Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103908034
Report Date: 11/15/2017
Date Signed: 11/16/2017 08:52:12 AM

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:OCHOA, ELVIRA FAMILY CHILD CAREFACILITY NUMBER:
103908034
ADMINISTRATOR:OCHOA, ELVIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 356-1005
CITY:PARLIERSTATE: CAZIP CODE:
93648
CAPACITY:14CENSUS: DATE:
11/15/2017
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Elvira Ochoa, LicenseeTIME COMPLETED:
02:00 PM
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(3) Licensing Program Analysts (LPAs) Diana Martinez and Jessika Thompson conducted an unannounced required 3-year inspection. LPA met with Spanish-speaking Licensee Elvira Ochoa and also present was one assistant. LPA conducted a tour of the home, inside and outside, as shown on the facility sketches (LIC 999A) provided. Two small dogs were observed during today’s visit. Dogs were contained behind a gate in the dog run. Licensee is aware of the safety of children around animals. There are no "bodies of water" or firearms in this home. Cleaning compounds, medications and other hazardous items are inaccessible to children. There is no fireplace. There is a working fire extinguisher, smoke detector, carbon monoxide indicator, and adequate heating and ventilation for safety and comfort. There are no stairs in the home. Adequate supervision is being provided during this visit. Children are supervised when outside in the unfenced play area. Capacity as specified on the license is being maintained. Licensee provided a current roster of the children. Licensee maintains documentation of immunizations for the children. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

Licensee has provided parents with a copy of the Family Child Care Home Notification of Parent's Rights (LIC 995A). Fire drills are conducted and documented with the date and time at least every six months. Licensee is aware that children are never to be left in parked vehicles. All adults who reside or work in the home have a criminal record clearance or exemption.
SUPERVISOR'S NAME: Valarie ReedTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Diana D MartinezTELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2017
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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: OCHOA, ELVIRA FAMILY CHILD CARE
FACILITY NUMBER: 103908034
VISIT DATE: 11/15/2017
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There are no excluded individuals present at this home. Licensee is aware that upon notice from the Department, any excluded individual must be immediately removed from the home and prevented from returning to the home or having contact with children in care. Pediatric CPR/First Aid are current. Licensee is aware that any authorized employee of the Department may enter and inspect any place providing personal care and services at any time, with or without advance notice. Days and hours of operation are Monday – Friday; 5:00 AM – 5:00 PM.

LPA discussed and provided a copy of A Child Care Provider’s Guide to Safe Sleep


Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were cited.



Exit interview was conducted with licensee. A Notice of Site Visit Form was posted to parent’s board and must be posted for 30 days. This report shall be available for public review upon request.
SUPERVISOR'S NAME: Valarie ReedTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Diana D MartinezTELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2017
LIC809 (FAS) - (06/04)
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