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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103907185
Report Date: 08/05/2022
Date Signed: 08/05/2022 01:57:38 PM

Document Has Been Signed on 08/05/2022 01:57 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:GONZALEZ, SOFIA FAMILY CHILD CAREFACILITY NUMBER:
103907185
ADMINISTRATOR:GONZALEZ, SOFIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 896-3763
CITY:SELMASTATE: CAZIP CODE:
93662
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
08/05/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Gonzalez, SofiaTIME COMPLETED:
02:15 PM
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On 08/05/2022, Licensing Program Analyst (LPA), Ruby Ocegueda conducted an unannounced Annual Required Inspection and was met by Licensee, Sofia Gonzalez. Also present was Staff #2 (S2) and Staff #3 (S3). Licensee is Spanish Speaking and LPA Ocegueda assisted with interpretation. Days and hours of operation are Monday through Friday 5:00 AM – 5:00 PM.

LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that the kitchen, one hall bathroom and living room and one open/attached bedroom are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of baby gate. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. There were poisons observed during the inspection. Under the accessible kitchen sink, LPA observed a spray bottle that licensee confirmed to be a cleaning product (Clorox brand spray). There was also a tub of disinfecting wipes (WSINC brand). Licensee removed them immediately and made them inaccessible. LPA reviewed the requirement to make potentially hazardous items and cleaning products inaccessible at all times.

There are no fireplaces or open face heaters in the home. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Toys and equipment were inspected inside and outside. LPA observed that one plastic climbing structure was starting to have cracked plastic on the platform area. Licensee stated she had planned to remove this play structure. LPA reviewed the requirement to maintain equipment in good and safe conditions at all times. The home has working telephone service and LPA confirmed the phone number is (559) 896-3763.

There are currently no infants in care. LPA discussed Safe Sleep Regulations with licensee. Report continued on 809-C

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE: DATE: 08/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2022
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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: GONZALEZ, SOFIA FAMILY CHILD CARE
FACILITY NUMBER: 103907185
VISIT DATE: 08/05/2022
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Licensee ensures 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 was inspected today. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was completed on 1/27/2021. Licensee’s pediatric CPR/First Aid expires on 7/16/2024. Licensee and S3 had records on file for influenza, pertussis and measles. Licensee could not find proof of immunization record for S2 but Licensee indicated she did have them in her facility and that S2 did have the required immunization's as she was recently part of the public school system. LPA reminded licensee that all records should be available for Department review.

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) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.



Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D) Licensee was provided a copy of appeal rights.

LPA conducted an exit interview. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/05/2022 01:57 PM - It Cannot Be Edited


Created By: Ruby Ocegueda On 08/05/2022 at 01:26 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: GONZALEZ, SOFIA FAMILY CHILD CARE
FACILITY NUMBER: 103907185

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/05/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation the licensee did not comply with the section cited above. Licensing Program Analyst (LPA) Ocegueda observed one Clorox brand disinfecting spray and disinfecting wipes under the accessible kitchen sink cabinet. There were children present during the inspection of the under-sink cabinet. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/12/2022
Plan of Correction
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Today, 8/5/2022, Licensee removed the cleaning products and placed in an inaccessible cabinet in the kitchen. Licensee stated that she usually places these items out of reach of children. LPA reviewed the regulation above. Deficiency cleared today.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Susie Fanning
LICENSING EVALUATOR NAME:Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:
DATE: 08/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/05/2022


LIC809 (FAS) - (06/04)
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