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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153911592
Report Date: 05/04/2023
Date Signed: 05/04/2023 03:18:31 PM

Document Has Been Signed on 05/04/2023 03:18 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:MORRIS-MOSSMAN, CANDICE FAMILY CHILD CAREFACILITY NUMBER:
153911592
ADMINISTRATOR:MORRIS-MOSSMAN, CANDICEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 487-6623
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
05/04/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Candice Morris Mossman TIME COMPLETED:
01:30 PM
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On 5/4/2023, Licensing Program Analyst (LPA) Jessika Thompson conducted a Case Management inspection. A tour of the facility was made and a census was taken. The purpose of this inspection was to address a deficiency discovered at the facility.

Upon entering the facility today at approximately 12:55PM, LPA observed the facility to be operating over licensed capacity, as Staff #1 was providing care to 10 children without an additional child care provider present. The licensee arrived at roughly 1:30PM, bringing the facility back into compliance. Licensee was advised that there must be two child care providers present at a Large Family Child Care Home when the census exceeds eight.

Additionally, LPA found that although Staff #1 has an eligible fingerprint clearance, she has not been associated to the family child care home as required. Licensee stated that she submitted a Criminal Record Transfer Request to Community Care Licensing office for Staff #1; however, she was unable to provide proof of submission today.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found: (see LIC809-D).

In exit interview the licensee was advised of appeals rights and was provided with Appeals Rights. Licensee was also advised that this report with Type A Deficiencies must be posted for 30 days where parents may easily view and filed in facility file for public review for 3 years. LIC 9213 Notice of Site Visit form is required to be posted for 30 days.



Licensee is advised to make this licensing report accessible to the public and to provide copies of this licensing report and LIC809D with Type A citation to parents/legal guardians of children in care and to parents/legal guardians of children newly enrolled at the facility during the next 12 months. Licensee is to keep verification of receipt (LIC9224) in each child's file at the facility. An LIC9224 and Assembly Bill 633 fact sheet was provided to licensee on this date.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Jessika Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 05/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/04/2023
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 05/04/2023 03:18 PM - It Cannot Be Edited


Created By: Jessika Thompson On 05/04/2023 at 02:12 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: MORRIS-MOSSMAN, CANDICE FAMILY CHILD CARE
FACILITY NUMBER: 153911592

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/04/2023
Section Cited
CCR
102416.5(e)

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(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
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Licensee Candice Morris-Mossman arrived during today's inspection, bringing the facility back into compliance. Licensee stated that going forward she will ensure that she complies with ratio and capacity requirements of a small family child care home if/when no assistant provider is present. Deficiency cleared at inspection.
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Based on observation, the licensee did not comply with the section cited above, as today, LPA observed Staff #1 to be caring for ten children without an additional assistant present. This poses an immediate health, safety or personal rights risk to persons in care.
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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:Jessika Thompson
LICENSING EVALUATOR SIGNATURE:
DATE: 05/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/04/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/04/2023 03:18 PM - It Cannot Be Edited


Created By: Jessika Thompson On 05/04/2023 at 02:23 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: MORRIS-MOSSMAN, CANDICE FAMILY CHILD CARE
FACILITY NUMBER: 153911592

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/11/2023
Section Cited
CCR
102370(d)(2)

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Criminal Record Clearance
(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:(2) Request a transfer of a criminal record clearance...
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Licensee understands that she is required to ensure all individuals providing care and supervision in the home have fingerprint clearance and facility association. Licensee stated she will submit Criminal Records Clearance Transfer documentation, for Staff #1, to the Fresno Community Care Licensing Office by 5/11/2023.
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Based on observation and records review, the licensee did not comply with the section cited above as she failed to ensure that Staff #1's fingerprints were transferred and associated to the family chid care home. This poses a potential risk to the health, safety and/or personal rights to children in care.
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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:Jessika Thompson
LICENSING EVALUATOR SIGNATURE:
DATE: 05/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/04/2023


LIC809 (FAS) - (06/04)
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