543910950-3-7-2025-57-CC-LCAA-DEJRNB-20250307121004

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543910950
Report Date: 03/07/2025
Date Signed: 03/07/2025 12:10:12 PM

Document Has Been Signed on 03/07/2025 12:10 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:	IBARRA, CRISTINA FAMILY CHILD CARE		FACILITY NUMBER:	543910950
ADMINISTRATOR/ DIRECTOR:	IBARRA, CRISTINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 740-2960
CITY:	LINDSAY	STATE: CA	ZIP CODE:	93247
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 4	DATE:	03/07/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:20 AM
MET WITH:	Cristina Ibarra		TIME VISIT/ INSPECTION COMPLETED:	12:20 PM

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On 03/072025, Licensing Program Analysts (LPAs), Sonja Navarrette and Lady Cabrera conducted an unannounced Annual Random Required Inspection and was met by Licensee Cristina Ibarra. Days and hours of operation are Monday through Friday from 5:00 a.m.-5:00 p.m.

LPAs toured the home inside and outside and a census was taken. LPAs reviewed current facility sketch and confirmed that the kitchen, bedroom #3, bathroom and living room are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of a doorknob spinners.

During today’s inspection, upon entering the kitchen area, LPAs smelled gas from the kitchen stove. LPAs informed Licensee and she reported that she got it checked before and there were no issues. LPAs instructed Licensee to contact the local Fire Department and/or SoCalGas.

Shortly, local Fire Department arrived and evacuated all children and adults from the facility. Fire Department reported there was a small gas leak and shut the gas off and contacted SoCalGas for further inspection.

SoCalGas arrived at the facility. SoCalGas representative reported there was a small leak present in the kitchen area, which is an accessible area to the day care children. SoCalGas representative repaired the valve due to the small gas leak and cleaned it. SoCalGas representative recommended Licensee to clean the soot on the burners to prevent carbon monoxide. SoCalGas representative repaired valve and reported it was safe for the children to stay in the facility.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. There are pets at this home. Licensee understands the responsibility of any action taken by pets involving day care children.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2025

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 03/07/2025 12:10 PM - It Cannot Be Edited

Created By: Lady Cabrera On 03/07/2025 at 11:27 AM

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: IBARRA, CRISTINA FAMILY CHILD CARE	FACILITY NUMBER: 543910950
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/07/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observations and interview, facility's kitchen area, LPAs smelled gas from the kitchen stove. Fire Department reported there was a small gas leak and shut the gas off and contacted SoCalGas for further inspection. SoCalGas representative reported there was a small leak present in the kitchen area, which is an accessible area to the day care children, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/07/2025
	Plan of Correction
1 2 3 4	SoCalGas representative repaired the valve due to the small gas leak and cleaned it. SoCalGas representative recommended Licensee to clean the soot on the burners to prevent carbon monoxide. SoCalGas representative repaired valve and reported it was safe for the children to stay in the facility.

Type B

Section Cited

CCR

102417(g)(7)

Operation of A Family Child Care Home

(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review the licensee did not comply with the section cited above. Child 6, Child 7, and Child 8 did not have emergency information or identification form. Licensee stated that parents had not submitted any of the enrollment forms to her. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/14/2025
	Plan of Correction
1 2 3 4	Licensee stated that she would have parents of children 7, 8, and 9 complete emergency information form along with all other required documentation and place in file. Proof of the required emergency information form and all other required forms/documents will be submitted to the Department by POC date by 03/14/2025.

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:

Luisa Gavoutian

LICENSING EVALUATOR NAME:

Lady Cabrera

LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2025

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: IBARRA, CRISTINA FAMILY CHILD CARE	FACILITY NUMBER: 543910950
	VISIT DATE: 03/07/2025

NARRATIVE

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There are no fireplaces or open face heaters in the home. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort.

This is a single level home and there are no stairs. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 740-2960. Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. The outdoor play area in the front yard is fenced. Capacity as specified on the license is being maintained.

LPA Cabrera reviewed a sample of children’s files and observed files were not complete with emergency information as required. Three children present out of four children did not have files and emergency information as required. Licensee’s Mandated Reporter Training was completed on 07/10/2024. Licensee’s pediatric CPR/First Aid certification expires on 06/14/2025. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed safe sleep regulations with licensee 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 licensee 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.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2025

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: IBARRA, CRISTINA FAMILY CHILD CARE	FACILITY NUMBER: 543910950
	VISIT DATE: 03/07/2025

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with Licensee Cristina Ibarra. During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited on LIC809D. Licensee was provided 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: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2025

LIC809 (FAS) - (06/04)

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