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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543910109
Report Date: 08/24/2021
Date Signed: 08/24/2021 08:07:14 PM

Document Has Been Signed on 08/24/2021 08:07 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:SANCHEZ, ISAILY FAMILY CHILD CAREFACILITY NUMBER:
543910109
ADMINISTRATOR:SANCHEZ, ISAILYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 674-1549
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 8DATE:
08/24/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:35 AM
MET WITH:Isaily SanchezTIME COMPLETED:
04:35 PM
NARRATIVE
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On 8/24/2021, Licensing Program Analyst (LPA) Theresa Marquez conducted an unannounced annual inspection and met with Licensee, Isaily Sanchez (Spanish/English Speaking) and her spouse Francisco Flores. A tour of the home was conducted, and a census was taken. Current facility sketch reviewed, and Licensee confirmed the living room, bedroom #1, an adjacent bathroom to bedroom #1, and the fenced backyard are used for providing care and are accessible to day care children. All other rooms are off-limits and made inaccessible by use of spinner knobs & safety gates.

The fireplace located in the living room was made inaccessible to children by an iron screen and will not be used during day care hours. 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. Stairs were barricaded when children under five years of age present. Safe toys and play equipment were observed. Licensee had a working telephone and the above telephone number was verified. Adequate supervision was being provided during this inspection. Capacity as specified on the license was being maintained.

There is 1 infant in care. LPA discussed Safe Sleep Regulations with Licensee. LPA provided Licensee with an informational Safe Sleep Regulation handout, form LIC9224 and a copy of 15 minute check log.

The outdoor play area in the backyard is fenced and there are no hazards to day care children. Licensee ensures that children in care are supervised at all times. Licensee is aware children shall not be left in parked vehicles and is aware car seats are used for transportation purposes only and are not used for sleeping children. There were no swimming pools, bodies of water, or firearms on the premises.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2021
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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Document Has Been Signed on 08/24/2021 08:07 PM - It Cannot Be Edited


Created By: Theresa Marquez On 08/24/2021 at 03:28 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: SANCHEZ, ISAILY FAMILY CHILD CARE
FACILITY NUMBER: 543910109

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/24/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/31/2021
Section Cited
CCR
102416.3(a)(6)

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ALTERATIONS TO EXISTING BUILDINGS OR GROUNDS- Prior to making alterations or additions to a FCCH or grounds, the licensee shall notify the Dept. of the proposed changed, including, but not limited to, the following: Any FCCH
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Effective today, 8/24/2021, Bedroom #1 is off limits until a Fire Inspection is completed and bedroom #1 is approved by the Fire Dept. Licensee is to submit a new LIC 999A-facility sketch, LIC9054 and written notice
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change from an area of the family previously identified as "off limits" to an area where care & supervision will be provided to children in care. This requirement was not met as evidence of LPA observations and record review. Licensee made alterations inside her day care home and did not notify CCL. This poses a potential risk to the Health, Safety & Personal Rights of children in care.
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explaining the in home alterations and her intent on the use of the bedroom #1.

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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:Theresa Marquez
LICENSING EVALUATOR SIGNATURE:
DATE: 08/24/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2021


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: SANCHEZ, ISAILY FAMILY CHILD CARE
FACILITY NUMBER: 543910109
VISIT DATE: 08/24/2021
NARRATIVE
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A sample of children’s records contained all emergency information specified by regulation. There were no excluded individuals present at this home. All adults who reside or work in the home had a criminal record clearance or exemption. A review of records indicated Licensee and her spouse had proof of required immunizations (Pertussis/Measles/Influenza). Licensee's Mandated Reporter Training was completed 5/11/2021. Licensee's pediatric CPR and First Aid expires on 6/5/2023.

Incidental Medical Services (IMS) are not currently 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. http://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.

Business hours are Monday through Friday 8:00 AM to 5:00 PM and other hours as arranged.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, the following deficiencies were found: Licensee made alterations to the day care home, after her initial fire inspection was approved and did not notify Community Care Licensing.

Licensee was provided a copy of the Facility Evaluation Report (LIC 809), Appeal Rights, and the Notice of Site Visit form (LIC 9213). The LIC 809 is required to remain in the facility for public review and the LIC 9213 is required to be posted for 30 days.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2021
LIC809 (FAS) - (06/04)
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