033614623-9-16-2019-53-CC-ASRN-BG3SMG-20190916135956

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 033614623
Report Date: 09/16/2019
Date Signed: 09/16/2019 02:00:18 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME:	BRITTON, LORI		FACILITY NUMBER:	033614623
ADMINISTRATOR:	BRITTON, LORI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 223-1466
CITY:	JACKSON	STATE: CA	ZIP CODE:	95642
CAPACITY:	14	CENSUS:	DATE:	09/16/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Lori Britton		TIME COMPLETED:	02:10 PM

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	Licensing Program Analyst (LPA) Aruna Sridharan met with licensee Lori Britton for an unannounced random annual inspection and toured areas of the home accessible to children in care. Off-limit areas include laundry room and entire upstairs. Licensee acknowledged that children may never enter these off-limit areas. The census included X11 children ages seven months to 4 years.. Also present was licensee’s assistant.. Licensee stated there are no new residents in the home since license. All Adult residents have criminal record clearances. The FCCH hours of operation are 7:00AM to 5:15PM Monday through Friday. LPA observed current CPR/First Aid certificates which expire on 10/20. LPA observed that licensee had Mandated Reporter Certificate which expires on 11/20. The assistant also had the Mandated Reporter Certificate which expires on 7/21. LPA discussed recent changes in licensing requirements, including the posting of licensing inspection notices and reports and Parent Notification Requirements. LPA reviewed 11 children’s files. LPA observed fire drills were conducted at least once every six months and documented. LPA observed that there were no hazardous items accessible to children. LPA observed that cleaning materials were inaccessible. Licensee stated there are no weapons in the home. Fire extinguisher, smoke detector and carbon monoxide detector meet regulation. LPA observed Fireplace which was screened..Toys appear to be safe. The backyard is fenced and gated. There is a pool on the property which is completely surrounded by a fence that is at least 5 feet high. LPA observed the gate to pool self-close and self-latch. There are no windows or doors that provide direct access into the pool area. There are no bodies of water observed. Report continues on 809C

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna Sridharan	TELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019

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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: BRITTON, LORI	FACILITY NUMBER: 033614623
	VISIT DATE: 09/16/2019

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. Currently the licensee doesn't have children with IMS needs. 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.

LPA discussed recent changes in licensing requirements, including SB 277 (no longer accepting religious beliefs for immunizations) and SB 792 pertaining to immunization requirements for children and staff - Licensee provided proof of staff immunization's.

LPA provided the Community Care Licensing’s website www.ccld.ca.gov, so the licensee can obtain updated licensing information, new regulations and access forms. LPA advised licensee of their responsibility to stay current in regards to new regulations. LPA also included the email address for the children's advocacy program to stay current on new laws childcareadvocatesprogram@dss.ca.gov.

No Title 22 Deficiencies observed in the areas that were evaluated. LPA reviewed report with the licensee/director and provided copies. An exit interview was conducted and Appeal Rights was provided. LPA observed the Notice of Site Visit posted and the licensee/director understands it must remain posted for 30 days.

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna Sridharan	TELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019

LIC809 (FAS) - (06/04)

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