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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 280107763
Report Date: 02/05/2020
Date Signed: 02/05/2020 12:22:27 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME:WILLIAMSON, CELESTE FAMILY CHILD CARE HOMEFACILITY NUMBER:
280107763
ADMINISTRATOR:WILLIAMSON, CELESTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 963-4649
CITY:ST. HELENASTATE: CAZIP CODE:
94574
CAPACITY:14CENSUS: 9DATE:
02/05/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Sandra Lider, Licensee's AssistantTIME COMPLETED:
12:40 PM
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An annual inspection was made to the facility by Licensing Program Analyst (LPA) Kevin O'Connell. A review of staff records on 02/05/2020 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. There is 1 adult living in the home. During today’s inspection the home and grounds were toured with the Staff at 11:10am. Operating hours are 7:45am to 3:15pm, Monday- Friday. Today, the staff (2 assistants) were supervising 9 preschool children. Capacity & ratio are met. The floor plan was verified.
The off-limits areas of the home were made inaccessible by door handle covers. There is no fireplace.
Staff states that the poisons are locked in the detached garage. The back yard is used by children for outdoor play and is completely fenced.
The home was observed to be clean and orderly, and was at a comfortable indoor temperature. There were safe toys and equipment available for children. There is a working telephone in the home. Items which could pose a danger to children (such as detergents, cleaning compounds, medications, etc.) were observed to be stored out of the reach of children. The LPA observed a working smoke and carbon monoxide detector and a charged fire extinguisher rated at least 2A:10-BC. The roster of children in care was reviewed and was current and a fire disaster drill was conducted within the past six months (12/19).
Pediatric CPR and First Aid certifications for all were current and expire 10/2020.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020
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,
, CA
FACILITY NAME: WILLIAMSON, CELESTE FAMILY CHILD CARE HOME
FACILITY NUMBER: 280107763
VISIT DATE: 02/05/2020
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Staff stated that there are no guns or dangerous weapons on the premises and none were observed.
Nine children's records were reviewed at 11:25AM for Immunizations and signed Notification of Parent’s Rights forms and all were present. Two staff files were reviewed at 11:30AM. Immunizations and Mandated Reporter Training certificates were current.
The Incidental Medical Services (IMS) policy was discussed with the staff. The licensee is not providing Incidental Medical Services (IMS) to children in care at this time as there is not a need. 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 is provided: US Department of Justice 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, www.ada.gov/childqanda.htm.
This report, as well as the AAP Guide to Safe Sleep, Safe Sleep in Childcare brochure, What does a Safe Sleep Environment Look Like brochure & Safe Sleep Concepts handout, were reviewed and discussed with the Staff. The Effects of Lead Exposure brochure has been reviewed with and discussed with staff.

All licensing reports are public information and must be made available upon request for at least three years. No deficiencies were cited today.

Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020
LIC809 (FAS) - (06/04)
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