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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 053613073
Report Date: 09/10/2021
Date Signed: 09/10/2021 01:54:24 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:GARANT, MICHELLEFACILITY NUMBER:
053613073
ADMINISTRATOR:GARANT, MICHELLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 772-7267
CITY:VALLEY SPRINGSSTATE: CAZIP CODE:
95252
CAPACITY:14CENSUS: 6DATE:
09/10/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Michelle GarantTIME COMPLETED:
02:09 PM
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This is Annual/Random Inspection.
On 09/10/21 Licensing Program Analysts (LPA) Aruna Sridharan and Fabiola Diaz met with licensee Michelle for unannounced annual inspection. LPA followed infection control protocols. The hours of operation are 6:30am to 5:30pm Monday through Friday. An adult assistant was present.

The family child care home facility is single story family home with three bedrooms, two and half bathrooms, living room, kitchen, office, garage and boat shed. Today's census was one infant and five preschoolers. The daycare is conducted in the dining area with half bathroom.
Off limit areas: Master bedroom/bath, bedroom at the end of hallway, laundry room, garage, office and shed in the backyard. Licensee acknowledges that children may never enter these off-limit areas. The backyard is fenced. Licensee was notified that prior to use of any off limits area, the department must be notified. Licensee has a hot tub in the backyard which was empty but LPAs let the licensee know that if it filled with water the lid has to latched and carry an adult weight.
A tour of the home, inside and outside, as shown on the facility sketch was conducted. The house has a working telephone, fully charged fire extinguisher, smoke detector and carbon monoxide detector that meet regulations. The first aid kit is located in the kitchen. As per the licensee, there are firearms in the home with ammo separately locked. LPAs observed the firearm safe. LPA observed cleaning compound's under the bathroom and kitchen sink with child safety latch. Licensee informed that she does not provide overnight care. Licensee has two trampolines and LPAs informed to follow the manufacture guidelines.
Safe toys and play equipment are observed. LPA observed all the required postings, reviewed all staff and childrens records.
LPA observed the record of licensee’s immunization on file. LPA reviewed children's roster and fire drill log last conducted on 06/10/21. LPA requested a copy of children's roster from the licensee. Licensee had CPR/First aid card that expires on 03/23.
LPA discussed the California Child Care Worker: Mandated Reporter Training with the licensee. The licensee must complete the training every two years starting January 1, 2018 and retain proof of completion in the facility file. The training can be found at: mandatedreporterca.com.

Report continues on 809C................

SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna SridharanTELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: GARANT, MICHELLE
FACILITY NUMBER: 053613073
VISIT DATE: 09/10/2021
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

Applicant was encouraged to visit the department website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to family child care homes. LPA advised the facility to follow all the Covid precautions while providing care for children.



LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

No Title 22 Deficiencies observed in the areas of today's facility evaluation.


A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Michelle Garant.

SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna SridharanTELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2021
LIC809 (FAS) - (06/04)
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