503605760-4-17-2023-04-CC-YFIO-CQYRC8-20230417125356

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 503605760
Report Date: 04/17/2023
Date Signed: 04/17/2023 12:54:04 PM

Document Has Been Signed on 04/17/2023 12:54 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	BELTRAN, EVA		FACILITY NUMBER:	503605760
ADMINISTRATOR:	BELTRAN, EVA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 566-8200
CITY:	SALIDA	STATE: CA	ZIP CODE:	95368
CAPACITY:	14	CENSUS: 0	DATE:	04/17/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Eva Beltran		TIME COMPLETED:	01:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 04/17/2023 Program Analysts (LPAs) Yesenia Fierro and Denisia Jimenez, conducted an unannounced Annual Required Inspection and was met by Spanish speaking Licensee, Eva Beltran. Background criminal record clearances were verified and discussed. Licensee is currently closed and is not caring for any children at this time. There were no children present during this inspection. LPAs toured the home inside and outside. Current facility sketch reviewed, and Licensee confirmed that living room, bedroom, kitchen, hallway restroom, and the backyard are accessible to children while in care. The remainder of the home is off limits and made inaccessible by child safety devices (i.e., safety latches and/or plastic doorknob spinners and/or safety gates). There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. All poisons are kept in a locked storage area. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. There is a gas fireplace located in the living room that is made inaccessible by a (screen, glass door, child’s safety gate) and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are stairs in this home and when children are present, they will be made inaccessible by a safety gate. The home has a working telephone service and LPAs confirmed the phone number is (209) 303-6090. LPAs discussed Safe Sleep Regulations with licensee. Licensee stated she is aware that there is to be one crib or play yard for each infant in care, cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Licensee stated she is aware to physically check on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness, and labored breathing. Licensee stated she is aware that infants need to be visually observed through an open door if sleeping in a separate room. Licensee stated she is aware that an Individual Infant Sleeping Plan is completed and placed in the file for each infant up to 12 months of age. Licensee stated she is aware that Infants up to 12 months of age are placed on their backs for sleeping. Continued on 809-C

SUPERVISOR'S NAME: Rene Mancinas	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Yesenia Fierro	TELEPHONE: (559) 794-0709
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: BELTRAN, EVA	FACILITY NUMBER: 503605760
	VISIT DATE: 04/17/2023

NARRATIVE

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Licensee stated she will ensure that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. The outdoor play area in the backyard is fenced and there are no hazards.

Licensee is currently not caring for children. Licensee stated she is aware that an emergency fire/disaster drill needs to be completed and documented within the last 6 months. Licensee’s pediatric CPR/First Aid expired on 01/25/2021, Licensee stated she is aware that CPR/First Aid needs to be renewed before caring for children. A review of records indicates that Licensee immunization records are on file for influenza, pertussis, and measles.

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.

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

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
Continued on 809-C

SUPERVISOR'S NAME: Rene Mancinas	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Yesenia Fierro	TELEPHONE: (559) 794-0709
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: BELTRAN, EVA	FACILITY NUMBER: 503605760
	VISIT DATE: 04/17/2023

NARRATIVE

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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited. A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee Eva Beltran.

SUPERVISOR'S NAME: Rene Mancinas	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Yesenia Fierro	TELEPHONE: (559) 794-0709
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

LIC809 (FAS) - (06/04)

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