073408763-3-15-2021-02-CC-CACA-BZ5RVF-20210315132128

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073408763
Report Date: 03/15/2021
Date Signed: 03/15/2021 01:21:58 PM

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:	LIGON, JANELLE		FACILITY NUMBER:	073408763
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 7	DATE:	03/15/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Janelle Ligon		TIME COMPLETED:	01:00 PM

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) Cherie Acosta conducted a virtual case management/increase in capacity inspection by use of FaceTime. An in person inspection was not conducted due to the COVID-19 pandemic. The home was virtually toured with licensee to conduct a health and safety inspection. Licensee resides in the home with her three minor children. Present during the inspection was the licensee, licensee's fingerprint cleared assistant, licensee's three children of which two are over 10 years of age, two preschool aged children and four school aged children. Licensee states the hours of operation for day care will be Monday through Friday, 6:00am to 6:00pm. Community Care Licensing (CCL) has received an approved fire clearance dated 1/14/21. Fire inspection indicates the second floor and garage are off limits to children. This is a two story home. The first floor consist of a living room, dining room, family room, kitchen, one bedroom, one bathroom, laundry room and garage. The second floor consist of three bedrooms and two bathrooms. The entire first floor in on limits expect the laundry room and garage. Areas that are off limits to children are the entire second floor, laundry room and garage. Off limit areas will be made inaccessible by use of gates, closed and/or locked doors and visual supervision. The on limits bedroom located on the first floor will be used as the isolation area. The fenced backyard will be used as the outdoor play area. This home has a pool that is properly fenced with a self closing gate that opens away from the pool. There are age appropriate toys in the home. There are no firearms in the home as stated by the licensee. LPA did not observe any hazardous materials or toxins accessible to children today. The home has a fully charged 2A10BC fire extinguisher. The home is equipped with working smoke detectors and carbon monoxide detector. There is a working telephone in the home. The applicant’s CPR and First Aid certificate is current and expires 3/14/23. Licensee completed mandated reporter training 2/25/21. Licensee completed lead poisoning training 2/3/21. Licensee is in compliance with immunization requirements. The home has a gas fireplace which is located in the family room. Licensee stated that the fireplace not used. LPA reviewed a sample of children and licensee's assistant files. Safe sleep information was discussed with the licensee. Safety precaution in regards to COVID-19 were discussed and posters were emailed to licensee.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie Acosta	TELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2021

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: LIGON, JANELLE	FACILITY NUMBER: 073408763
	VISIT DATE: 03/15/2021

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The licensee was reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident.

Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.

Licensee was also encouraged to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

This home is approved for a capacity increase as of today 3/15/21.
Report was reviewed with Janelle Ligon. Licensee agrees to sign and return this report to CCL by 3/16/21.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie Acosta	TELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2021

LIC809 (FAS) - (06/04)

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