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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 185406531
Report Date: 05/15/2019
Date Signed: 05/15/2019 10:14:56 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:JOYNER, THERESA FAMILY CHILD CARE HOMEFACILITY NUMBER:
185406531
ADMINISTRATOR:JOYNER, THERESAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 251-3692
CITY:LITCHFIELDSTATE: CAZIP CODE:
96117
CAPACITY:14CENSUS: 5DATE:
05/15/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Theresa JoynerTIME COMPLETED:
10:20 AM
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A plan of correction inspection was conducted today by Licensing Program Analysts (LPAs) Chris Krogstad and Patricia Pacheco, as a follow-up to an inspection visit that was conducted on 4/25/19.

During the inspection on 4/25/19, LPAs observed observed the licensee's assistant (S1) smoking a cigarette on the walkway between the main home and garage and a nine month old infant (C1) asleep, stomach down, on a semi-circular "boppy" pillow. A Type A Personal Rights violation was issued for an infant sleeping in an unsafe manner and a Type A deficiency was issued for smoking on the premises.

During today's inspection, the home was toured and inspected. The licensee was supervising five children, to include her own child, a 9 month old infant and three preschool aged children. No children or infants were asleep. The licensee has a play yard with a tight fitted sheet available for the infant to nap in. The licensee stated she understood that infants shall be napped in a crib or play yard, free of any loose items, with only a tight fitted sheet and shall be placed on their back.

There was no one observed smoking in the home or on the premises and no evidence found of smoking. The licensee stated she is now having her assistant leave the property for her breaks.

Six of six children's files were reviewed at 9:47am. Acknowledgement of Receipt of Licensing Reports LIC 9224 were signed and in children's files. The deficiencies issues on 4/25/19 were cleared during today's inspection. This report, as well as the AAP Guide to Safe Sleep Practices brochure, were again 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 shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Christen KrogstadTELEPHONE: (530) 895-4230
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019
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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