255407644-11-18-2021-13-CC-NCUM-C8VT4U-20211118132432

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 255407644
Report Date: 11/17/2021
Date Signed: 11/18/2021 01:24:39 PM

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:	ANDERSON, AMBER FAMILY CHILD CARE HOME		FACILITY NUMBER:	255407644
ADMINISTRATOR:	ANDERSON, AMBER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 708-1760
CITY:	ALTURAS	STATE: CA	ZIP CODE:	96101
CAPACITY:	14	CENSUS: 6	DATE:	11/17/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Amber Anderson, Licensee		TIME COMPLETED:	02:30 PM

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On 11/17/21 a required annual inspection was made to the facility by Licensing Program Analyst (LPA), N. Cunningham. The home was toured inside and outside. The licensee was supervising three infants and three toddlers, and operating within the licensed capacity and ratio requirements. The facility’s operating hours are 7:30am-5:30pm, Monday–Friday, year around. The floor plan submitted by the licensee was reviewed and verified. The off-limits areas of the home are the master bedroom and bathroom, two bedrooms, and kitchen which were made inaccessible. Children play in the fully fenced front yard. The licensee stated that there are no bodies of water and none were observed during today's inspection. In the summer, the licensee plans on setting up an above ground pool in the back yard. LPA inspected the fencing and determined that it's in compliance when a body of water is present. Six children's records were reviewed at 1:15pm. Licensee’s record was reviewed. Licensee had a pediatric first aid/CPR certificate on file that expires 09/2023 and a mandated reporter training that expires 11/2021. There are two adult living in the home.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment..

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Nicolette Cunningham	TELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: ANDERSON, AMBER FAMILY CHILD CARE HOME	FACILITY NUMBER: 255407644
	VISIT DATE: 11/17/2021

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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Licensee Davis.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov . For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process .

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Nicolette Cunningham	TELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

LIC809 (FAS) - (06/04)

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