013423370-7-10-2019-52-CC-LDYN-BDXP2L-20190710105606

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423370
Report Date: 07/10/2019
Date Signed: 07/10/2019 10:56:12 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	RHODES, ERIKA		FACILITY NUMBER:	013423370
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	07/10/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Erika Rhodes		TIME COMPLETED:	11:05 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 7/10/19 at 9:40am, Licensing Program Analyst (LPA) Loretta Dyson arrived at the home for an unannounced random inspection. LPA met with the licensee. The licensee has submitted an application for an increase of capacity. There were 2 infants and 2 preschool age children present. At 9:55am, LPA reviewed the files of 2 children in care. The licensee's CPR/first aid certificates are current and expire on 9/15/20. LPA observed that all required forms are posted and visible for public review. The facility roster was reviewed, and LPA obtained a copy. The licensee completed the mandated reporter training and it is valid until 4/2/20. The licensee conducts and documents fire/earthquake drills at least once every 6 months and the log indicates that the last drills were conducted on 2/20/19. At 10:15am LPA conducted a tour of the areas of the home that are used for the child care. The home is a single story home, and is neat and clean with sufficient heating and ventilation. The on limit areas include the living room, dining area, first bedroom on the right side of the hallway and the bathroom. The off limit areas include the kitchen, garage and the two bedrooms on the left side of the hallway. These areas are made inaccessible by gate, closed and/or locked doors and visual supervision. The isolation area is the bedroom. The backyard is used for outdoor play and is fully fenced and free from defects or dangerous conditions. LPA observed an ample supply of toys and activities available for children, and they are age appropriate and in good condition. The home has a fully charged 3A40BC fire extinguisher, working carbon monoxide detector, working smoke detector, telephone and first aid kit. The home does not have a fireplace and there are no heaters accessible to children. The licensee states that there are no firearms in the home. LPA did not observe any bodies of water, toxins or hazardous items accessible to children today. The licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to sign up to receive quarterly updates by email by sending a request to ChildCareAdvocatesProgram@dss.ca.gov. The licensee was given a copy of the Safe Sleep in Child Care, and LPA discussed some safe sleep practices. continued on 809C.

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: RHODES, ERIKA	FACILITY NUMBER: 013423370
	VISIT DATE: 07/10/2019

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information 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.htm. The licensee stated that there are no children enrolled at this time, who require medication while in care.

Licensee is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. LPA reviewed the individuals associated to the license, and the licensee confirmed that everyone who is required to have a criminal record clearance is associated.

A fire clearance, dated 7/2/19, was received for this home. LPA reviewed the ratio and capacity for a large family child care home. LPA reminded the licensee that an assistant, who is at least 14 years of age, must be present in the home and helping to care for children when operating within the ratio of a large family child care home. LPA advised the licensee that if assistant is not present, the ratio and capacity requirements for a small family child care home must be followed.

The home is recommended for a large family child care home license today. There are no deficiencies being cited today. This report will remain on file for 3 years. A notice of site visit was provided, and the licensee was reminded to have it posted for 30 days. An exit interview was conducted with the licensee.

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019

LIC809 (FAS) - (06/04)

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