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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103911535
Report Date: 10/19/2023
Date Signed: 10/19/2023 01:57:35 PM

Document Has Been Signed on 10/19/2023 01:57 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:IDONI OKPEBHO, ESIOHE FAMILY CHILD CAREFACILITY NUMBER:
103911535
ADMINISTRATOR:IDONI OKPEBHO, ESHIOHEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 708-1692
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
10/19/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:31 PM
MET WITH:Idoni Okpebho, EshioheTIME COMPLETED:
02:06 PM
NARRATIVE
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On 10/19/2023, Licensing Program Analyst (LPs) Stephanie Vega-Gonzalez conducted an unannounced case management inspection. LPA was greeted by Licensee Eshiohe Idonie Okebho "Jennifer", also present was Licensee's Husband. Census was taken and there were five children in the facility. LPA explained the reason for the inspection.

On today's inspection LPA observed an infant, Child 2, sleeping in a play yard that did not have a fitted sheet to the mattress. LPA discussed Safe Sleep regulations with Licensee. LPA printed a copy of PIN 20-24-CCP titled Recently Approved Safe Sleep Regulations in Effect and provided a copy to Licensee. LPA observed that restroom in hallway that children have access to did not have a fitted lid. LPA observed various diapers in the trash bin. LPA observed during inspection that Bedroom 1, that children have access to, was close and a day care child, Child 3, was sleeping inside. LPA discussed with Licensee that it is best practice to have supervision of all children and to have door open while children are sleeping.

On today's inspection LPA observed that Licensee's husband, who is also the assistant, did not have a current Pediatric CPR and FA certificate in file. LPA observed that Assistant had picked up children from school and brought them to facility. LPA reviewed personnel requirements, that assistants who stay alone with children must have a current pediatric cardiopulmonary resuscitation and pediatric first aid certificate on file.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D) Licensee was provided a copy of appeal rights.

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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the facility representative Licensee Eshiohe Idonie Okebho "Jennifer"

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 10/19/2023 01:57 PM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 10/19/2023 at 01:30 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: IDONI OKPEBHO, ESIOHE FAMILY CHILD CARE
FACILITY NUMBER: 103911535

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/02/2023
Section Cited
CCR
102425(a)(3)

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102425 INFANT SAFE SLEEP
(a) There shall be one crib or play yard for each infant ...(3)Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.
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Licensee stated that they will obtain fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged, and provide proof to the Department by POC due date.
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This requirement is not met as evidenced by: LPA observed an infant, Child 2, sleeping in a play yard that did not have a fitted sheet to the mattress, which poses/posed a potential health, safety or personal rights risk to persons in care.
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Type B
11/02/2023
Section Cited
CCR102416(c)

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102416 Personnel Requirements (c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
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Licensee stated that Assistant will obtain a current pediatric cardiopulmonary resuscitation and pediatric first aid certificate, and provide proof to the Department on POC due date.
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This requirement is not met as evidenced by: During record review it was observed that Assistant does not have a current CPR & FA on file, which poses/posed 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:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 10/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/19/2023


LIC809 (FAS) - (06/04)
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