Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203902366
Report Date: 03/12/2018
Date Signed 03/12/2018 03:35:44 PM

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:MUNOZ, CLAUDIA FAMILY CHILD CAREFACILITY NUMBER:
203902366
ADMINISTRATOR:MUNOZ, CLAUDIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 662-8963
CITY:MADERASTATE: CAZIP CODE:
93637
CAPACITY:14CENSUS: 1DATE:
03/12/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Licensee, Claudia MunozTIME COMPLETED:
03:50 PM
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An unannounced Annual Random inspection was conducted by LPA Kathie Campbell. Met by licensee, Claudia Munoz, also present is her daughter who assists her. A tour of the home and grounds was given. Licensee is within capacity limit. There are no bodies of water on the premises, no weapons kept at the home, and poisons are inaccessible and locked. Medications, cleaning compounds and other harmful items are stored in inaccessible areas. The licensee stated the fireplace will not be used during day care hours. The fire extinguisher, smoke alarm, carbon monoxide detector and first aid kit are per regulation. Safe toys, safe indoor and outdoor play areas, and a clean and orderly home with heating and ventilation was observed. The home has a working phone. Outdoor play area is fenced. Licensee is not using her backyard at this time. Discussed children shall be supervised at all times. Off-limit rooms are made inaccessible by using spinning plastic door knob covers. Licensee is aware that any adults providing care and supervision or living in the home must be background cleared and LIS 531 was signed. Licensee maintains a copy of children's emergency information in children's files. Licensee and her assistant's CPR and First Aid training are current. Family pet, a dog, observed and is inaccessible to day care children by keeping in a fenced side yard, licensee understands that she is responsible for child safety around pets at all times and hazards of pets around children were discussed. Fire drills are conducted at least every 6 months and documented. Children's roster and updated sketch to be sent to Fresno CCL office by 3/19/18. Postings are correct. Licensee is responsible to stay current with regulations and forms through the CCLD web site (www.ccld.ca.gov). This facility is not providing IMS. Licensee understands if she decides to give medications she will send in an IMS plan, see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htmCommonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, there are no deficiencies found. Exit interview was conducted.
Notice of site visit to be posted for 30 days.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Kathie CampbellTELEPHONE: (559) 341-4724
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2018
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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