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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543901979
Report Date: 10/19/2022
Date Signed: 10/19/2022 04:30:32 PM

Document Has Been Signed on 10/19/2022 04:30 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:MCWILLIAMS, MIRNA FAMILY CHILD CAREFACILITY NUMBER:
543901979
ADMINISTRATOR:MCWILLIAMS, MIRNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 622-9570
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
10/19/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Kaitlyn Aldrete and Daniela RamirezTIME COMPLETED:
04:45 PM
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On 10/19/2022, Licensing Program Analyst (LPA) Theresa Marquez conducted an unannounced Required 1 year inspection and met with Assistants Kaitlyn Aldrete and Daniela Ramirez (Spanish/English Speaking). Licensee Mirna McWilliams was not available during this inspection. LPA Marquez talked with McWilliams via telephone and discussed the purpose of this inspection. A tour of the home was conducted, and a census was taken. Current facility sketch reviewed, and Licensee confirmed the family room, bedrooms #1, #2, #3, the dining area, kitchen, and hall bathroom are used for providing care and are accessible to day care children. All other rooms are off-limits and are made inaccessible by use of spinner knobs.
Hours of operation are Monday through Friday 7:30 AM to 5:30 PM.

Medications and other hazardous items were inaccessible to children. The fire extinguishers, smoke detectors, and carbon monoxide detector met Community Care Licensing (CCL) regulations. Heating/cooling and ventilation was sufficient for safety and comfort. There were no stairs in the home. Safe toys and play equipment were observed. Capacity as specified on the license was being maintained.
LPA discussed the safe sleep regulations with Assistants Aldrete and Ramirez and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

The outdoor play area in the backyard is fenced and there are no hazards to day care children. Licensee has 3 dogs that are inaccessible to children via a caged area in the back yard. Licensee is aware of child safety around pets and accepts responsibility for any action taken by pets. Swimming pool was fenced per regulation with a gate that is self-latching, self-closing, and opens away from the swimming pool. No windows or doors have direct access to the swimming pool area.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2022
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
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: MCWILLIAMS, MIRNA FAMILY CHILD CARE
FACILITY NUMBER: 543901979
VISIT DATE: 10/19/2022
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A sample of children’s records contained all emergency information specified by regulation. A review of records indicated Licensee and her assistants have proof of required immunization (Pertussis/Measles/Influenza) and/or written declaration declining flu shot. Licensee's Mandated Reporter Training was completed on 5/6/2021.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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
Licensee McWilliams 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 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 were observed today.

Today, LPA Marquez spoke with licensee McWilliams via telephone, regarding this inspection. McWilliams authorized Daniela Ramirez to sign this document. An exit interview was conducted and this report was reviewed with Ramirez. A copy of this evaluation report, the Appeal Rights and the Notice of Site Visit will be US mailed to licensee McWilliams. The Notice of Site visit form shall be posted for 30 days.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
LIC809 (FAS) - (06/04)
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