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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153902921
Report Date: 11/16/2023
Date Signed: 11/16/2023 12:30:09 PM

Document Has Been Signed on 11/16/2023 12:30 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:CHAVEZ, MARCELA FAMILY CHILD CAREFACILITY NUMBER:
153902921
ADMINISTRATOR:CHAVEZ, MARCELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 746-9345
CITY:SHAFTERSTATE: CAZIP CODE:
93263
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
11/16/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Marcela ChavezTIME COMPLETED:
12:45 PM
NARRATIVE
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On 11/16/2023, Licensing Program Analyst (LPA) Ocegueda, conducted a case management inspection at the facility. LPA met with licensee Marcela Chavez, toured the facility and took a census. The purpose of this inspection was to discuss criminal record clearance.

LPA conducted multiple interviews with current day care parents and children for the purpose of investigating a complaint investigation that was initiated on 10/4/2023 (see 9099 report dated 11/16/2023 for further details). Today, LPA explained to the licensee that at times, complaint investigations lead to unrelated discoveries that must be addressed. Through the interview process, it was discovered that there is an uncleared adult (adult #1) that is in the regular presence of day care children and assisting in caring/supervising of day care children in the licensee’s secondary business (a store in Shafter, CA) and in adult #1’s home. Multiple parents confirmed that their children go to adults #1 home and that adult #1 helps supervise the children in his/her home. Interviews revealed that children have attended the store and the home on multiple occasions and that it’s a regular occurrence during the typical week. Today, a $500.00 civil penalty was assessed (see 809-D).

Today, LPA discussed that while the children are in her care, it is licensees’ responsibility to ensure that children are only being cared for by assistants that have a required criminal record clearance and that she is to adhere to all other Department and Title 22 regulation requirements.

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.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of LIC 9224 was given to licensee.

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: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/16/2023
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 11/16/2023 12:30 PM - It Cannot Be Edited


Created By: Ruby Ocegueda On 11/16/2023 at 11:12 AM
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: CHAVEZ, MARCELA FAMILY CHILD CARE
FACILITY NUMBER: 153902921

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/17/2023
Section Cited
CCR
102370(d)(1)

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(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department…This requirement was not met as evidenced by: Interview.
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Licensee stated that day care children will not be in the presence of adult #1 or any uncleared adult in her store or in the home of adult #1. Licensee stated she understands that uncleared adults are not to provide care and supervision to day care children.
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Multiple individuals that were interviewed reported that daycare children have received care by adult #1 during licensees noted daycare hours and in the home of adult #1 who does not have a criminal record clearance on at least three occasions in the last month. This poses an immediate risk to the health, safety and/or personal rights of children in care. A $500.00 civil penalty was assessed today.
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Licensee stated she would provide a written statement indicating her undersanding of the regulations related to criminal record clearance and that she will cease taking children to the store and to the home adult #1 immediately by POC: 11/17/2023.

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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: 11/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2023


LIC809 (FAS) - (06/04)
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