093622591-12-13-2019-03-CC-JHOA-BJTSWB-20191213131404

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 093622591
Report Date: 12/13/2019
Date Signed: 12/13/2019 01:14:16 PM

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:	REED, ELIZA		FACILITY NUMBER:	093622591
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	12/13/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Eliza Reed		TIME COMPLETED:	01:35 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), Jan Hoshida, met with Licensee, Eliza Reed, for a case management inspection for the purpose of a capacity increase from 8 to 14 children. LPA toured all areas of the two-story home that are accessible to children. Upon arrival, LPA observed no children with Licensee. Licensee stated there are no new residents in the home since licensure. Off-limit areas include: entire upstairs, deck, garage, large play structure, zip line and sheep barn. Licensee acknowledged that children may never enter these off-limit areas. LPA observed a current roster of the enrolled children and fire drill log. The Fire Safety Inspection Clearance has been received from the El Dorado County Fire Department, P.O. Box 808, Camino, CA on 11/21/19 and the home has been cleared for up to 14 children. LPA observed cleaning supplies properly stored out of reach of children. Licensee stated there are no weapons in the home. Fire extinguisher (2A10BC), smoke detector, and carbon monoxide meet regulation. Toys appear to be clean and safe. The back yard and areas are fenced. Licensee understands that prior to making alterations or additions to the home or grounds, the Licensee shall notify the Department of the proposed changes. Large family child care home capacity limitations were reviewed during today's visit. Licensee acknowledges that when there is no assistant present, facility will revert back to the small capacity. Licensee acknowledges that children residing in the home under the age of 10 years shall be included in capacity. *REPORT CONTINUED ON NEXT PAGE*

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Jan Hoshida	TELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: REED, ELIZA	FACILITY NUMBER: 093622591
	VISIT DATE: 12/13/2019

NARRATIVE

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LPA observed a current CPR/First Aid certificate that expires 1/20/20. LPA reviewed children’s files and observed they contained emergency contact information and signed Notifications of Parents’ Rights. LPA discussed changes in sleep regulations and LPA advised licensee of their responsibility to stay current in regards to new regulations. Licensee stated that she will not be enrolling any infants. LPA advised licensee to visit the licensing website at http://www.ccld.ca.gov for current forms, laws, regulations and legislation. LPA also included the email address for the children's advocacy program to stay current on new laws childcareadvocatesprogram@dss.ca.gov.

Effective today's date, 12/13/19, LPA will approve the capacity increase to serve up to either 14 children, two (2) of which must be at least 6 years of age and no more than three (3) may be infants; or 12 children, four (4) of which may be infants. Infants are children under the age of 2.

In the areas that were evaluated, no deficiencies were observed at the time of the visit. Exit interview conducted. Notice of Site Visit posted.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Jan Hoshida	TELEPHONE: (916) 917-6572
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

LIC809 (FAS) - (06/04)

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