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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503910885
Report Date: 06/17/2021
Date Signed: 06/17/2021 01:49:23 PM

Document Has Been Signed on 06/17/2021 01:49 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:ABALOS, ZENY & CALIMQUIM, RANDY FAMILY CHILD CAREFACILITY NUMBER:
503910885
ADMINISTRATOR:ABALOS,ZENY/CALIMQUIN,RANDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 585-9789
CITY:TURLOCKSTATE: CAZIP CODE:
95380
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 11DATE:
06/17/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Zeny AbalosTIME COMPLETED:
02:00 PM
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On 06/17/2021, Licensing Program Analyst (LPA) Luisa Gavoutian conducted an unannounced Plan of Correction visit. LPA was greeted by Licensee Zeny Abalos, who accompanied LPA on a tour of the home, inside and outside. Also present was a fingerprint-cleared adult member of the household. Present during today's inspection were 11 children. The purpose of today's inspection was to clear the deficiencies that were cited during the annual inspection on 06/09/2021.

On 06/09/2021, the facility was cited a Type A deficiency in violation of California Code of Regulations (CCR) section 102416.3(a)(6) which states, "Prior to making alterations... the licensee shall notify the Department of the proposed changed... Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care." On 06/09/2021, LPA had observed a storage area being constructed outside and the master bedroom was accessible to daycare children. During today's inspection, LPA observed the construction of the storage area had been completed and the master bedroom was made inaccessible to children with a lock. LPA inspected the storage area and found it to be safe and free of hazards. No hazardous items were accessible to children. Additionally, Licensee submitted a written statement of understanding to Community Care Licensing (CCL) that any alterations to the existing buildings and grounds and any "off-limits" areas that will be used for childcare must be reported to CCL prior to the changes being made. This deficiency has been cleared.

On 06/09/2021, the facility was cited a Type B deficiency in violation of Health and Safety Code (HSC) section 1596.8662(b)(1) which states, "On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training... and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training." (Continued on LIC 809-C)
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Luisa Gavoutian
LICENSING EVALUATOR SIGNATURE: DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/17/2021
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: ABALOS, ZENY & CALIMQUIM, RANDY FAMILY CHILD CARE
FACILITY NUMBER: 503910885
VISIT DATE: 06/17/2021
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During today's inspection, LPA reviewed facility records and found Licensee Abalos completed the mandated reporter training on 06/09/2021 and Licensee Randy Caliquim completed the training on 06/10/2021. This deficiency has been cleared.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were 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: Alice Juarez
LICENSING EVALUATOR NAME: Luisa Gavoutian
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021
LIC809 (FAS) - (06/04)
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