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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 115407078
Report Date: 01/23/2020
Date Signed: 01/23/2020 09:43:02 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:GRIFFITH, JENNIFER FAMILY CHILD CARE HOMEFACILITY NUMBER:
115407078
ADMINISTRATOR:GRIFFITH, JENNIFERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 828-4218
CITY:ORLANDSTATE: CAZIP CODE:
95963
CAPACITY:14CENSUS: 12DATE:
01/23/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Jennifer GriffithTIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) David Wilson arrived at facility on 01/23/2020 for a licensee initiated inspection due to the facility now has a converted garage to use as a room for children in day care. LPA observed the garage walls that are all sheet rocked and painted. Per licensee, the garage walls have been insulated. LPA observed that there is no typical garage door any longer and this converted room has three doors with two doors lead to outdoors and one door that leads to inside the home. The two doors leading outdoors are double locked to prevent children from opening these two doors leading out of the home. Licensee understands that there must always be climate control ensuring this room always remains comfortable for children in care. There are adequate furnishings for sitting, using a table and napping. There are age appropriate toys for children to have play activities.

LPA has determined this converted garage room is adequate to use as a room in this facility for child care.

This report, as well as the American Academy of Pediatrics Guide to Safe Sleep Practices brochure, were reviewed and discussed with the licensee.

All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit has been given to licensee and must be posted for thirty days from today's date.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David WilsonTELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2020
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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