543911865-7-6-2023-57-CC-ROCA-CTGRBV-20230706125321

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543911865
Report Date: 07/06/2023
Date Signed: 07/06/2023 12:53:38 PM

Document Has Been Signed on 07/06/2023 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:	RAMOS, BERENICE FAMILY CHILD CARE		FACILITY NUMBER:	543911865
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	07/06/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Berenice Ramos		TIME COMPLETED:	01:15 PM

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

On 7/6/2023, Licensing Program Analyst (LPA) Ruby Ocegueda and Meche Rosales, conducted an unannounced Annual Required Inspection and was met by Licensee, Berenice Ramos. Licensee is Spanish Speaking and LPA’s conducted inspection in Spanish today. Days and hours of operation are from 12:00 AM to 11:00 PM from Monday to Saturday.

LPAs toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that the kitchen, bathroom, living room and 1^st bedroom to the right are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of door knob safety covers. In the accessible play yard, LPA’s observed Interior Car Detailing liquid, a small can of paint/primer, and an unknown cleaner (blue liquid). Licensee removed these items and placed them in inaccessible areas. In the accessible play yard, there were discarded toys that had multiple cobwebs, stacked cinder blocks, other various building materials (wood planks, metal poles) that were stacked and other various debris. There was a pile of stacked logs that also had a large number of cobwebs. There was also an accessible lawn mower. Inside the home, there was several electric wall sockets observed (a total of 6) that had missing safety covers. Licensee confirmed the observations today. As it pertained to the play yard, Licensee stated she would either remove these items to inaccessible areas or build fences to enclose the building materials and debris. Licensee stated she would ensure toys and play equipment were free of cobwebs. No poisons were observed during the inspection.

There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (559) 719-8817.

There are currently no infants in care. LPA discussed Safe Sleep Regulations with licensee.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

Document Has Been Signed on 07/06/2023 12:53 PM - It Cannot Be Edited

Created By: Ruby Ocegueda On 07/06/2023 at 11:53 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: RAMOS, BERENICE FAMILY CHILD CARE	FACILITY NUMBER: 543911865
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/06/2023

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 observation and interview the licensee did not comply with the section cited above. LPA's Ocegueda and Rosales observed the following in play yard: various debris (wood planks, stacked wood logs, metal poles, stacked cinder blocks, discarded toys). There was cobwebs in several areas of the play yard. In the side yard (to the right when facing the home), there was also various debris, cleaning solutions and a can of paint. There was also an accessible lawn mower. Inside the home there were 6 outlets that were missing safety covers. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/03/2023
	Plan of Correction
1 2 3 4	Licensee confirmed the observations today. Licensee was able to remove the paint can and the cleaning solutions to inaccessible areas. Licensee stated she would ensure that the debris was off limits today and the lawn mower placed back into the shed. Licensee stated she would also ensure that the electrical sockets were covered with safety covers. Proof will be submitted to the Department by POC date 6/3/2023.

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: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: RAMOS, BERENICE FAMILY CHILD CARE	FACILITY NUMBER: 543911865
	VISIT DATE: 07/06/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

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 7/7/2022. Licensee’s pediatric CPR/First Aid expires on 03/2024. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

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: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

LIC809 (FAS) - (06/04)

Page: 3 of 3