243911918-4-20-2023-04-CC-JYAZ-CR3PUL-20230420113744

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 243911918
Report Date: 04/20/2023
Date Signed: 04/20/2023 11:37:55 AM

Document Has Been Signed on 04/20/2023 11:37 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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	LOPEZ CONTRERAS, CARLOS FAMILY CHILD CARE		FACILITY NUMBER:	243911918
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	04/20/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Carlos Lopez Contreras & Diana Alcazar		TIME COMPLETED:	11:45 AM

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 04/20/2023, Licensing Program Analysts (LPAs), Jeovanna Yanez and Paul Garcia, met with Applicants, Carlos Lopez Contreras and Diana Alcazar for a pre-licensing inspection. Applicants and one minor child reside in the home. Background clearances are discussed and LIS 531 is signed indicating that the adults currently living in the home and/or providing care and supervision to children have a criminal record clearance. Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed: · This is a single story four bedroom, two bathroom home and children will have access to bedroom #2 and hallway bathroom. Off-limits rooms are made inaccessible by use of plastic door knob covers and safety gates. · There is no fireplace in the home. · In the bedroom #2, LPA observed a large colorful rug, learning wall art, small wooden shelves for storage, children size chairs and furniture, and safe games, toys, and books for the children. There is also a play yard. In the hallway, LPA also observed learning wall and safe toys. In the bathroom, LPA observed a changing table. Children will nap on mats, Infants will nap in play yards in bedroom #2. Applicant understands she is to supervise children at all times. LPA provided applicant with Individual Sleeping Plan and Safe Sleep handout. · Facility has 3A40BC fire extinguisher, smoke alarm, carbon monoxide alarm and first aid kit in place. · Applicant's, Carlos Lopez Contreras and Diana Alcazar, Pediatric CPR and First Aid certification was completed through HSI Pediatric with Emergency Medical Services Authority stickers (EMSA) and expires on September 10, 2024. (CONTINUED ON 809-C)

SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: LOPEZ CONTRERAS, CARLOS FAMILY CHILD CARE	FACILITY NUMBER: 243911918
	VISIT DATE: 04/20/2023

NARRATIVE

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· Applicant's, Carlos Lopez Contreras, Preventative Health and Safety Course with Prevention of Lead exposure certification was completed on March 24, 2022. Applicant's, Diana Alcazar, Preventative Health and Safety Course with Prevention of Lead exposure certification was completed on July 29, 2021.
· Knives are stored in a bottom kitchen drawer. Medications are stored in a top kitchen cabinet. Cleaning compounds are stored in a bottom kitchen cabinet. The kitchen is made inaccessible via safety gate.
· 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 are no bodies of water in the home or premises.
· There are 3 dogs that are kept in an off-limits room, 3 dogs that are kept in the off-limits back yard, and 5 cats that are kept in the off-limits garage. Applicant is advised it is her responsibility to ensure the safety of children in care at all times from the pets.
· Applicant states there are no firearms or ammunition in the home or premises.
· 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.
· LPA inspected the fenced backyard which will be off limits to the day care children. Prior to use, Applicant will contact Licensing to come clear backyard for day-care use. Applicant states that she will utilize her unfenced front yard for outdoor play. Applicant understands that she must have 100% direct visual supervision of the day care children when playing outdoors in an unfenced area
· SB 792 immunizations verified and on file. (CONTINUED ON 809-C)

SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023

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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: LOPEZ CONTRERAS, CARLOS FAMILY CHILD CARE	FACILITY NUMBER: 243911918
	VISIT DATE: 04/20/2023

NARRATIVE

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· Applicant, Carlos Lopez Contreras, completed the Mandated Reporter Training on March 29, 2022. Applicant, Diana Alcazar, completed the Mandated Reporter Training on January 4, 2022.
· 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, 24 hours. Overnight care will be provided. "Overnight Care" means care being provided to children anytime between the hours of 6:00 PM and 6:00 AM. Care provided during the day and overnight combined shall not exceed 24 hours from the time the child entered into care.

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.

Pending a final review of application file, licensure as a Small Family Day Care Home capacity of 8 children ages under 18 years will be recommended effective 04/21/2023.

SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023

LIC809 (FAS) - (06/04)

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