Pre-licensing visit·September 5, 2024

On 9/5/24, Licensing Program Analysts (LPAs), Norma Lomeli and Nohemi Sanchez met with Spanish-speaking Applicant, Alma Nunez for a pre-licensing/ change of location inspection. Applicant, her husband, her adult son, her daughter in law and four minor children reside in the home. 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 or exemption. Fire clearance was granted on 8/17/24. Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed: Fire clearance was received on 8/23/24. Fire pull alarm is located on the day care room wall on the right hand side wall. This is a two story, five bedrooms and three and half 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 living room, family room (day care room), dining room, kitchen and downstairs half bathroom. Off-limits rooms/ closets are made inaccessible by use of lever handle locks and a child proof safety gate. There is a fireplace in the family room that applicant states it will not be used during day-care hours. There is central air heating/cooling ventilation for safety and comfort. LPAs observed in the day care room, child size table and chairs, safe toys, and books for the children. There is a high chair and a flat screen television mounted above the fireplace mantle. LPAs observed in the living room a flat screen television mounted onto the living room wall. Children will nap in day care room on cots and mats. (Continued on LIC809-C): Infants will nap in a cribs. Applicant understands she is to supervise children at all times. LPAs provided applicant with Individual Sleeping Plan and Safe Sleep handout. Facility has 3A40BC fire extinguisher mounted onto the home's entry way wall. There is a smoke alarm, carbon monoxide alarm and first aid kit in place. Applicant and Applicant\342\200\231s Assistant, Luis Sanchez-Nunez completed the Pediatric CPR and First Aid certification was completed through American Red Cross and expires on 7/1/25. Preventative Health and Safety with Nutrition and Prevention of Lead exposure certification was completed on 8/27/24. Knives are stored inside a top kitchen. Medications are stored inside a First Aid medicine box that is anchored to the downstairs hallway wall. Cleaning compounds are stored in the inaccessible garage and in the laundry room in a top shelf. Advised applicant fire drills are to be conducted once every 6 months and must be documented with date and time. A fire drill log was provided as an example. 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. There are no bodies of water in the home or premises. Applicant states there are no pets in the home or on the premises. Firearms are stored in accordance with Title 22 Regulations and ammunition is stored separate in accordance with Title 22 Regulations. Applicant states there are no poisons in the home. 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) . 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. Applicant states she will be transporting day care children. Applicant understands that she must have proper car restraints and/or car seats for all the children under her care when transporting children. (Continued on LIC809-C): Fenced backyard has a artificial turf and cemented area for the children. There is a picnic table, a rock climbing play structure, sand box, a see saw, tricycles, child size table and chairs, patio furniture and a patio porch for shade. Applicant completed the Mandated Reporter Training on 8/26/23. Applicant\342\200\231s assistant completed the training on 9/18/23. LPA discussed safe sleep pending regulations and Safe Sleep Regulation Concepts were given to applicant. 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 . SB 792 immunizations are on file. 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. 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 4:30 AM to 5:30 PM and as arranged. No overnight care will be provided. LPA & 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. (Continued on LIC809-C): 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 as a Small Family Day Care Home capacity of 8 children ages under 18 years will be recommended effective 9/6/24.