153807015-8-27-2019-04-CC-TMAZ-BFFREV-20190827125811

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153807015
Report Date: 08/27/2019
Date Signed: 08/27/2019 12:58:18 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:	CASWELL-MEARS, MOLLY FAMILY CHILD CARE		FACILITY NUMBER:	153807015
ADMINISTRATOR:	CASWELL-MEARS, MOLLY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 319-5095
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93313
CAPACITY:	14	CENSUS: 9	DATE:	08/27/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Molly Caswell-Mears		TIME COMPLETED:	01:15 PM

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Licensing Program Analyst (LPA) Theresa Marquez conducted an unannounced Annual inspection and met with Licensee Molly Caswell-Mears. Also present was Assistant Carissa Pope, Licensee’s son Chase Mears and Licensee’s minor relative. 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 day-care room (bedroom #3) wall.

LPA Marquez conducted a tour of the home, inside and outside. Cleaning compounds, medications and other hazardous items are inaccessible to children. Fireplace is screened and inaccessible to children in care. A working fire extinguisher is present. Smoke detector and carbon monoxide indicator were tested and observed to be operational. There are no stairs in the home.

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 and staff. 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 8/15/2019. All adults who reside or work in the home have a criminal record clearance. Pediatric CPR/First Aid is current and expires 11/10/2019. Mandated Reporter training AB 1207 is current and expires 6/3/2020. 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; 6:45 AM – 5:30 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: 08/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019

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: CASWELL-MEARS, MOLLY FAMILY CHILD CARE	FACILITY NUMBER: 153807015
	VISIT DATE: 08/27/2019

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Children are supervised when outside in the fenced play area. The home has a swimming pool that is fenced in accordance with Title 22 Regulations. Two dogs were observed during today’s inspection; licensee is aware of the safety of children around animals. The dogs are kept inaccessible to children via the fenced pool area. No poisons were observed on the premises.

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: 08/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019

LIC809 (FAS) - (06/04)

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