045407676-2-24-2020-13-CC-SHUD-BM4PFK-20200224101651

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 045407676
Report Date: 02/24/2020
Date Signed: 02/24/2020 10:17:13 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:	BROWNFIELD FAMILY CHILD CARE HOME		FACILITY NUMBER:	045407676
ADMINISTRATOR:	BROWNFIELD, SUSAN & MOLLY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 809-2663
CITY:	CHICO	STATE: CA	ZIP CODE:	95926
CAPACITY:	14	CENSUS: 0	DATE:	02/24/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Susan and Molly Brownfield		TIME COMPLETED:	10:20 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	A pre-licensing inspection was conducted by Licensing Program Analyst (LPA) Sandy Husband. The applicant is requesting a change of location and capacity increase from a small family child care home to a large family child care home with a capacity not to exceed 14. Operational hours are 8:00 AM to 5:00 PM, Monday - Friday. The residence is a four bedroom/four bath, single story home with an attached garage. There are five adults living in the home. Co-applicants were advised that all adults residing or working at the facility must have a criminal background clearance on file with Community Care Licensing Department. All minors residing in the home must be fingerprinted within 30 days of reaching their 18th birthday and obtain a TB clearance. The co-applicants are aware of the immediate civil penalty for adults working or residing in the home without a criminal record clearance. The accessible areas of the home are two play rooms, a bathroom and the backyard. The off-limit areas of the home include the kitchen, laundry room, living room, dining room, four bedrooms, 3 bathrooms and the garage and will be made inaccessible via a baby gate and lock. The fireplace will remain non-operational during daycare hours and is located in an inaccessible area of the home. The backyard will be the outdoor play area and is fully fenced. The back yard will have children's useable toys and will be free of debris. There were no pools or other bodies of water observed in the yard. Front yard is unfenced and co-applicants understand that 100% supervision is required at all times when children use the front yard. The home appeared to be clean and orderly at this time and will remain so during child care hours. There is a working telephone in the home. The sharp knives, cleaning supplies, and medicines will be stored out of the reach of children. The co-applicants stated the poisons will be locked in the attached garage. There are no firearms/weapons on the premises and none were observed during today's inspection. The children in care will have access to age appropriate toys and equipment. The home is equipped with at least one working smoke detector, carbon monoxide detector and a charged fire extinguisher. The co-applicants will be carrying liability insurance for the children. Parents' rights will be posted. Emergency drills must be conducted at least once every six months and the date must be documented. The co-applicants shall be present in the home and shall ensure that children in care are supervised by a fingerprint cleared adult with current Pediatric CPR and First Aid certification. Both co-applicant's CPR/1st Aid (Continued on LIC 809-C)

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra Husband	TELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: BROWNFIELD FAMILY CHILD CARE HOME	FACILITY NUMBER: 045407676
	VISIT DATE: 02/24/2020

NARRATIVE

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(Continued from LIC 809)
certification expire on 5/1/21. The co-applicants understood that children may only be transported by adults with a criminal record clearance and are never to be left unattended in a vehicle. The co-applicants understood the maximum number of children for whom care can be provided and the limitations on the number of infants (birth to age 2) allowed were discussed; when caring for over 12 children, one of the children in care must be school-aged and one must be at least 6 years of age. Smoking is prohibited in the home at all times and in outdoor areas where children are present. Incidental Medical Services (IMS) will not be 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 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Safe sleep practices and lead requirements were discussed with the applicant. The applicant understood the responsibility to read and have knowledge of the laws and regulations for the operation of a family child care home. Forms and regulations must be obtained from the website (http://ccld.ca.gov/). Megan's Law web site was provided at http://www.meganslaw.ca.gov. The co-applicants understood that any authorized employee of the Department may enter and inspect the facility with or without advance notice. This report was reviewed and discussed with the co-applicants. All licensing reports are public information and must be made available upon request for at least three years.
Any proposed changes to the physical plant, telephone number, or change of address shall be immediately reported to the Department.

Notice of Site Visit shall be posted for 30 days from today's inspection

Prior to licensing the following is required and shall be submitted to CCLD:

1. Poisons must be locked.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra Husband	TELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020

LIC809 (FAS) - (06/04)

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