093615137-7-24-2019-03-CC-ESIA-BEDPW5-20190724114011

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 093615137
Report Date: 07/24/2019
Date Signed: 07/24/2019 11:40:18 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	MCGEEVER, MARGARET		FACILITY NUMBER:	093615137
ADMINISTRATOR:	MCGEEVER, MARGARET		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 417-5294
CITY:	PLACERVILLE	STATE: CA	ZIP CODE:	95667
CAPACITY:	14	CENSUS: 14	DATE:	07/24/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Margaret Mcgeever		TIME COMPLETED:	12:30 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) Elvira Sierra and Licensing Program Manager (LPM) Bettina Engelman met with Licensee, Margaret McGeever for the purpose of an unannounced annual random inspection. Upon arrival present in the facility was also Licensee’s adult son and 14 children (1 infant, 7 Preschool, 6 School aged). Facility is operating within License capacity on today’s inspection. All individuals subject to criminal background review have obtained a criminal record clearance. Hours of operation for the facility are 24 hours a day, seven days a week. Licensee understands that children are not to be present for more than a 24 hour period. A health and safety inspection was conducted in all areas accessible to children. Off-limits areas include; Entire upstairs, 3 bedrooms downstairs, bathroom inside bedroom # 1, utility room (Den), backyard, shed, and garage. Licensee acknowledged that children must never enter these areas. LPA and LPM observed the required postings, a working phone, a 2A10BC fire extinguisher that meet State Fire Marshall standards, and functioning smoke and carbon monoxide detectors. Licensee stated there are no weapons and no bodies of water on the premises. Toxic and hazardous items are inaccessible to children. Stairs in the home leading to the second level are properly barricaded. Home has a fireplace in the Licensee’s bedroom upstairs which is off limits to the children and outdoor play space is fenced. Children’s files were reviewed. LPA observed immunization records and signed Family Child Care Home Notification of Parents' Rights in children's files, including LIC 9224 (Acknowledgment of receipt of Licensing Reports). A current roster is being maintained and fire and disaster drills are documented and was conducted last on 07/08/19. The licensee's immunization records for measles (MMR), pertussis (Tdap), and the flu are available in the facility file. Current in person EMSA CPR and First Aid certification was verified and expires 10/19 and AB 1207 Mandated Reporter Training was verified for Licensee and Licensee's Assistants. Report continues on page 2..

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: MCGEEVER, MARGARET	FACILITY NUMBER: 093615137
	VISIT DATE: 07/24/2019

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
26
27
28
29
30
31
32

Page 2..

This provider is currently not providing IMS services to children in care. 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: https://www.ada.gov/childqanda.htm.

LPA verified that the annual fees are current. LPA Sierra provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so the licensee can request to be added to the distribution list to receive Quarterly Updates

LPA provided and discussed the Safe Sleep in Child Care and Effects of Lead Exposure brochures. LPA advised the licensee on Safe Sleep Practices and SIDS; the licensee stated they are understood. Licensee was advised infants cannot sleep in car seats, swings or other items not intended for sleeping.

This facility evaluation report was reviewed and discussed with the licensee. A Notice of Site Visit was provided and should remain posted for 30 days for parental review. Licensee was encouraged to visit the Department website at WWW.CDSS.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request. The licensee's signature on this form acknowledges receipt of this form.

In the areas that were evaluated, no deficiencies were observed at the time of the visit.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2