054500323-12-3-2020-53-CC-JLDN-BVXQBY-20201203110220

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 054500323
Report Date: 12/03/2020
Date Signed: 12/03/2020 11:02:30 AM

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:	ALDERSON, BRANDY & STEVEN		FACILITY NUMBER:	054500323
ADMINISTRATOR:	ALDERSON, BRANDY & STEVEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 405-5611
CITY:	MURPHYS	STATE: CA	ZIP CODE:	95247
CAPACITY:	14	CENSUS: 3	DATE:	12/03/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Brandy Alderson, Applicant		TIME COMPLETED:	11:15 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	Licensing Program Analyst (LPA) Justin Denton met with Applicant Brandy Alderson over video chat for the purpose of a pre-licensing inspection. This meeting was conducted using Zoom in lieu of an in-person inspection due to the ongoing COVID-19 pandemic. LPA and Applicant Alderson toured the entire single story home both inside and out. The facility consists of 3 bedrooms, 2 bathrooms, living room, kitchen, dining area, play room, fenced-in play-yard and back yard. The main area for care will be the living room, dining area, play room and play yard. Off limit areas will consist of the master bedroom, master bathroom, both daughter's bedrooms, laundry room, garage, backyard, and storage shed. Applicant owns the home. Applicant has completed the required Preventative Health and Safety course which includes 1 hour of nutrition. LPA provided blank forms required for children's records including immunization card and Safe Sleep Regulation Concepts. LPA also provided the Parent's Rights form/poster, new regulations were reviewed which include vaccination requirements for staff and children, and smoking prohibition. 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 Kitchen cabinets are properly latched where necessary. All medications will be stored inaccessibly in a latched or high cabinet. Applicant's home is on a private well, which has been tested for safety. Day care children will only consume either filtered or bottled water. Applicant moved all toxic items to be stored under lock and key.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L Denton	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2020

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

FACILITY NAME: ALDERSON, BRANDY & STEVEN	FACILITY NUMBER: 054500323
	VISIT DATE: 12/03/2020

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LPA observed a 2A10BC fire extinguisher, an operational smoke detector and carbon monoxide detector in the home that meet regulatory standards. The wood-burning fireplace is located in the living room and properly screened as required under Title 22. Applicant understands that if any structural changes are made to the home; licensing must be notified prior to construction.

Applicant has completed the required AB1207 Mandated Reporter training. Applicant understand that the training must be completed once every two years, training is accessible at www.mandatedreporterca.com.

Applicant understands that a current roster must be maintained and that a fire drill must be conducted and documented once every six months. Applicant understands that licenses are not transferable, and once licensed, licensee must live in the home and be present for 80% of the operating hours. LPA explained to applicant that if she relocates and wants to continue to provide care, she must submit a change of location application and have the new home inspected.

Applicant understands that if an unusual incident occurs; licensing is to be notified via phone call, e-mail or fax within 24 hours and the Unusual Incident Report LIC 624 shall be submitted within seven days to remain in compliance.

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.

This facility evaluation report was reviewed and discussed with the applicant. Records, postings and reporting requirements were discussed.

Effective Friday, December 4th 2020, LPA is granting a large family child care license to serve 12 children (when there is an assistant present) with no more than 4 infants or capacity of 14 children with 1 child in kindergarten or elementary school and 1 child at least age 6 and a maximum of 3 infants. Infants are children under the age of 2 years old.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L Denton	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2020

LIC809 (FAS) - (06/04)

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