503910755-4-25-2022-04-CC-AGIN-CDTQY9-20220425123447

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 503910755
Report Date: 04/25/2022
Date Signed: 04/25/2022 12:34:51 PM

Document Has Been Signed on 04/25/2022 12:34 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	GRANO GAETA, MARTHA FAMILY CHILD CARE		FACILITY NUMBER:	503910755
ADMINISTRATOR:	GRANO GAETA, MARTHA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 618-4292
CITY:	MODESTO	STATE: CA	ZIP CODE:	95351
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	04/25/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Martha Grano		TIME COMPLETED:	12:45 PM

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On 4/25/22 Licensing Program Analysts (LPA), Araceli Gibson conducted an unannounced Annual Required Inspection and was met by Spanish Speaking Licensee, Martha Grano. Days and hours of operation are Monday-Friday from 5:00 AM-5:00 PM.

LPA toured the home inside and outside and no children are present today. Current facility sketch reviewed, and Licensee confirmed that the kitchen, bathroom, living room and bedroom 1 fenced front yard are used for providing care and are accessible to children. Licensee requested back yard be made off limit. The front yard is fully fenced with adequate safe equipment and toys and children will be 100 percent supervised while at play in the front. All other rooms are off-limits and made inaccessible by use of doorknob covers. There is no swimming pool or other bodies of water on the premises currently, but Licensee is looking into construction of a above ground pool to be located in the back yard which is now off limits. LPA discussed at length with Licensee fencing requirements and provided her the regulation in writing. Licensee will request and inspection at the time of completion. LPA discussed with There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

The fireplace located in the livin room is made inaccessible by furniture blocking access to it. Fire place 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. There are no stairs in this home. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (408) 618-4292.

LPA discussed Safe Sleep Regulations with licensee. Play yards and cribs are not being used as infants are over 12 months of age. Licensee is aware that for each infant in care, cribs and play yards are to be kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Continue 809C

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Araceli Gibson
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: GRANO GAETA, MARTHA FAMILY CHILD CARE	FACILITY NUMBER: 503910755
	VISIT DATE: 04/25/2022

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Licensee physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping.

Licensee ensures that children in care are supervised at all times 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 02/02/22. Licensee’s pediatric CPR/First Aid expires on 10/2022. 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.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://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.

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

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: Susie Fanning
LICENSING EVALUATOR NAME: Araceli Gibson
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2022

LIC809 (FAS) - (06/04)

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