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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243911105
Report Date: 11/16/2021
Date Signed: 11/16/2021 03:25:14 PM

Document Has Been Signed on 11/16/2021 03:25 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:LOERA, YVONNE & ARTURO FAMILY CHILD CAREFACILITY NUMBER:
243911105
ADMINISTRATOR:LOERA, YVONNE & ARTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 612-6995
CITY:LOS BANOSSTATE: CAZIP CODE:
93635
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 7DATE:
11/16/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Yvonne LoeraTIME COMPLETED:
03:45 PM
NARRATIVE
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On 11/16/2021 Licensing Program Analyst (LPA) Robert Gutierrez, conducted an unannounced Annual Required Inspection and was met by Licensees, Yvonne & Arturo Loera. Also present was Adult #1 (A1). Days and hours of operation are Monday- Friday 6:00 AM – 5:00 PM.

LPA toured the home inside and outside and a census was taken. Current facility sketch reviewed and Licensee confirmed that the play room, dining room, kitchen, living room, hallway bathroom and the fenced back yard are used for providing care and are accessible to children. Walking to the hallway bathroom LPA observed bedroom #1 door open and unlocked. LPA inspected the bedroom and did not see any potential hazards to children in care. Mr. Loera closed and locked the bedroom door making this bedroom inaccessible to children in care. Inspecting the backyard LPA observed a play structure, trampoline with mesh netting and a sandbox. All other rooms are off-limits and made inaccessible by use of door locks and children safety gates. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition in the home. No poisons were observed during the inspection. LPA inspected accessible kitchen drawers/cabinets and observed chemicals such as Clorox, Oxi-Clean, hydrogen peroxide and “Goof Off” carpet stain remover underneath the sink. Inspecting the bathroom LPA observed “CRL”, windex and various lotions in an accessible cabinet. Mr. Loera removed all these items and placed them in the locked garage.

The fireplace located in the living room is made inaccessible by a glass screen and will not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Stairs are not fenced or barricaded when children under age 5 years old are present. Ms. Loera stated a children safety fence was located at the base of the stairs but kept falling over. Licensee then removed the fence but did not install another one. During today’s inspection Licensee installed a different child safety fence at the base of the stairs. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (408) 612-6995.

Continued on 809-C

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Robert Gutierrez
LICENSING EVALUATOR SIGNATURE: DATE: 11/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/16/2021
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: LOERA, YVONNE & ARTURO FAMILY CHILD CARE
FACILITY NUMBER: 243911105
VISIT DATE: 11/16/2021
NARRATIVE
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Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

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.

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: Susie Fanning
LICENSING EVALUATOR NAME: Robert Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2021
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Document Has Been Signed on 11/16/2021 03:25 PM - It Cannot Be Edited


Created By: Robert Gutierrez On 11/16/2021 at 12:37 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: LOERA, YVONNE & ARTURO FAMILY CHILD CARE

FACILITY NUMBER: 243911105

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/16/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)(3)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (3) Where children are less than five years old are in care, stairs shall be fenced or barricaded.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that she removed the fence located at the base of the stairs. This poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/16/2021
Plan of Correction
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Licensee located a children safety fence and installed it at the base of the stairs.
Type A
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that various chemicals were accessible to children in care. This poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/16/2021
Plan of Correction
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Licensee removed these chemicals and placed them in the garage and locked the door.
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:Susie Fanning
LICENSING EVALUATOR NAME:Robert Gutierrez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2021


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Page: 3 of 6
Document Has Been Signed on 11/16/2021 03:25 PM - It Cannot Be Edited


Created By: Robert Gutierrez On 11/16/2021 at 12:37 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: LOERA, YVONNE & ARTURO FAMILY CHILD CARE

FACILITY NUMBER: 243911105

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/16/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102370(d)(1)
Criminal Record Clearance
(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in that A1 has continued to live at the facility without a criminal record clearance since May. This poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/16/2021
Plan of Correction
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During inspection A1 left the facility.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Susie Fanning
LICENSING EVALUATOR NAME:Robert Gutierrez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2021


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Document Has Been Signed on 11/16/2021 03:25 PM - It Cannot Be Edited


Created By: Robert Gutierrez On 11/16/2021 at 12:37 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: LOERA, YVONNE & ARTURO FAMILY CHILD CARE

FACILITY NUMBER: 243911105

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/16/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(7)
Operation of A Family Child Care Home
(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in that three out of seven children files were missing the consent for emergency treatment form. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/30/2021
Plan of Correction
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Licensee stated she shall have the legal guardians of these children sign and complete this from. Copies shall be sent to the Fresno Regional Office by the given due date.
Type B
Section Cited
CCR
102419(d)
Admission Procedures and Parental and Authorized Representative's Rights
(d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in that four out of seven children files were missing the notice Family Child Care Home Notification of Parent's Rights, LIC 995A from. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/30/2021
Plan of Correction
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Licensee stated she shall have the legal guardians of these children sign and complete this from. Copies shall be sent to the Fresno Regional Office by the given due date.
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:Susie Fanning
LICENSING EVALUATOR NAME:Robert Gutierrez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2021


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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: LOERA, YVONNE & ARTURO FAMILY CHILD CARE
FACILITY NUMBER: 243911105
VISIT DATE: 11/16/2021
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There are currently no infants in care. LPA discussed Safe Sleep Regulations with licensee. Licensee understands there needs to be one crib or play yard for each infant in care. Licensee understands cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and no objects should be hanging above or attached to the crib or play yard. Licensee understands infants should not be swaddled while in care. Licensee understands she must physically check on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Licensee stated she is not going to care for infants. LPA discussed the Individual Infant Sleeping Plan. Licensee understands the Individual Infant Sleeping Plan must be completed and in file for each infant up to 12 months of age. Licensee understands Infants up to 12 months of age are placed on their backs for sleeping. LPA requested Licensee to contact him once an infant is enrolled into the facility to ensure all regulations are being met.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files. Children files #4, #5 and #6 are missing LIC 627 Consent For Emergency Treatment. Children #3, #4, #5, and #6 are missing LIC 995 notification of parents rights form from their file. Child #2 does not have immunization records on file. All remaining licensing forms are on file. Licensee documents fire drills being conducted once at least every six months. Licensee has a current roster of children in care. Licensee’s Mandated Reporter Training was completed on 12/15/2019. Licensee’s pediatric CPR/First Aid expires on 05/29/2023. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

Entering the facility LPA observed A1 sitting in the playroom. Interviewing Ms. Loera, she stated A1 is her daughter and that she turned 18 in May. Since May, A1 has continued to live at the facility without a criminal records clearance. There are no excluded individuals present at this home. During inspection A1 left the facility. Licensee understands that A1 can not reside at the facility until a criminal record clearance is granted.

Continued on 809-C

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Robert Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2021
LIC809 (FAS) - (06/04)
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