543909310-6-29-2022-57-CC-ROCA-CFURC2-20220629125338

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543909310
Report Date: 06/29/2022
Date Signed: 06/29/2022 12:53:52 PM

Document Has Been Signed on 06/29/2022 12:53 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:	ONTIVEROS, ARACELI FAMILY CHILD CARE		FACILITY NUMBER:	543909310
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	06/29/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Ontiveros, Araceli		TIME COMPLETED:	01:10 PM

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On 06/29/2022, Licensing Program Analyst (LPA), Ruby Ocegueda conducted an unannounced Annual Required Inspection and was met by Licensee, Araceli Ontiveros. Days and hours of operation are Monday through Friday 4:00 AM to 11:00 PM.

LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that the kitchen, bathroom and living room are used for providing care and are accessible to children. Licensee stated that her previous assigned Analyst had inspected the right hand side bedroom via a tele-inspection and was approved but there was no record of this today. Today, LPA Ocegueda re-inspected the bedroom and officially approved it for care. Licensee was reminded to notify the Department before use of any off-limit areas before use so that they may be inspected and approved. The facility sketch was updated today. All other rooms are off-limits and made inaccessible by use of locked doors. Swimming pool is fenced per regulation. The pool gate is self-latching, self-closing and opens away from the swimming pool. No windows or doors have direct access to the pool area. Firearms and ammunition are stored and locked separately. No poisons were observed during the inspection. Today, LPA observed knives on top of a kitchen counter, toothpaste, mouthwash, shaving cream on top of the bathroom counter, and Lysol disinfectant spray and hand sanitizer in an entryway table. There were no children in care today, however licensee stated she did have children in care scheduled for later in the day.

There are no fireplaces or open face heaters in the home. There is a working fire extinguisher and smoke detector in the home. Today, the carbon monoxide detector was located in a bedroom but did not have functioning batteries. Licensee placed functioning batteries in the dual smoke alarm / carbon monoxide detector and when re-tested, it was functioning. 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 (559) 361-7573.

There are currently no infants in care. LPA discussed Safe Sleep Regulations with licensee. Report continued to 809-C

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2022

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: ONTIVEROS, ARACELI FAMILY CHILD CARE	FACILITY NUMBER: 543909310
	VISIT DATE: 06/29/2022

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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. The outdoor play area in the backyard is fenced and there are no hazards to children present. 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 5/4/2021. Licensee’s pediatric CPR/First Aid expires on 6/2023. A review of records indicates that licensee submitted proof of measles and pertussis to the Department, but she could not find the record today in her facility. Licensee did have proof of flu declination statement. LPA reminded licensee of the requirement to maintain all records at the facility and available for the Departments review.

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, the following deficiency is being cited: (see next page, 809 D) Licensee was provided a copy of appeal rights.

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: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/29/2022 12:53 PM - It Cannot Be Edited

Created By: Ruby Ocegueda On 06/29/2022 at 12:20 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: ONTIVEROS, ARACELI FAMILY CHILD CARE	FACILITY NUMBER: 543909310
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/29/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.543

Licensure Requirements

Every family day care home for children shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. LPA observed that the only dual smoke/carbon alarm in the home was not functioning upon testing it. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/13/2022
	Plan of Correction
1 2 3 4	Today, Licensee placed batteries in the dual smoke/carbon alarm and LPA observed that it worked upon testing it again. Licensee stated she would ensure she tests her smoke and carbon alarms regularly to help ensure safety and completed a written statement indicating she would be testing her alarms regularly to ensure they were working properly at all times. Deficiency cleared today.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Susie Fanning

LICENSING EVALUATOR NAME:

Ruby Ocegueda

LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2022

LIC809 (FAS) - (06/04)

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