Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103908034
Report Date: 04/12/2019
Date Signed: 04/19/2019 02:00:50 PM

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: 7DATE:
04/12/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Elvira OchoaTIME COMPLETED:
02:45 PM
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"Spanish speaker" Licensing Program Analyst (LPA) Diana Martinez conducted an unannounced annual/random inspection. LPA met with licensee Elvira Ochoa. Also present were mother-in-law/assistant Esperanza Lopez Toscano and son/assistant Brandon Gomez Ochoa. Seven children were present today. LPA conducted an interior and exterior tour of the home. The accessible rooms are the living room, dining area, kitchen, and hall bathroom. The off-limit rooms are made inaccessible with child safety plastic door knob covers. Safe, healthful, and comfortable accommodations, furnishings, and equipment were observed. Also observed were safe toys, play equipment, and materials. In the backyard, licensee has two small dogs that are kept in a fenced kennel on the north side of the home and will be kept inaccessible to children. Licensee is aware of the safety of children around animals. The backyard is currently off-limits to daycare children as a daycare room is being added to the home and is currently under construction. Licensee will contact LPA when addition is near completion. There are no bodies of water or firearms in this home. No poisons were observed on the premises. Cleaning compounds, medications and other hazardous items are inaccessible to children. 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. There is a working cellular telephone and number was verified. Adequate supervision is being provided during this visit. Capacity as specified on the license is being maintained. A current roster of the children in care is maintained. Licensee maintains documentation of immunizations for the children. Pediatric CPR/First Aid are current with the expiration date of 10/2019.

LPA discussed Incidental Medical Services (IMS) policy and provided handout Plan for Providing Incidental Medical Services (IMS) – FCCH Requirements. 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.


(See next page)
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Diana D MartinezTELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:

DATE: 04/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2019
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: 04/12/2019
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Licensee has provided parents with a copy of the Identification and Emergency Information form (LIC 700). Fire drills are conducted and documented with the date and time every month. 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. 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. 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 from 4:00 AM – 5:00 PM.

LPA reviewed and provided information to licensee regarding safe sleep, instructions on accessing PINs and quarterly updates, and capacity/ratio requirements. Licensee was provided with a packet of licensing forms and instructions to access the mandated reporter training for her assistant/son.



Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiencies cited during today's visit.

An exit interview conducted with licensee Elvira Ochoa and a copy of this report was provided and discussed. A Notice of Site Visit Form (LIC 9213) was posted on parent's board and must remain posted for 30 days.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Diana D MartinezTELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:

DATE: 04/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2019
LIC809 (FAS) - (06/04)
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