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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 065406249
Report Date: 09/05/2019
Date Signed: 09/06/2019 11:01:06 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:CALCAGNO, ROCHELLE FAMILY CHILD CARE HOMEFACILITY NUMBER:
065406249
ADMINISTRATOR:CALCAGNO, ROCHELLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 300-5089
CITY:COLUSASTATE: CAZIP CODE:
95932
CAPACITY:14CENSUS: 10DATE:
09/05/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Rochelle CalcagnoTIME COMPLETED:
12:25 PM
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An annual random inspection was made to the facility by Licensing Program Analyst (LPA), Laura Chavez. A review of staff records on 8/30/2019 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Three adults currently reside in the home.During today’s inspection the home and grounds were toured. The licensee and her assistant were supervising 10 children, and operating within the licensed capacity and atio requirements. No children were observed left in any parked vehicle. The facility’s operating hours are 7:30am to 5:30pm, Monday – Friday. The floor plan submitted by the licensee was reviewed and verified. The main house is off-limits to children not including the bathroom located off the laundry room and made inaccessible by a lock on the door leading into the main part of the home. The facility is clean, orderly and comfortable. There are safe toys and equipment available for children. The licensee stated there is a working telephone in the home. The licensee’s pediatric CPR and First Aid certifications were reviewed, and expire on 8/29/2021. Items which could pose a danger to children (such as detergents, cleaning compounds, medications, etc.) are stored out of the reach of children. Poisons are locked in sheds located on the property. The LPA observed a wo king smoke detector, carbon monoxide detector and fire extinguisher, rated at least 2A10BC. The roster of children in care was reviewed and was current. The licensee has conducted an emergency drill within the past six months, last drill was documented on 4/17/2019. The firearms and/or other dangerous weapons in the home are locked as required.The children use the backyard as the outdoor play area and it is fully fenced. The spa located in the backyard is locked as required. Ten children's records were reviewed at 11:47am; current immunization's and Notification of Parent’s Rights forms were on file. The licensee is not providing Incidental Medical Services (IMS) to children in care. 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 the American Disabilities Act (ADA) was provided: US Department of Justice 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, www.ada.gov/childqanda.htm. This report was reviewed and discussed with the licensee. All licensing reports are public information and must be made available upon request for at least three years.

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

There were no Title 22 deficiencies cited during today's inspection.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2019
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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