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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153909948
Report Date: 12/17/2019
Date Signed: 12/17/2019 11:47:48 AM

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:WATSON, KRISTIAN FAMILY CHILD CAREFACILITY NUMBER:
153909948
ADMINISTRATOR:WATSON, KRISTIANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 759-9754
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:14CENSUS: 6DATE:
12/17/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Kristian Watson - LicenseeTIME COMPLETED:
11:30 AM
NARRATIVE
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Licensing Program Analyst (LPA) Jessika Thompson conducted an unannounced annual/random inspection. LPA met with Licensee Kristian Watson who provided a tour of the home, as shown on the facility sketch. Licensee, her husband, and three minor children live in the home. This is a two story home home where the stairs are barricaded. There are no firearms or “bodies of water” on the premises. Off limits areas are made inaccessible by use of baby gates and spinning door knob covers. Required forms are posted. Smoke and carbon monoxide detectors meet State Fire Marshall standards. Safe toys and play equipment were observed. There is a working telephone. Adequate supervision was provided during this visit. Outdoor play areas are fenced and supervised by the licensee or care giver. Capacity as specified on the license is being maintained. Staff-child ratios are maintained. Children’s records contain all emergency information specified by regulation. There are no excluded individuals present at this home. All adults who reside or work in the home have a criminal record clearance or exemption as indicated on Facility Roster. Licensee has current pediatric CPR and First Aid that expires on 03/17/20. Licensee is aware of safe sleep concepts for infants in care. Licensee maintains proof of immunization, for herself, within the family child care home. Lead safety was discussed, and LPA provided Licensee with a brochure. Licensee understands that lead safety information must also be provided to parents and/or authorized representatives of children in care. Provider Information Notices were discussed, and licensee is aware that forms and updated information may be obtained on the CCLD website (www.ccld.ca.gov). Incidental Medical Services (IMS) policy was discussed. Licensee reported that currently she does not have any children enrolled requiring IMS. Licensee was advised that if/when any IMS is provided, a Plan for Providing IMS must be submitted to the Department.

Business hours are Mon-Fri 7:00 AM to 7:00 PM, and as arranged.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found (see next page):

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019
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: WATSON, KRISTIAN FAMILY CHILD CARE
FACILITY NUMBER: 153909948
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/17/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/03/2020
Section Cited

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Operation of a Family Child Care Home. The home shall be free from defects or conditions which might endanger a child. This requirement was not met as evidenced by LPA's observations.
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During today's inspection, LPA observed the backyard fencing of the premises to be missing two wooden planks on the western side of the fence, and one wooden plank on the southern side of the fence. This poses a potential risk to the health, safety or personal rights of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:
DATE: 12/17/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/17/2019
LIC809 (FAS) - (06/04)
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