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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045406889
Report Date: 03/10/2020
Date Signed: 03/10/2020 09:22:03 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:COLETTI, MELANIE FAMILY CHILD CARE HOMEFACILITY NUMBER:
045406889
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: DATE:
03/10/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Melanie ColettiTIME COMPLETED:
09:25 AM
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On 3/10/20 at 8:10 AM, Licensing Program Analyst (LPA) Sandy Husband conducted a licensee initiated case management inspection in response to an application for increased capacity that was received by the Department on 2/12/20. The licensee had requested a capacity increase to 14 children.

At 8:20 AM, the LPA toured the facilities inside and outside. The licensee and licensee's assistant were supervising 4 children (1 infant and three preschool age) and operating within the limitations of the current ratios. An approved fire safety inspection was received on 3/4/20. The licensee has not obtained a Landlord Consent Form (LIC 9149) and will be allowed a capacity of no more than 12 children with an assistant present and no more than 6 children present without an assistant. The licensee operates 7:30 AM to 5:30 PM, Monday - Friday. Two adults currently reside in the home. The floor and yard plan were reviewed. The back playroom, living room and bathroom are accessible to children in care. The front bedroom is off-limits to children by means of a door knob cover. Sharps, cleaning supplies & chemicals, and medications are stored out of the reach of the children in an off-limits kitchen made inaccessible by a gate. Poisons are locked in the detached garage. There is a working smoke detector, carbon monoxide detector and charged fire extinguisher, rated at least 2A10BC, in the home. The licensee and assistant's CPR/First Aid expire 4/28/21. This report was discussed with the licensee. All licensing reports are public information and must be made available upon request for at least three years. The LPA printed and reviewed the ratios for a large license and the licensee acknowledged she understood the ratio requirements. The LPA also printed and reviewed the Lead Exposure Testing Flyer in addition to the AAP Guide to Safe Sleep Practices.
Notice of Site Visit shall be posted for 30 days from today's visit.

The facility is in substantial compliance with Title 22 regulations. The increase in capacity is thereby granted and the license will be mailed to the licensee.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra HusbandTELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
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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