Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103908175
Report Date: 03/15/2017
Date Signed: 03/15/2017 03:40:51 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:SANDOVAL, AIDEE FAMILY CHILD CAREFACILITY NUMBER:
103908175
ADMINISTRATOR:SANDOVAL, AIDEEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 846-3616
CITY:KERMANSTATE: CAZIP CODE:
93630
CAPACITY:14CENSUS: 6DATE:
03/15/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Aidee Sandoval. LicenseeTIME COMPLETED:
04:00 PM
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An unannounced annual visit was conducted today by Licensing Program Analyst (LPA), Carmen Sastre. Present during the visit were the licensee, her husband Francisco Sandoval, their adult daughter Daisy Sandoval and six day-care children. Licensee, her husband, daughter Daisy and their minor child reside in the home. Background clearances were discussed and licensee signed LIS531 indicating all adults residing and/or providing care and supervision have a criminal record clearance. This facility does NOT PROVIDE Incidental Medical Services (IMS); policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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. A handout in English and Spanish regarding SIDS was provided to the licensee, as part of the Department's efforts to inform licensees on SIDS prevention. The following was observed or discussed.
  • The licensee and assistants have current pediatric CPR and First Aid that expire on February 2019.      . Preventative Health Practice was completed and confirmed at pre-licensing visit.
  • The home is clean and orderly, with heating and ventilation for safety and comfort.
  • Furnishings and equipment for the children were observed. Also observed toys, play equipment, and materials.
  • A current roster of children in care is maintained. Verified that immunization records are maintained and license updates records for children in care. Licensee provides a copy of Parent’s Rights to all parents and/or child’s representative.
  • The licensee ensures that children in care are supervised at all times.
  • Fire and disaster drills are conducted at least once every six months, and documented with the date and time. Last exercise was completed on 2/24/17.
SUPERVISOR'S NAME: Rebecca VarelaTELEPHONE: (559) 650-7856
LICENSING EVALUATOR NAME: Carmen SastreTELEPHONE: (559) 243-8417
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2017
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: SANDOVAL, AIDEE FAMILY CHILD CARE
FACILITY NUMBER: 103908175
VISIT DATE: 03/15/2017
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  • Licensee states there are no firearms or ammunition are in the home. During the visit LPA found none in the accessible areas.
  • Detergents, cleaning compounds, medications and other items which could pose a danger to children are stored where they are inaccessible to children.
  • There were no poisons in the premises; the licensee understands when present, they must be stored in a locked storage.
  • There is a fireplace in the living room that is not used during day-care hours.
  • Facility has required fire extinguishers and smoke detectors that meet State Fire Marshall standards. Facility has one or more functioning carbon monoxide detectors that meet the statutory requirements.
  • No bodies of water observed in or on the premises.

Hours of operation are Monday through Saturday from 5:00 AM to 5:00 PM and as arranged; less than 24 hours. Licensee is reminded of inspection authority by employees of the Department at any time, with or without advance notice. Licensee understands children may not be left in parked vehicles. When temporarily absent from the home, the licensee arranges for a substitute adult to care for and supervise children in her/his absence.

In exit licensee is advised to post the Notice of Site Visit report for 30 days and retain evaluation report for 3 years; thereafter, file with this report for 3 years, for the public review, upon request.

In the areas that were evaluated no deficiencies were observed at the time of the visit.
SUPERVISOR'S NAME: Rebecca VarelaTELEPHONE: (559) 650-7856
LICENSING EVALUATOR NAME: Carmen SastreTELEPHONE: (559) 243-8417
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2017
LIC809 (FAS) - (06/04)
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