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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543911350
Report Date: 10/26/2021
Date Signed: 10/26/2021 01:58:03 PM

Document Has Been Signed on 10/26/2021 01:58 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:GARCIA, LYDIA FAMILY CHILD CAREFACILITY NUMBER:
543911350
ADMINISTRATOR:GARCIA, LYDIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 805-4704
CITY:VISALIASTATE: CAZIP CODE:
93292
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 13DATE:
10/26/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Lydia GarciaTIME COMPLETED:
02:20 PM
NARRATIVE
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On 10/26/2021, Licensing Program Analyst conducted an unannounced case management inspection in the home as an annual inspection was not possible today. Today, LPA toured the home and took a census. LPA Ocegueda met with licensee Lydia Garcia.

Upon arriving at approximately 8:50 AM Licensing Program Analyst (LPA) Ocegueda rang the door bell several times and called licensee with no answer to the door or phone. LPA announced identification loudly several times as well. LPA could hear several children were crying. LPA also observed a male near the garage upon arrival. LPA made contact with Visalia Police Department to conduct a safety check due to concerns that no one was answering the door. The call was canceled however due to LPA making contact with licensee via telephone. The male observed later identified himself as the maintenance person before leaving the home through the garage door. LPA observed tools in his vehicle.

Licensee arrived at the home at approximately 9:25 AM after calling LPA back. LPA conducted a Covid-19 safety screening. LPA determined that only a case management inspection would be conducted today to help ensure immediate safety and informed licensee of the type of inspection done today. LPA gained entry of the home at approximately 9:30 AM. Staff #1 stated she was aware someone was at the door but was nervous to answer the door. LPA reviewed inspection authority with licensee.

Once inside, LPA toured the accessible areas to ensure safety of the children and it was immediately determined that the facility was out of ratio and capacity. LPA observed that there were 13 children in care today with a total of 6 infants and 7 children with the oldest children being age 3 years old. LPA reviewed roster and files and licensee confirmed that there were 6 infants in care today alone with staff #1 before she arrived. Licensee indicated that staff #1 had been caring for the children with staff #2 (who was no present today) for approximately the past two weeks and confirmed staff #1 was alone with the children this morning. LPA interviewed staff #1 and licensee regarding ratio and licensees absence. LPA reviewed staff #1 file and observed that CPR/First Aid training expires on 1/30/2023 and that she had all required documents. Report continued to 809-C.

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE: DATE: 10/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/26/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: GARCIA, LYDIA FAMILY CHILD CARE
FACILITY NUMBER: 543911350
VISIT DATE: 10/26/2021
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There were no sharp objects or poisons or hazardous items observed on any counters. The floors were clean and there were appropriate toys and equipment for the children. The stairs to the upstairs area was made inaccessible by way of baby gate and Licensee denied having any firearms or ammunition in the home. Once outside, LPA observed that the pool gate was not functioning correctly when testing it. There were children in the living area and the door leading the back yard where the pool was, was unlocked and was easy to open. Later, Licensee went outside with LPA and confirmed this observation. The pool gate was repaired today and it was observed to self latch. LPA reminded licensee that she should continue to test the gate regularly to ensure safety and compliance.

LPA and licensee discussed all of the observations and deficiencies cited today in detail. Licensee had 2 infants be picked up today placing her back in ratio. LPA reviewed reporting requirements. LPA provided Covid-19 guidance as it was observed that staff #1 was not wearing a mask. LPA reminded licensee that all children over the age of 2 years old were also required and encouraged to wear a mask if they could properly and safely do so. LPA reviewed ratio and capacity work sheet with licensee and will be emailed to the email address provided to help ensure she is always within ratio and capacity. LPA reviewed the requirement for pool gates to self latch. LPA reviewed the regulation pertaining to inspection authority. LPA reviewed the regulation requirement for her to be present and provide supervision during operational hours and that temporary absences should not exceed 20 percent of the day. Licensee indicated that she receives drop in children for care and that staff #1 did not know about ratios or capacity. LPA reviewed safe sleep regulations and provided written guidance. LPA reviewed licensees responsibility as the licensee to ensure all regulations were being adhered to in order to help ensure safety and compliance. Licensee confirmed she understood the citations being cited today.

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.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee.

An exit interview was conducted with licensee Lydia Garcia. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2021
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Document Has Been Signed on 10/26/2021 01:58 PM - It Cannot Be Edited


Created By: Ruby Ocegueda On 10/26/2021 at 12:08 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: GARCIA, LYDIA FAMILY CHILD CARE
FACILITY NUMBER: 543911350

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/27/2021
Section Cited
CCR
102416.5(d)(1)

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(d)For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home....shall be either:(1)Twelve children, no more than four of whom may be infants. This requirement was not met as evidenced by:
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Today, licensee called the parents of 2 infants placing them back in ratio. LPA reviewed the regulation and will provide licensee a ratio/capacity worksheet to ensure she is always within capacity. Deficiency cleared today.
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observation and record review. Today, there were 13 children in care, including 6 infants and 7 children between the ages of 2 and 3 years old. Staff #1 was alone with the children upon LPA's arrival today. This poses an immediate risk to the health, safety and or personal rights of children 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:Michael Duarte
LICENSING EVALUATOR NAME:Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2021


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Document Has Been Signed on 10/26/2021 01:58 PM - It Cannot Be Edited


Created By: Ruby Ocegueda On 10/26/2021 at 12:20 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: GARCIA, LYDIA FAMILY CHILD CARE
FACILITY NUMBER: 543911350

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/09/2021
Section Cited
CCR
102417(a)

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(a)The licensee shall be present in the home and shall ensure that children in care are supervised at all times...Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This requirement was not me as evidenced by: interview. Licensee repeatedly stated that
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Licensee stated she will print and read the regulation and sign indicating she undestands the requirement. Proof will be submitted to the Department by POC date 11/9/2021.
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her facility had been operating while she was away from the facility for the last two weeks with only her assistants providing care. Later when discussing citations, licensee indicated that she would show up periodically but go into her room. This poses a potential risk to the health, safety and or personal rights of children 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:Michael Duarte
LICENSING EVALUATOR NAME:Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2021


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Document Has Been Signed on 10/26/2021 01:58 PM - It Cannot Be Edited


Created By: Ruby Ocegueda On 10/26/2021 at 01:16 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: GARCIA, LYDIA FAMILY CHILD CARE
FACILITY NUMBER: 543911350

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/27/2021
Section Cited
CCR
102417(5)(A)

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Operation of a Family Child Care Home...In addition to meeting all of the aforementioned requirements for fences, gates shall swing away from the pool, self-close and have a self-latching device located no more than six inches from the top of the gate. This requirement was not met as evidenced by: observation. LPA inspected the pool gate and observed it did not self latch.
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Today the pool gate was observed to be fixed and was self latching again. LPA reminded licensee to inspect her gates for proper functioning at all times. Deficiency cleared today.
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Staff #1 was caring for 13 young children who had acess to the back yard. This poses an immediate risk to the health, safety and or personal rights of children in care. A $500.00 civil penalty was assessed.
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Type A
10/27/2021
Section Cited
CCR102391(a)

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Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation of, the regulations adopted by the
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Licensee stated she will ensure she and staff adhere to the requirement for inspection authority and not deny entry to any Department representative. Proof of training will be submitted to the Department by POC date 10/27/2021.
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Department governing family child care homes, and in accordance with Section 102396. This requirement was not met as evidenced by: observation and interview. LPA announced self several times and staff #1 indicated she was nervous to let LPA in and didnt answer the door. This poses an immediate risk to the health, safety and or personal rights of children 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:Michael Duarte
LICENSING EVALUATOR NAME:Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2021


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