazards to children present. LPA observed there is one large dog that is inaccessible to children. Licensee understands the liability of pets around day care children and accepts responsibilities of any action taken by pets. LPA observed there is no swimming pool or other bodies of water on the premises. Licensee stated there are no firearms or ammunition on the premises. LPA did not observe any poisons during the inspection. Licensee stated detergents, cleaning compounds, medication and other hazardous items are in inaccessible rooms.

LPA observed the fireplace located in the living room is made inaccessible by a glass door and will not be in use during daycare hours. LPA observed the fire extinguishers, smoke detectors, and carbon monoxide detector met Community Care Licensing (CCL) regulations. Heating/cooling and ventilation was sufficient for safety and comfort. LPA observed there are no stairs in this home. Safe toys and play equipment were observed by LPA.

LPA discussed the 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-and-resources/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.

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SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

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

FACILITY NAME: VASQUEZ, PATRICIA FAMILY CHILD CARE	FACILITY NUMBER: 203911675
	VISIT DATE: 03/21/2023

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Licensee ensures that children in care are always supervised and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. Capacity as specified on the license is being maintained.

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 04/16/2022. LPA reviewed Assistant #1 file and Assistant #1 did not have the mandated reporter training completed. Licensee’s pediatric CPR/First Aid expires on 09/2023. A review of records indicates that all employees and/or volunteers have 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. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) are not currently being provided. (Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://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.

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SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

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: VASQUEZ, PATRICIA FAMILY CHILD CARE	FACILITY NUMBER: 203911675
	VISIT DATE: 03/21/2023

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To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with the facility representative Patricia Vasquez.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023

LIC809 (FAS) - (06/04)

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