153803023-7-31-2019-04-CC-TMAZ-BELR9D-20190731124922

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153803023
Report Date: 07/31/2019
Date Signed: 07/31/2019 12:49:29 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	BONNER FAMILY CHILD CARE		FACILITY NUMBER:	153803023
ADMINISTRATOR:	BONNER, DOROTHY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 665-2192
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93313
CAPACITY:	14	CENSUS: 7	DATE:	07/31/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Dorothy Bonner		TIME COMPLETED:	01:00 PM

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Licensing Program Analysts (LPAs) Theresa Marquez and Diane Mercado conducted an unannounced Annual inspection and met with Licensee Dorothy Bonner. Also present was her Assistant Terry Portis. The working telephone number was verified. Postings such as facility license, Emergency Disaster Plan, Earthquake preparedness checklist, and Notification of Parent’s Rights are posted on the day-care room wall.

LPAs conducted a tour of the home, inside and outside. The rooms accessible to children in care: 2 child care rooms, an adjacent bathroom and the fenced backyard. The rest of the home is off-limits to children. The Fireplace is screened and inaccessible to children in care. A working fire extinguisher is present. Smoke detector and carbon monoxide indicators were tested and observed to be operational. There are no stairs in the home. Adequate supervision is being provided during this inspection.

Children are supervised when outside in the fenced play area. No pets were observed today. There are no "bodies of water" or firearms in this home. No poisons were observed on the premises.

Capacity as specified on the license is being maintained. Licensee has a current roster of the children. A random sample of Children’s files were reviewed for documentation of immunizations. Staff files were reviewed for record of immunizations; pertussis, measles and influenza for herself. Licensee has provided parents with a copy of the Family Child Care Home Notification of Parent's Right (LIC995A). The most recent fire drill was conducted on 7/2/2019. Fire drills are conducted and documented with the date and time every six months. All adults who reside or work in the home have a criminal record clearance. Pediatric CPR/First Aid is current and expires 7/21/2021. Mandated Reporter training AB 1207 is current and expires 1/28/2021. Licensee is aware that any authorized employee of the Department may enter and inspect any place providing personal care and services at any time, with or without advance notice.

Days and hours of operation are Monday – Friday; 5:30 AM – 6:00 PM.

(Continued on LIC809-C)

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2019

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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: BONNER FAMILY CHILD CARE	FACILITY NUMBER: 153803023
	VISIT DATE: 07/31/2019

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LPA & Licensee discussed the Community Care Licensing (CCL) website, newly proposed Safe Sleep regulations and the new additions to the website that include the Provider Information Notifications (PIN), including the Quarterly Updates that informs licensees of new legislation and regulations.

LPA discussed Incidental Medical Services (IMS) and provided Licensee with a copy of the Plan for IMS – Family Child Care Home Requirements (FCCH). For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for FCCH Section 102417. No IMS are being provided at this time.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were cited.

THE LICENSING FORM LIC9213 NOTICE OF SITE VISIT IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2019

LIC809 (FAS) - (06/04)

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