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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503903750
Report Date: 11/28/2023
Date Signed: 11/28/2023 04:35:06 PM

Document Has Been Signed on 11/28/2023 04:35 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:GUEVARA, OFELIA FAMILY CHILD CAREFACILITY NUMBER:
503903750
ADMINISTRATOR:GUEVARA, OFELIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 894-7863
CITY:PATTERSONSTATE: CAZIP CODE:
95363
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
11/28/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Ofelia GuevaraTIME COMPLETED:
03:00 PM
NARRATIVE
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On 11/28/2023, Licensing Program Analysts (LPAs) Anita Tristan and Priscilla Zamudio conducted an unannounced Case Management Visit regarding an unrelated matter. LPAs met with Licensee, Ofelia Guevara. LPAs explained the reason of the inspection and toured the facility, inside and outside and a census was taken. Also present was staff # 1.

During today’s inspection LPAs observed in the kitchen a bucket of dirty water, broken latches on lower cabinets were LPAs observed a bottle of rubbing alcohol, trash and recyclable stacked against the cabinets on the floor. During the visit licensee removed the rubbing alcohol and bucket of dirty water to an area inaccessible to children. LPAs also observed in the back yard two gas cans on the sided of the house containing gas, tools, and a large pile of cactus pieces with needles. Licensee stated that the children have not used the back yard because they are in the process of cleaning the yard up. Licensee requested to make the back yard "off-limits" and will notify Licensing when ready to use again. LPAs observed in downstairs bedroom medication such as Vicks, Icy Hot, rubbing alcohol, Diabetic Insulin, and Diabetic medical equipment all in reach of children. On closet floor LPA’s observed beer in glass bottles, and caulking gun and caulk. Licensee stated that the room is also used for storage, sleeping infants and a quiet room to calm crying children. Licensee immediately removed the items to an area inaccessible to children.

***Continued on 809-C***

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: GUEVARA, OFELIA FAMILY CHILD CARE
FACILITY NUMBER: 503903750
VISIT DATE: 11/28/2023
NARRATIVE
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During today’s inspection, LPA Tristan also addressed an incident which occurred during a previous case management inspection on November 8, 2023. During the November 8 visit, Licensee Program Analyst (LPA) Anita Tristan asked licensee, Ofelia Guevara, to inspect all accessible rooms use for children in care. Licensee took LPA Tristan to downstairs bedroom with the door closed. Licensee stated that the room was used for sleeping infants but there were no infants using the room on that day. LPA Tristan was standing in the doorway and observed a crib in the back corner of the bedroom. As LPA was standing in the doorway, LPA observed an infant’s foot stick out from under the white wool blanket. LPA asked licensee if there was a child in the crib. Licensee, immediately stood in front of the crib, obstructing LPA Tristan’s visibility and not allowing LPA access to the crib. LPA made several attempts to move around licensee but was unable to gain access due to licensees continued movement and obstruction of the crib. LPA requested for licensee to remove the wool blanket from the infant’s head. Licensee complied with LPA’s request. LPA observed that the infant was swaddled and buckled into the bouncer that was in the crib. LPA informed licensee that the infant cannot be swaddled and buckled and that LPA needed to observe the infant. Licensee immediately unbuckled the infant, and took the infant out of the room, therefore not allowing LPA to assess infant. Staff #1 assisted licensee in removing the swaddling cloth. Infant was placed on the changing table by staff #1. LPA assessed the infant. Staff #1 placed infant in play pen in the living room.

LPA Tristan provided Licensee with a Non-Compliance Conference (NCC) letter. Appointment dated for December 5, 2023, at 11:00am for to discuss the findings that took place on 11/8/2023 and 11/28/2023.

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

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.

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

Exit interview conducted and a copy of report and appeal rights were provided and discussed with Licensee, Ofelia Guevara.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
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Document Has Been Signed on 11/28/2023 04:35 PM - It Cannot Be Edited


Created By: Anita Tristan On 11/28/2023 at 01:58 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: GUEVARA, OFELIA FAMILY CHILD CARE
FACILITY NUMBER: 503903750

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/29/2023
Section Cited
CCR
102391(b)

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Inspection Authority- (b) The licensee shall permit the Department to inspect the family child care home, and to privately interview children or staff, to determine compliance with or to prevent violations of family child care laws or regulations. The Department shall exercise this authority as specified in Health and Safety Code Section 1596.8535(a). This requirement was not met as evidenced by:
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Licensee agrees to submit in writing that she understands that CCLD has the right to access to all rooms that are made accessible to children in care. By POC date 11/29/2023.
Licensee was provided with her appointment dated for December 5, 2023, at 11:00am for a Non-Compliance Conference (NCC) to discuss the findings from 11/8/2023 and 11/28/2023.
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Licensee did not comply with the section cited above by obstructing LPA visibility and not allowing LPA access to the infant in crib. This poses a potential health, safety or personal rights risk to persons in care.
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Type B
12/05/2023
Section Cited
CCR102417(b)

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102417 Operation of a Family Child Care Home
(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.
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Licensee agreed to submit pictures of cleaned rooms and yard to CCLD by POC date 12/5/2023.
Licensee was provided with her appointment dated for December 5, 2023, at 11:00am for a Non-Compliance Conference (NCC) to discuss the findings from 11/8/2023 and 11/28/2023.
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This requirement was not met evidenced by LPA's observations
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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:Cynthia Brannon
LICENSING EVALUATOR NAME:Anita Tristan
LICENSING EVALUATOR SIGNATURE:
DATE: 11/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/28/2023


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