Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203904885
Report Date: 10/03/2017
Date Signed: 10/03/2017 02:03:05 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:BECERRA, GUADALUPE FAMILY CHILD CAREFACILITY NUMBER:
203904885
ADMINISTRATOR:BECERRA, GUADALUPEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 675-3809
CITY:MADERASTATE: CAZIP CODE:
93637
CAPACITY:14CENSUS: 1DATE:
10/03/2017
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Guadalupe Becerra, LicenseeTIME COMPLETED:
01:00 PM
NARRATIVE
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On this date, Licensing Program Analysts (LPAs) Jessika Thompson and Kathie Campbell conducted a Case Management inspection. LPAs met with Licensee, Guadalupe Becerra. Also present was one day care child. The licensee is Spanish speaking. Initially, LPAs attempted to conduct an annual required inspection; however, due to the language barrier LPAs conducted a Case Management Inspection to address the deficiencies observed. The licensee had a translator application on her electronic tablet, which both LPAs and licensee used to communicate. A tour of facility, inside and outside was given.

Due to the licensee being scheduled to pick up children at school, this visit had to be concluded at this time.

Per California Code of Regulations, Title 22, Division 12,Chapter 3, the following deficiencies are cited: (Continued on LIC 809D)


SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2017
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: BECERRA, GUADALUPE FAMILY CHILD CARE
FACILITY NUMBER: 203904885
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/03/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/10/2017
Section Cited
CCR
102417(g)
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Operation of a Family Child Care Home. The home shall be free from defects or conditions which might endanger a child. During today's inspection, LPA observed the following: razors, nail cutters and toothpaste in an accessible drawer in the bathroom; medication and vitamins on the kitchen counter; and an unanchored bookshelf that presents a tipping hazard in the family room.
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The removed the razors, nail cutters, toothpaste, medication and vitamins and placed them in areas inaccessible to children. The licensee will anchor or remove the bookshelf in the family room by 10/10/17. The licensee will submit substantiating photos to the Fresno Community Care Licensing in order to clear this deficiency.
Type B
10/10/2017
Section Cited
CCR
102417(g)(10)
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Operation of a Family Child Care Home. A baby walker is not permitted on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c). Upon entering the facility, LPAs observed a bouncer in the day care room. Bouncers are prohibited for use and pose a potential safety risk for children in care.

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During the visit, licensee removed the infant bouncer. Licensee understands infant bouncers are not to be used for day care children.
Deficiency cleared at visit.
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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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2017
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2017
LIC809 (FAS) - (06/04)
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