• This is a single story, two bedrooms and one bathroom home and children will have access to the living room (day care room) and bathroom. Off-limits rooms/ closets are made inaccessible by use of plastic door knob covers and a child proof safety gate.
• There is central air heating/cooling ventilation for safety and comfort. There is a wall air conditioner unit in the living room. There is a wall heater that applicants state it will not be used.
• LPA observed in the day care room; children size furniture, safe toys, educational posters, and books for the children. There is a parents board, a portable diaper changing table, and a high chair. There is a flat screen television mounted onto the living room wall. Children will nap in the day care room on cots. Infants will nap in a crib or play yard. Applicants understand that they are to supervise children at all times. LPA provided applicants with Individual Sleeping Plan and Safe Sleep handout.
• Facility has a 2A10BC fire extinguisher mounted onto the kitchen wall. There is a smoke alarm, carbon monoxide alarm and first aid kit in place.

• Applicant, Irene Fuentes completed Pediatric CPR and First Aid certification was completed through American Heart Association and expires on 2/15/26. Applicant, Francisco Gomez completed Pediatric CPR and First Aid certification was completed through American Red Cross and expires on 8/2/26.
• Preventative Health and Safety with Nutrition and Prevention of Lead exposure certification was completed on 8/11/24.
• Knives are stored inside a top kitchen cabinet. Medications are stored inside a hallway closet.
• Cleaning compounds are stored inside the cabinet that is located underneath the kitchen sink and made inaccessible by the use of a child proof sliding cabinet latch. Other cleaning compounds are stored inside the cabinet located underneath the bathroom sink inaccessible by the use of child proof sliding cabinet latch.
• Advised applicants fire drills are to be conducted once every 6 months and must be documented with date and time. A fire drill log was provided as an example.
• Applicants are advised at least one staff member with current training in pediatric first aid and pediatric CPR is to be on site at all times children are present.
• There are no bodies of water in the home or premises.
• There is a dog that is kept in an inaccessible bedroom. Applicants state the dog will be accessible to the day care children. Applicants are advised it is her responsibility to ensure the safety of children in care at all times from the pets.
• Firearms are stored in accordance with Title 22 Regulations and ammunition is stored separate in accordance with Title 22 Regulations. Poisons are stored are stored key locked inside an aluminum shed that is located in the backyard.
• Applicant is reminded that any advertising (of day-care) such as business cards, flyers/posters, and/or signs must include facility number as per Title 22 Regulation "Advertisements and License Number" 102359 (a).
• Applicant is advised that smoking is prohibited on the premises of a family child care home as specified in Health and Safety Code Section 1596.795(a). Applicant states the home is smoke-free.

• Applicant state they will be transporting day care children. Applicants understand that they must have proper car restraints and/or car seats for all the children under her care when transporting children.
• Fenced backyard has a sodded and wood chip area for the children. There is a swings/slide play structure that is anchored to the ground. There is a scooter, balls and other safe toys. LPA also observed a large white canopy for shade. Applicant state the children will also have access to the unfenced front yard when walking to the front side run that leads to the backyard or for outdoor play. Applicants understand they must have 100% visual supervision of the children when walking or playing in a outdoor unfenced area.
• Applicant, Irene Fuentes completed the Mandated Reporter Training on 8/5/24. Applicant, Francisco Gomez completed the Mandated Reporter Training on 8/12/24.
• LPA discussed safe sleep pending regulations and Safe Sleep Regulation Concepts were given to applicant.
• Applicant are advised it is their responsibility to read and maintain her facility incompliance with Title 22 Regulations. Title 22 Regulations can be found at www.ccld.ca.gov.
• SB 792 immunizations are on file.
• Applicants are advised Fresno Community Care Licensing Department has inspection authority and can inspect all rooms in the home, garages and/or separate dwellings on the premises.
• Incidental Medical Services (IMS) policy was discussed. Incidental Medical Services (IMS) are not currently being provided. 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.

(Continued on LIC809-C):

LPA & applicants discussed the Community Care Licensing website: LPA and applicants discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN.