163909564-2-4-2025-57-CC-ONON-DDKVMR-20250204153357

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 163909564
Report Date: 02/04/2025
Date Signed: 02/04/2025 03:34:10 PM

Document Has Been Signed on 02/04/2025 03:34 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	KING, MARIA FAMILY CHILD CARE		FACILITY NUMBER:	163909564
ADMINISTRATOR/ DIRECTOR:	KING, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 410-0403
CITY:	HANFORD	STATE: CA	ZIP CODE:	93230
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 8	DATE:	02/04/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:30 PM
MET WITH:	Maria King		TIME VISIT/ INSPECTION COMPLETED:	03:45 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 02/04/2025 Licensing Program Analyst (LPA), Octavia Nolan conducted an unannounced Annual Random Inspection and was met by licensee Maria King. Also present was licensee’s assistant. Days and hours of operation are Monday through Friday 6:00 AM to 6:00 PM. The home has a working telephone service and LPA confirmed the phone number. Capacity as specified on the license is being maintained. LPA toured the home inside and outside. A census was taken and there were eight daycare children present. This is a single level home and there are no stairs. LPA reviewed current facility sketch and confirmed that the kitchen, dining room, living room, hall bathroom and daycare room (family room) are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of a doorknob spinners. The outdoor play area in the backyard is fenced and there are no hazards to children present. Safe toys and play equipment were observed and are in good condition, free of sharp, loose, or pointed parts. There is one fireplace in the home located in the living room that is made inaccessible by a glass door 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. Fire drills are conducted and documented with the date and time. During today’s inspection, LPA observed the fire drills were not conducted once every six months. There is no swimming pool or other bodies of water on the premises. Licensee stated there are firearms in the home. LPA observed that firearms and ammunitions are locked and stored separately. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. Continued on LIC 809C

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

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 02/04/2025 03:34 PM - It Cannot Be Edited

Created By: Octavia Nolan On 02/04/2025 at 03:06 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: KING, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 163909564
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/04/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above. Licensee completed CPR Training through EMS Safety that expires 08/21/2025. The training certificate does not have proof of Pediatric CPR and Pediatric First Aid certification from the Emergency Medical Services Authority (EMSA). The Licensee was also unable to show proof of current Mandated Reporter Training during the visit which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/28/2025
	Plan of Correction
1 2 3 4	Licensee agrees to complete Pediatric CPR and Pediatric First Aid Training through Red Cross, the American Heart Association or the EMSA and email the certificate to LPA Nolan by 02/28/2025. The Licensee will also email LPA Nolan proof of a current Mandated Reporter Training by 02/28/2025.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Luisa Gavoutian

LICENSING EVALUATOR NAME:

Octavia Nolan

LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: KING, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 163909564
	VISIT DATE: 02/04/2025

NARRATIVE

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There are pets in the home. Licensee owns two dogs. Licensee understands the liability of pets around daycare children and accepts responsibilities of any action taken by pets. Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles.

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. During today’s inspection, LPA observed the Licensee’s Mandated Reporter Training was completed on 03/18/2022. LPA reminded the Licensee that the training shall be renewed every two years. Licensee completed CPR Training through EMS Safety and it expires 08/21/2025. The training certificate does not have proof of Pediatric CPR and Pediatric First Aid certification from the Emergency Medical Services Authority (EMSA). LPA completed a records review for Staff #1 (S1) and observed the file included all required personnel records except immunization records for pertussis, and measles.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed 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-andresources/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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When
Continued on LIC 809C

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: KING, MARIA FAMILY CHILD CARE	FACILITY NUMBER: 163909564
	VISIT DATE: 02/04/2025

NARRATIVE

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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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Exit interview conducted and report was reviewed with licensee Maria King. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, the following deficiency is being cited: (see next page LIC 809-D).

Licensee was provided 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: Luisa Gavoutian
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

LIC809 (FAS) - (06/04)

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