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
26
27
28
29
30
31
32 | classification of 2 A 10: B C, which, meets fire marshal requirements. There are first aid supplies available. Emergency Disaster Plan is posted and is dated 06/18/14 and is current,
per Licensee. Fire and earthquake drills were last conducted on 06/18/14 and meet six (6) month requirement. The facility utilizes a land line and cellular telephone. The facility is not currently providing *Incidental Medical Services (IMS) for any children in care.
Off Limit areas where children are not permitted include: Upstairs, Private Bedrooms
Training/Record Review:
Licensee and all adults present in the home have criminal background clearances and are associated to the facility. Licensee and has current CPR/First Aid training, which, expires in 08/2021. Licensee has current Mandated Reporter training, certification is dated 02/0818.
Posted: Facility License, Emergency Disaster Plan Notification of Parent's Rights, Earthquake Preparedness Checklist. If You See Something, Say Something will be posted.
Staff Immunization: Licensee and staff have immunization records on file, including tuberculosis.
Overall, the home is clean, orderly and in good repair. The temperature is comfortable and there is adequate heating and ventilation. There are safe, healthful and comfortable accommodations, furnishings and equipment. There are no cleaning solutions, medications, toxins or other hazardous items accessible to children. There are no pools, hot tubs or other bodies of water present.
FACILITY IN SUBSTANTIAL COMPLIANCE. NO DEFICIENCIES CITED ON THIS DATE. Exit interview conducted. Licensee issued a Facility Evaluation Report, which was discussed with the Licensee, signature obtained below. A copy of this report shall be maintained for 3 years and available for public review upon request.
Notice of Site Visit was issued and shall be posted remain posted for 30 days. Failure to keep this notice posted for the 30 consecutive days will result in an immediate $100 civil penalty. |