073406440-11-27-2019-02-CC-PPEN-BJBPQG-20191127103109

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073406440
Report Date: 11/27/2019
Date Signed: 11/27/2019 10:32:22 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	RIDDLE, LORETTA & THORNTON		FACILITY NUMBER:	073406440
ADMINISTRATOR:	RIDDLE, LORETTA & THORNTON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 243-9930
CITY:	EL SOBRANTE	STATE: CA	ZIP CODE:	94803
CAPACITY:	14	CENSUS: 6	DATE:	11/27/2019
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Loretta & Thornton Riddle		TIME COMPLETED:	10:40 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) Paul Petersen conducted an unannounced annual required visit for this facility at 8:55. LPA met with licensees, Thornton and Loretta Riddle, and toured all areas of the facility on limits for children in care. Also present at the time of LPA's arrival were four children in care. Two additional children in care arrived while LPA was present for a total of three preschoolers and three school age children. The facility is within ratio and capacity. All adults present are background cleared and associated to this facility. The on limits areas of the home are the converted garage, the living room, the tv room, the hall bathroom, and the kitchen. Off limits areas are made inaccessible by closed doors and visual supervision. There is child safety gating at the base of the stairs. The home is clean and organized with available heating and ventilation for safety and comfort. Hazardous items/toxins are stored inaccessible to children in care via child safety latches. Per licensee, there are no firearms present or stored on the premises. Furnishings and equipment are age appropriate and in good repair/free of observed hazardous conditions. There is a working carbon monoxide detector, working smoke detector and fully charged 2A10BC fire extinguisher. The backyard is presently off limits to children pending clearing of weeds/high grass areas. The facility uses the front yard and outdoor side area for outdoor play area for children. Direct adult supervision must be present at all times the front or side areas are used for children. There are no pools, hot tubs or other accessible bodies of water. Continued on Page 2**************************************************************************************

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2019

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: RIDDLE, LORETTA & THORNTON	FACILITY NUMBER: 073406440
	VISIT DATE: 11/27/2019

NARRATIVE

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LPA reviewed facility, personnel and children's records. Mandatory reporter training has been completed. Licensees' CPR/First Aid expires in 10/2020. A copy of the Safe Sleep For Infants PIN including was provided and reviewed. All required postings are present.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual-Regulation Interpretations and Procedures for Family Child Care Homes Sections 102417. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information 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

LPA reviewed with licensee the current Facility Personnel Report Summary and verified that all adults requiring background clearances are cleared and associated to this facility. Licensee is encouraged to visit www.ccld.ca.gov for licensing regulations and forms. To sign up for quarterly updates contact: childcareadvocatesprogram@dss.ca.gov.

There were no deficiencies cited during this inspection. A notice of site visit was printed and posted and is to remain posted for 30 days. Appeal rights were provided and a copy of this report is to remain in the facility records for three years from today's date

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2019

LIC809 (FAS) - (06/04)

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