Pre-licensing visit·August 30, 2024

On 08/30/2024, Licensing Program Analyst (LPA), Lady Cabrera and Licensing Program Manager, Luisa Gavoutian met with Applicant, Susana Fonseca for a pre-licensing inspection. Applicant's, Adult Son resides in the home. Verified Applicant\342\200\231s CPR and First Aid was completed on 06/01/2024 with Emergency Medical Services Authority stickers (EMSA) and expires on 06/01/2026. Applicant\342\200\231s Assistant, Elijah Stapleton completed the training on 08/10/2024 with Emergency Medical Services Authority stickers (EMSA) and expires on 08/10/2026. 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. Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed: \302\267 Fire clearance was received on 07/10/2024. Fire pull alarm is located on the home\342\200\231s dining area wall by the sliding exit door. \302\267 This is a two story, four bedrooms and three bathrooms 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 day care room, living room, kitchen and unfenced front yard. Applicant understands that when children are playing in the front yard, that licensees will provide full supervision. \302\267 There is no fireplace. There is central air heating/cooling ventilation for safety and comfort. \302\267 LPA observed child size furniture and safe toys for the day care children. Children will nap in the day care room on cots. Infants will nap in a play yard. Applicant understands she is to supervise children at all times. LPA provided applicant with Individual Infant Sleeping Plan and Safe Sleep handout. \302\267 Facility has 2A10BC fire extinguisher, smoke alarm, carbon monoxide alarm and first aid kit in place. \302\267 Preventative Health and Safety with Nutrition and Prevention of Lead exposure certification was completed on 06/28/2024. \302\267 Knives are stored in a container on top of the refrigerator. Medications are stored in the upstairs master bedroom. Cleaning compounds are stored in the garage, which is off limits to the children. \302\267 Advised applicant fire drills are to be conducted once every 6 months and must be documented with date and time. \302\267 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. \302\267 There are no bodies of water in the home or premises. \302\267 There are dogs that are kept in large kennel in the backyard. There is one bird in its cage in the patio area. Applicant is advised it is her responsibility to ensure the safety of children in care at all times from the pets. \302\267 Applicant states there are no firearms or ammunition in the home or premises. Poisons are stored in a locked shed. \302\267 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) . \302\267 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. \302\267 Fenced backyard is inaccessible currently. Applicant will notify the Department when the backyard is complete. Children will take walking field trips to a nearby park. \302\267 Applicant completed the Mandated Reporter Training on 07/24/2024. \302\267 LPA discussed safe sleep regulations. \302\267 Applicant is advised it is her responsibility to read and maintain her facility incompliance with Title 22 Regulations. Title 22 Regulations can be found at www.ccld.ca.gov . \302\267 SB 792 immunizations are on file. \302\267 Applicant is advised Fresno Community Care Licensing Department has inspection authority and can inspect all rooms in the home, garages and/or separate dwellings on the premises. \302\267 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 Saturday from 5: 00 a.m. to 2:00 am, and as arranged. LPA and 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 \342\200\234information and resources\342\200\235 click \342\200\234Community Care Licensing\342\200\235 Click \342\200\234quarterly updates\342\200\235 click \342\200\234Child Care advocates program\342\200\235 and register to PIN. Pending a final review of application file, licensure for a provisional license with a capacity of 8 children ages under 18 will be recommended effective 09/03/2024. Applicant is advised the following items must be corrected and documentation be sent to Fresno CCL within the next 30 days to avoid possible withdraw. Pending receipt of the below documentation, facility will be licensed for a Large Family Day Care Home capacity of 14 children ages under 18 years. \302\267 Assistant\342\200\231s required immunization records and tuberculosis.