545620344-11-3-2023-57-CC-NLOI-CX8T5U-20231103142606

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 545620344
Report Date: 11/03/2023
Date Signed: 11/03/2023 02:26:13 PM

Document Has Been Signed on 11/03/2023 02:26 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:	GARCIA, LYDIA FAMILY CHILD CARE		FACILITY NUMBER:	545620344
ADMINISTRATOR:	GARCIA, LYDIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 805-4704
CITY:	VISALIA	STATE: CA	ZIP CODE:	93291
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	11/03/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Lydia Garica		TIME COMPLETED:	02:45 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 11/3/23, Licensing Program Analyst (LPA), Norma Lomeli met with Applicant, Lydia Garcia for a pre-licensing/ change of location inspection. Applicant and her minor children 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 or exemption. Fire clearance was granted on 11/1/23. Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed: Fire clearance was received on 11/1/23. Fire pull alarm is located on the day care room’s entry way on the left hand side wall. The main entrance to the day care room is the door on the right hand side before the main door to the home. This is a two story, four bedrooms and three bedrooms home and upstairs area will be off-limits to the day-care children. There is a gate at the bottom of the stairs making upstairs area inaccessible. Care and supervision will be provided in the converted garage room, downstairs bedroom #1 (napping room), and downstairs bathroom. Applicant provided Fresno CCL office with City of Visalia Alteration Permit and Building Safety Division Inspection Card. Off-limit rooms/ closets are made inaccessible by the use of plastic door knob covers and child proof safety gates. There is a fireplace in the living room that applicant states it will not be used during day-care hours. There is central air heating/cooling for safety and comfort. There is a central air heating/cooling mounted wall unit in the day care room. (Continued on LIC809-C):

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: GARCIA, LYDIA FAMILY CHILD CARE	FACILITY NUMBER: 545620344
	VISIT DATE: 11/03/2023

NARRATIVE

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LPA observed in the day care room; children size furniture, safe toys, and books for the children. There are two flat screen televisions mounted onto the wall in the day care room. There is a refrigerator. LPA also observed four cribs in the napping room. Children will nap in the day care room on cots. Infants will nap in bedroom #1 on cribs. Applicant 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.
Applicant’s Pediatric CPR and First Aid certification was completed through American Heart Association and expires on 7/6/25. Applicant Assistant, Aimee Mendoza completed the training though American Heart Association and expires on 9/30/24.
Preventative Health and Safety with Prevention of Lead exposure certification was completed on 7/24/22.
Knives are stored in the kitchen inside a top cabinet. Medications are stored inside and cleaning compounds are stored in the laundry room inside a top cabinet.
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 is a dog that is kept in an inaccessible area inside the home. 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, ammunition or poisons 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).

(Continued on LIC809-C):

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: GARCIA, LYDIA FAMILY CHILD CARE	FACILITY NUMBER: 545620344
	VISIT DATE: 11/03/2023

NARRATIVE

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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.
Fenced backyard will be inaccessible to the day care children. Applicant states that children will not have outdoor play.
SB 792 immunizations verified and on file.
Applicant completed the Mandated Reporter Training on 7/8/21. Applicant will update the training. Applicant assistant completed the training on 10/16/22.
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 7:00 AM to 5:45 PM and as arranged. No overnight care will be provided.

(Continued on LIC809-C):

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: GARCIA, LYDIA FAMILY CHILD CARE	FACILITY NUMBER: 545620344
	VISIT DATE: 11/03/2023

NARRATIVE

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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.

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

Applicant will complete the Mandated Reporter Training and provide LPA with proof of certification.

Pending verification of correction of the above item 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: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

LIC809 (FAS) - (06/04)

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