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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503911683
Report Date: 04/26/2022
Date Signed: 04/26/2022 12:45:54 PM

Document Has Been Signed on 04/26/2022 12:45 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:LORENZO-CASTIGLIONE, JOSEPHINE FAMILY CHILD CAREFACILITY NUMBER:
503911683
ADMINISTRATOR:LORENZO-CASTIGLIONE,JOSIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 988-9971
CITY:TURLOCKSTATE: CAZIP CODE:
95380
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
04/26/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Josephine Lorenzo-CastiglioneTIME COMPLETED:
01:00 PM
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On 04/26/2022 A planned Pre-licensing inspection was made today by Licensing Program Analyst (LPA) Rene Mancinas, who met with Licensee, Josephine (Josie) Lorenzo-Castiglione. This is a single-story home. A tour of the home, inside and outside, as shown on the facility sketch was done. The areas of the home that day care children will have access to are the daycare room, living room, dining room, and hallway restroom. The backyard is inaccessible to children. Applicant understands she is to report any changes regarding off limit/accessible areas. Applicant is the only adult that resides in the home. Fire extinguisher, smoke detectors and carbon monoxide detectors and first aid kit are operable and in place. There are firearms at this home that are stored per regulation requirements. There are no bodies of water at the home, nor did LPA observed this item. CPR, first aid training are current and expire on 03/27/2024. Child Abuse Mandated Reporter Training Completed on 01/03/2022. Postings, forms, and licensing information were provided and discussed. LPA discussed the practice of fire and disaster drills at least once every 6 months and to document the date, time and number of children present. There is a pet at this home. Licensees understand they are responsible for any action taken by pet involving day care children.

Incidental Medical Services (IMS) are not currently being provided. Applicant is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. 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

(Continued on 809-C)

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Rene Mancinas
LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2022
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: LORENZO-CASTIGLIONE, JOSEPHINE FAMILY CHILD CARE
FACILITY NUMBER: 503911683
VISIT DATE: 04/26/2022
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Applicant 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, 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.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed applicants 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Planned hours of operation are Monday through Friday 07:00AM to 06:00PM, and as arranged. This home has been granted a fire clearance by the Fire Department with jurisdiction.

(Continued on 809-C)

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Rene Mancinas
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
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: LORENZO-CASTIGLIONE, JOSEPHINE FAMILY CHILD CARE
FACILITY NUMBER: 503911683
VISIT DATE: 04/26/2022
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The following items are pending and/or need to be corrected prior to licensure for a Large Family Child Care Home, capacity of fourteen children * ages under 18 years* to be granted. License effective date to be determined based upon below corrections completed.

1. Applicant is to install a safety gate at entry way to the kitchen to prevent children from accessing kitchen area, which is described as “off-’limits”.

2. Applicant is to place child safety devices (e.g. plastic door-knob spinners, child safety latches ) on doors leading to off-limit areas and cabinets with hazardous items.

Exit interview conducted and report was reviewed with the applicant.

This report shall be made available to the public upon request.

To order forms, etc. visit our website at www.ccld.ca.gov

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Rene Mancinas
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
LIC809 (FAS) - (06/04)
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