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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153910610
Report Date: 01/17/2020
Date Signed: 01/17/2020 12:02:38 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:GROGAN, ANITA FAMILY CHILD CAREFACILITY NUMBER:
153910610
ADMINISTRATOR:GROGAN, ANITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 379-6802
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:14CENSUS: 10DATE:
01/17/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Anita GroganTIME COMPLETED:
10:45 AM
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Licensing Program Analyst(LPA) Daniel Alvarez met with Licensee Anita Grogan today for an unannounced Annual/Random inspection. A tour and inspection of the home, inside and outside, as shown on the facility sketch is provided. The backyard is off-limits to day-care children, children will utilized licensee side-yard for day-care use. There is a fireplace in the home that will not be used during day-care hours. Background clearances were discussed and the LIS 531 was signed indicating that the adults living in the home and/or providing care and supervision to children are background cleared. Fire and disaster drills are being conducted and documented at least once every six months. There is a working telephone and number was verified. Adequate supervision is being provided during this visit. Capacity as specified on the license is being maintained. LPA observed safe toys, safe indoor play areas, child safety plugs in unused electrical outlets, child safety latches on cabinets and/or cabinets with safe items. Smoke and carbon monoxide detectors, fire extinguisher, and first aid kit are operable and in place. Room that are accessible to day-care children are the preschool room, playroom and both hall bathrooms. Off-limits rooms are made inaccessible by child safety gates and child safety plastic door knobs. CPR, first aid training and health and safety training are current expiring 12/15/2020. Licensee stated there are firearms in the home, that are kept stored and locked in an off-limits room per title 22 regulations. There is an in-ground swimming pool located on the property that is properly fenced per title 22 regulations. Licensee does have one medium size dog that will be inaccessible to day-care children. Licensee is aware of child safety around pets and accepts responsibility for any actions taken by pets. . A child roster is maintained. Required postings are correct. Day-care hours of operation are Monday through Friday from 7:00AM - 5:00PM and as arranged.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Daniel Q AlvarezTELEPHONE: (559) 341-8684
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: GROGAN, ANITA FAMILY CHILD CARE
FACILITY NUMBER: 153910610
VISIT DATE: 01/17/2020
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Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. LPA informed Licensee of Safe Sleep practices for infants and how to provide Safe Sleep environments. LPA informed Licensee to visit the Department’s website (www.ccld.ca.gov) for updates and changes related to licensing regulations and procedures.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, no deficiencies were found during today's inspection.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Daniel Q AlvarezTELEPHONE: (559) 341-8684
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020
LIC809 (FAS) - (06/04)
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