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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243911157
Report Date: 07/23/2024
Date Signed: 07/23/2024 11:51:06 AM

Document Has Been Signed on 07/23/2024 11:51 AM - 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:RIOJAS REYNA, LISSETTE FAMILY CHILD CAREFACILITY NUMBER:
243911157
ADMINISTRATOR/
DIRECTOR:
RIOJAS-REYNA, LISSETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 599-6741
CITY:LOS BANOSSTATE: CAZIP CODE:
93635
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
07/23/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Lissette Riojas ReynaTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 07/23/24, Licensing Program Managers (LPMs) Cynthia Brannon and Scott Herring as well as Licensing Program Analyst (LPA) Martha De Haro met with Licensee Lissette Riojas Reyna for an Informal Meeting at the Fresno Regional Child Care Office. Also present was licensee's assistant, Nora Medrano. The purpose of today’s Informal Meeting was to discuss previous citations regarding complaints that were reported on 04/22/24 and on 05/14/24. LPMs Brannon and Herring reviewed and discussed the complaints with Ms. Riojas Reyna, and how the Family Child Care Home will maintain compliance with the deficiencies cited below.

The Department of Social Services, Community Care Licensing Division has determined that Lissette Riojas Reyna Family Day Care Home violated the following Title 22 licensing regulations:

On 07/08/24, LPA De Haro issued a Type A deficiency for violation of California Code of Regulations Title 22 Division 12 Section 102368(b), which states: The license shall not be transferred to other individuals or locations. This requirement was not met as evidenced by: Based on LPA’s interviews, observations, and record review, Licensee was providing overnight care at a separate location other than her licensed facility. This posed an immediate risk to the health, safety and/or personal rights of children in care.

Licensee submitted proof of correction for the above-mentioned deficiency, and the deficiency was cleared on 07/22/24.

On 07/08/24, LPA De Haro issued a Type A deficiency for violation of California Code of Regulations Title 22 Division 12 Section 102417(a), which states: Operation of a Family Child Care Home (a) -The licensee shall be present in the home and shall ensure that children in care are supervised at all times... This requirement was not met as evidenced by: Based on LPA’s interviews, observations, and record review, Licensee did not ensure that the licensed facility is her home residence. This posed an immediate risk to the health, safety and/or personal rights of children in care.

Licensee submitted proof of correction for the above-mentioned deficiency, and the deficiency was cleared on 07/12/24. (Continued on LIC 809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Martha DeHaro
LICENSING EVALUATOR SIGNATURE: DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/23/2024
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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: RIOJAS REYNA, LISSETTE FAMILY CHILD CARE
FACILITY NUMBER: 243911157
VISIT DATE: 07/23/2024
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On 01/26/24, LPA De Haro issued a Type B deficiency for violation of Health and Safety Code Title 22 Division 12 Section 1597.622(a)(1), which states: Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement was not met as evidenced by: During employee records review, LPA observed that Assistant #1 and Assistant #2 were missing proof of immunizations (Measles, Pertussis, and flu). Assistant #1 was also missing proof of Tuberculosis testing. This posed a potential risk to the health, safety and/or personal rights of children in care.

Licensee submitted proof of correction for the above-mentioned deficiency, and the deficiency was cleared on 02/26/24.

On 01/26/24, LPA De Haro issued a Technical Violation (TV) for the following California Code of Regulations Title 22 Division 12 Section 102417(g), which states: (g) The home shall be free from defects or conditions which might endanger a child. During the outdoor inspection, Licensing Program Analyst (LPA) observed that two large wooden boards that were being used as chalkboards were starting to come undone from the wall, with some splintering around the edges. LPA discussed the importance of ensuring that her home is free from any defects that could endanger a child, for their health and safety. Licensee stated that she planned to remove and throw away the boards and later submitted photos that the boards were removed from her facility.

On 01/26/24, LPA De Haro issued a Technical Violation (TV) for the following California Code of Regulations Title 22 Division 12 Section 102417(g)(4), which states: (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. During the indoor inspection, Licensing Program Analyst (LPA) observed women's cosmetics in a drawer of the children's bathroom. LPA discussed with licensee the importance of ensuring that all personal items including cosmetics and cleaning supplies are kept in an area that is inaccessible to the children. Licensee agreed to make her personal items inaccessible.

(Continued on LIC 809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Martha DeHaro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
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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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: RIOJAS REYNA, LISSETTE FAMILY CHILD CARE
FACILITY NUMBER: 243911157
VISIT DATE: 07/23/2024
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On 01/26/24, LPA De Haro issued a Technical Violation (TV) for the following California Code of Regulations Title 22 Division 12 Section 102417(g)(7), which states: (7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. During children's record review, Licensing Program Analyst (LPA) observed that child #1's Consent for Emergency Medical Treatment form was not filled out correctly and was also missing other forms in his file. LPA discussed with licensee the importance of ensuring that all required licensing forms are completed correctly and that all required forms are placed in the child's file, for their health and safety. LPA gave a copy of the required forms to licensee and reviewed how to correctly complete them. LPA requested that licensee also review her other children's files for completeness.

On 01/25/22, LPA Robert Gutierrez issued a Type B deficiency for violation of California Code of Regulations Title 22 Division 12 Section 102417(g), which states: An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement was not met as evidenced by: Based on record review, 2 out of 3 children did not have the consent for emergency treatment form on file. This posed a potential health, safety or personal rights risk to persons in care.

Licensee submitted proof of correction for the above-mentioned deficiency, and the deficiency was cleared on 02/01/22.

On 01/25/22, LPA Gutierrez issued a Technical Violation (TV) for the following California Code of Regulations Title 22 Division 12 Section 102416.3(a)(6), which states: (a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care. Per facility observations, Licensee started to use the sunroom/kitchen without department approval. LPA inspected the kitchen and did not see any hazards in the area. LPA allowed the use of the kitchen/sunroom to be used for day care use. (Continued on LIC 809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Martha DeHaro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: RIOJAS REYNA, LISSETTE FAMILY CHILD CARE
FACILITY NUMBER: 243911157
VISIT DATE: 07/23/2024
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On 01/25/22, LPA Gutierrez issued a Technical Violation (TV) for the following California Code of Regulations Title 22 Division 12 Section 102418(g)(1), which states: (g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home. Per facility observations, Licensee had shot records on a yellow card. LPA informed licensee that shot records are required to be placed on PM 286.

Compliance Plan

In response to these discussions, Licensee has agreed to the following:

1. Licensee will ensure children are provided with a safe and healthful environment and the home shall be free from defects or conditions which might endanger a child.

2. Licensee agrees to attend an in-person Family Child Care Orientation at no cost. Licensee agrees to attend the next family child care home orientation on August 13, 2024.

3. Licensee will provide a written statement on her understanding how she will continually provide licensed care in the home where she is licensed. This also includes overnight care; when applicable.

4. Licensee is advised that increased unannounced inspections may be conducted to ensure compliance with Title 22 regulations.

Today, Licensee was informed that any further repeats of the above deficiencies may result in a Non-Compliance Conference and possible referral to the Legal Division for possible Administrative Action. Furthermore, Licensee understands that any repeats of the above deficiencies within a 12-month period will result in the issuance of civil penalties.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Martha DeHaro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
LIC809 (FAS) - (06/04)
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