093606759-6-1-2023-03-CC-EPGO-CSDS3A-20230601133050

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 093606759
Report Date: 06/01/2023
Date Signed: 06/01/2023 01:30:59 PM

Document Has Been Signed on 06/01/2023 01:30 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	ENRIGHT, ELISA		FACILITY NUMBER:	093606759
ADMINISTRATOR:	ENRIGHT, ELISA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 417-5662
CITY:	SHINGLE SPRINGS	STATE: CA	ZIP CODE:	95682
CAPACITY:	14	CENSUS: 10	DATE:	06/01/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Elisa Enright		TIME COMPLETED:	01:45 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) Erwina Pascual-Golamco and Jennifer Velasco met with Licensee, Elisa Enright, for an unannounced annual inspection. The off-limit areas include: entire upstairs, office, bathroom #2, laundry room, garage, two sheds, barn and bedroom #1. The entire upstairs of the home is made inaccessible by gate at the foot of the stairs. Licensee understands that children may never enter these off-limits areas. During the inspection there was a census of 10 CHILDREN being supervised by the licensee and assistant. All individuals subject to criminal background review have obtained a criminal record clearance. Facility hours of operation are Monday through Friday from 7:30am to 5:30pm. Health and safety inspection were conducted in the areas accessible to children. LPA observed home was orderly, and free of hazards. The house has a working telephone, fully charged fire extinguisher, smoke detector and carbon monoxide detector that meet regulations. LPA observed all required postings. LPA informed the licensee that poisons, detergents, cleaning compounds, medicines, and other items which could pose a danger to children shall be stored, locked, and inaccessible to children. LPA observed a fireplace within the home is also made inaccessible to children. Licensee stated there are weapons in the home. LPA observed that the weapon was properly stored according to Title 22 regulations and observed that the weapon and ammunition were locked separately. There is an in-ground pool in the back yard that meets Tittle 22 regulations. Pool is completely surrounded by a see through fence that is at least 5 feet high. LPA observed the gate to self-close and self-latch. There are no windows or doors that provide direct access into the pool area. The backyard is fenced and gated. continued...

SUPERVISOR'S NAME: Natalie Dunaway	TELEPHONE: (916) 584-3508
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco	TELEPHONE: (916) 206-1524
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

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
RIVER CITY (SACTO)CC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ENRIGHT, ELISA	FACILITY NUMBER: 093606759
	VISIT DATE: 06/01/2023

NARRATIVE

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LPA observed a children's roster and fire drill log, which was last conducted on 1/29/23. Licensee has current CPR/First aid, which expires 8/28/23. Licensee’s Mandated Reporter Training expires 12/27/23. Licensee understands both trainings must be completed every two years. LPA reviewed records of children’s files, which contained the required documentation. Technical assistance provided regarding immunizations and form CDPH286.

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

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA encourage the licensee to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

Licensee is aware of and/or practicing safe sleep regulations. Safe Sleep (ca.gov)

No deficiencies were cited during today’s inspection.

Exit interview conducted and report was reviewed with the Licensee. A notice of site visit was provided and must remain posted for 30 days

SUPERVISOR'S NAME: Natalie Dunaway	TELEPHONE: (916) 584-3508
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco	TELEPHONE: (916) 206-1524
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

LIC809 (FAS) - (06/04)

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