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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503910081
Report Date: 04/12/2024
Date Signed: 04/12/2024 03:16:08 PM

Document Has Been Signed on 04/12/2024 03:16 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:OLIVER, KELLY FAMILY CHILD CAREFACILITY NUMBER:
503910081
ADMINISTRATOR/
DIRECTOR:		OLIVER, KELLYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 840-9716
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
04/12/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:25 PM
MET WITH:Kelly OliverTIME VISIT/
INSPECTION COMPLETED:
04:09 PM
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On 04/12/2024, Licensing Program Analyst (LPA) Anita Tristan and Licensing Program Manager Cynthia Brannon conducted an unannounced Case Management Inspection. LPA and LPM met with Licensee, Kelly Oliver. A tour of the facility was conducted, and a census was taken. LPA and LPM observed 4 children in the front day care room. Also present was licensee's children.

Based on interviews reflecting that licensee’s uncleared adult children assist with picking and dropping off the children in care and also by providing care to the children with and without licensee present.

Per California Code of Regulation, Title 22, Division 12, Chapter 3, deficiencies were cited (see LIC 9099-D). A $100.00 civil penalty was assessed today for criminal record clearance violation for each uncleared adult.



An Exit interview was conducted with Licensee, Kelly Oliver. A copy of this report and appeal rights were provided and discussed.

LPA also provided “Acknowledgment of Receipt of Licensing Form” (LIC 9224). Upon receipt, 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 this report shall be posted for 30 days.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2024
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 04/12/2024 03:16 PM - It Cannot Be Edited


Created By: Anita Tristan On 04/12/2024 at 01:26 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: OLIVER, KELLY FAMILY CHILD CARE
FACILITY NUMBER: 503910081

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/13/2024
Section Cited
HSC
1596.87(C)(1)(A)

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HSC: 1596.87 (C)(1)(A) - Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision (f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

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Licensee has recently had her children fingerprint cleared and provided documentation.
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This requirement is not met as evidenced by:

Based on observation and interviews the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care. Licensee's two adult daughters have been on the premises and assisting with the care of the children.
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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: 04/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/12/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/12/2024 03:16 PM - It Cannot Be Edited


Created By: Anita Tristan On 04/12/2024 at 01:32 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: OLIVER, KELLY FAMILY CHILD CARE
FACILITY NUMBER: 503910081

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
04/26/2024
Section Cited
CCR
102417

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102417(a) Operation of a Family Child Care Home- The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence…. This requirement is not met as evidenced by:


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Per Licensee she will submit a written protocol that she will not allow children in care to be transported by minors by the end of business day 04/26/2024.
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licensee had 17-year-old minor transporting children in care; in addition, the vehicle did not have the proper child seat restraints. This poses a potential risk to the Health, Safety and Personal Rights of children in care.
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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: 04/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/12/2024


LIC809 (FAS) - (06/04)
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