165620353-1-9-2024-57-CC-NLOI-CZBVXE-20240109154926

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 165620353
Report Date: 01/09/2024
Date Signed: 01/09/2024 03:49:33 PM

Document Has Been Signed on 01/09/2024 03:49 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:	COLL, MA CORAZON FAMILY CHILD CARE		FACILITY NUMBER:	165620353
ADMINISTRATOR:	COLL, MA CORAZON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 415-5167
CITY:	HANFORD	STATE: CA	ZIP CODE:	93230
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	01/09/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Ma Corazon Coll		TIME COMPLETED:	04:00 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 1/9/24, Licensing Program Analyst (LPA), Norma Lomeli met with Applicant, Ma Corazon Coll for a pre-licensing inspection. Applicant and her husband reside in the home. Verified applicant’s CPR and First Aid was completed through American Red Cross and expires on 3/4/25. Applicant Assistant, Jose Coll has not completed the training. Applicant understands that she will not leave assistant alone with day care children. Background criminal record clearances are verified and discussed, and LIS 531 is signed indicating that the adults living in the home and/or providing care and supervision to children have a criminal record clearance. Fire clearance was granted on 12/12/23. Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed: Fire clearance was received on 12/13/23. Fire pull alarm is located on the home’s entry way on the left hand side wall. This is a single story, four bedrooms and two bathrooms home and children will have access to the living room (day care room), family room, kitchen, dining room, and hallway bathroom. Off-limits rooms/ closets are made inaccessible by use of child proof safety gates and plastic door knob covers. There is a fireplace in the family room that applicant states it will not be used during day-care hours. There is central air heating/cooling ventilation for safety and comfort. LPA observed in the day care room; children size furniture, safe toys, and books for the children. There is a diaper changing station. There is a parents board on the left side wall of the home's entry way. Children will nap in the living room on cots. Infants will nap in play yards. Applicant (Continued on LIC809-C):

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024

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: COLL, MA CORAZON FAMILY CHILD CARE	FACILITY NUMBER: 165620353
	VISIT DATE: 01/09/2024

NARRATIVE

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understands she is to supervise children at all times. LPA provided applicant with Individual Sleeping Plan and Safe Sleep handout.

Facility has 2A10BC fire extinguisher, smoke alarm, carbon monoxide alarm and first aid kit in place.
Preventative Health and Safety with Prevention of Lead exposure certification was completed on 8/30/23.
Knives are stored on top of the refrigerator. Medications are stored are stored inside the refrigerator that is made inaccessible by the use of a child proof safety lock. Other medications are stored in an inaccessible bedroom. Cleaning compounds are stored inside the cabinet that is located underneath the kitchen sink and made inaccessible by the use of a child proof safety latch.
Advised applicant fire drills are to be conducted once every 6 months and must be documented with date and time. A fire drill log was provided as an example.
Applicant is advised at least one staff member with current training in pediatric first aid and pediatric CPR is to be on site at all times children are present.
There is an in-ground pool that is fenced with brown mesh fencing in accordance with Title 22 Regulations. The gate is self-latching/self-closing, swings away from the pool and latching device is located no more than six inches from the top of the gate. There is a hot tub in the backyard with a cover that is kept locked.
Applicant states there are no pets in the home or on the premises.
Applicant states there are no firearms or ammunition in the home or premises. Poisons are kept locked inside a shed that is located in the backyard.
Applicant is reminded that any advertising (of day-care) such as business cards, flyers/posters, and/or signs must include facility number as per Title 22 Regulation "Advertisements and License Number" 102359 (a).
Applicant is advised that smoking is prohibited on the premises of a family child care home as specified in Health and Safety Code Section 1596.795(a). Applicant states the home is smoke-free.
Applicant states she will be transporting day care children. Applicant understands that she must have proper car restraints and/or car seats for all the children under her care when transporting children.

(Continued on LIC809-C):

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024

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: COLL, MA CORAZON FAMILY CHILD CARE	FACILITY NUMBER: 165620353
	VISIT DATE: 01/09/2024

NARRATIVE

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Fenced backyard has a cemented area for the children. Applicant's states that she will barricade the cemented designated area for the day care children. LPA observed three tricycles and a Little Tikes picnic bench. There is a also patio furniture and a patio umbrella for shade.
SB 792 immunizations verified and on file.
Applicant completed the Mandated Reporter Training on 8/13/23. Applicant’s assistant has not completed the training. The required training can be found at www.ccld.ca.gov.
LPA discussed safe sleep pending regulations and Safe Sleep Regulation Concepts were given to applicant.
Incidental Medical Services (IMS) policy was discussed. Incidental Medical Services (IMS) are not currently being provided. When 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.

Required postings, forms packet, which included Parent Notification Requirement and LIC9224 were provided and discussed in detail. Applicant is advised that she may access CCLD website at www.ccld.ca.gov for additional forms and licensing updates. Applicant is also reminded that it is her responsibility to read the regulations periodically. Applicant states she will operate her day care Monday through Friday from 6:00 AM to 6:00 PM and as arranged. No overnight care will be provided.

LPA & applicant discussed the Community Care Licensing website: LPA and applicant discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN.

(Continued on LIC809-C):

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024

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: COLL, MA CORAZON FAMILY CHILD CARE	FACILITY NUMBER: 165620353
	VISIT DATE: 01/09/2024

NARRATIVE

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Applicant is advised the following items must be corrected and documentation be sent to Fresno CCL within the next 30 days to avoid possible withdraw.

Applicant will provide LPA proof of assistant's Mandated Reporter Training certification.
Applicant will make the left side run inaccessible to the day care children. LPA observed gardening tools.

Pending verification of corrections of the above items and a final review of her application, licensure as a Large Family Day Care Home capacity of 14 children ages under 18 years will be recommended.

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024

LIC809 (FAS) - (06/04)

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