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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203904288
Report Date: 02/05/2024
Date Signed: 02/05/2024 03:22:46 PM

Document Has Been Signed on 02/05/2024 03:22 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:RIVERA, CELESTE FAMILY CHILD CAREFACILITY NUMBER:
203904288
ADMINISTRATOR:RIVERA, CELESTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 706-4759
CITY:MADERASTATE: CAZIP CODE:
93637
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
02/05/2024
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Celeste RiveraTIME COMPLETED:
03:30 PM
NARRATIVE
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On 02/05/24, Licensing Program Analyst (LPA) Denisia Jimenez conducted an unannounced case management inspection to discuss an incident report that was submitted to Community Care Licensing regarding an incident that occurred at the facility on 01/24/24. LPA met with Licensee, Celeste Rivera.

The licensee stated that on the date of the incident, Licensee had given Child #1 a tablet to play games on it because all the other children were going to sleep, and Child #1 was awake. Licensee was in the playroom putting the kids to sleep when she looked up and saw Child #1 crouched down, sideways on the couch. The licensee immediately walked over and checked on child #1 to see why he was crouched down. The licensee took the tablet from Child #1. The Licensee checked the history on the tablet and saw inappropriate contact was searched. The Licensee immediately contact both parents of Child #1. The Licensee no longer allows the children to use her tablets. Child #1 continues to attend the day care. LPA reminded the licensee to have visual supervision of children at all times whether they are inside or outside. There have been no further issues.

This appears to be an isolated incident. Although, licensee took appropriate measures to address the incident, following appropriate policies, regulations, and self reported the incident, Licensee is in violation of the regulation code 102423(a)(2). LPA will issue a Type B citation.



Per California Code of Regulations, Title 22, Division 12, Chapter 3, this deficiency is being cited on the attached LIC 809D.

A notice of site visit was given and must remain posted for 30 days.


Exit interview conducted with Celeste Rivera. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2024
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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Document Has Been Signed on 02/05/2024 03:22 PM - It Cannot Be Edited


Created By: Denisia Jimenez On 02/05/2024 at 03:10 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: RIVERA, CELESTE FAMILY CHILD CARE

FACILITY NUMBER: 203904288

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/05/2024
Section Cited
CCR
102423(a)(2)

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102423 Personal Rights
(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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Licensee stated that she will send a letter of correction to LPA by 02/19/24 explaining what she will do to prevent this incident from happening again.
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This requirement is not met as evidenced by:
Based on interview, the
licensee did not comply with the section cited above.
During today's case management visit LPA gathered information that Child #1 personal rights were violated which poses a potential 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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/05/2024


LIC809 (FAS) - (06/04)
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