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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103907185
Report Date: 06/22/2023
Date Signed: 06/22/2023 03:13:58 PM

Document Has Been Signed on 06/22/2023 03:13 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: 17DATE:
06/22/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Sofia GonzalezTIME COMPLETED:
03:30 PM
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On 6/22/2023, Licensing Program Analyst (LPA) Ruby Ocegueda, conducted an unannounced Annual Required Inspection and was met by Licensee, Sofia Gonzalez. Also present were Staff #2 and Staff #3. Licensee is Spanish Speaking and LPA Ocegueda conducted the inspection in Spanish. Days and hours of operation are Monday through Friday from 5:00 AM to 5:00 PM .

Today, LPA Ocegueda counted 17 children in care. Two children (child #1 and child #2) left the facility approximately 5 minutes after LPA arrived and upon counting the children two additional children (child #3 and child #4) were picked up, putting license back within her allowed capacity. Licensee confirmed the observation and stated she would not allow additional children to be dropped off under any circumstances. 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, back yard and living room are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of a baby gate. 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 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. The home has working telephone service and LPA confirmed the phone number is (559) 286-2945.

There were two infants in care today. Only one was observed to nap inside a crib (child #5) and another infant (child #4) was observed sleeping inside a stroller outside with assistant #2. Licensee stated she had a play pen, but upon inspection, it was observed that play pen was stored behind a shed and not easily accessible.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE: DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/22/2023
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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Document Has Been Signed on 06/22/2023 03:13 PM - It Cannot Be Edited


Created By: Ruby Ocegueda On 06/22/2023 at 02:10 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: 06/22/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(a)
Infant Safe Sleep
(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Today, LPA Ocegueda observed infant #4 sleeping in a stroller outside with assistant #2 supervising the infant. A play yard was not readily available and was stored behind a shed. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/06/2023
Plan of Correction
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Licensee stated she would get the play yard out and use for infant #4. Licensee will submit photo of play yard set up in the living area where all the children nap. Proof will be submitted to the Department by POC date 7/6/2023.
Type B
Section Cited
CCR
102416.5(a)
Staffing Ratio and Capacity
(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above. Today, upon LPA arrival there were 17 children in care with three staff. There were 2 infants (over the age of 12 months), 6 preschool children and 9 school aged children. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/06/2023
Plan of Correction
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Today, upon LPA arrival, 4 children were picked up by their authorized representative, placing licensee back within capacity and ratio. Licensee completed a written statement indicating she would ensure to follow the regulations related to capacity. Deficiency cleared today.
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: 06/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/22/2023


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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: GONZALEZ, SOFIA FAMILY CHILD CARE
FACILITY NUMBER: 103907185
VISIT DATE: 06/22/2023
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Licensee stated she observed children at least every 15 minutes as they nap in the living room, however today licensee stated she does not document their naps on nap log as required. Child #5 was observed sleeping with a blanket. Child #5 is approximately 21 months old. LPA reviewed Safe Sleep regulations and provided written resources.

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 there are no hazards to children present.

Licensee did have a children’s roster, however five children were missing from the roster. Licensee had all files for the children who were in care today (total of 17). Licensee was reminded that all children should be added to the roster as soon as they are enrolled. Licensee stated she conducts fire drills, however had not documented the fire drills since September 2022. Licensee’s Mandated Reporter Training was completed on 1/19/2022. Licensee’s pediatric CPR/First Aid expires on 7/2024. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

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.



LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

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

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: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023
LIC809 (FAS) - (06/04)
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