313605154-1-14-2020-03-CC-JMCN-BKTNEU-20200114092430

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 313605154
Report Date: 01/14/2020
Date Signed: 01/14/2020 09:24:44 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	COLTON-WALSH, DEBBIE		FACILITY NUMBER:	313605154
ADMINISTRATOR:	COLTON-WALSH, DEBBIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 772-2383
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95661
CAPACITY:	14	CENSUS: 4	DATE:	01/14/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Debbie Colton-Walsh		TIME COMPLETED:	09:30 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Jeremey McClain met with licensee Debbie Colton-Walsh for an unannounced annual inspection. LPA observed four children in care today, which included one infant and three preschool age children. Licensee’s son was present during today’s inspection. Licensee stated there aren’t new residents in the home. All adult residents currently have criminal record clearances. LPA toured areas of the home accessible to the children. The off-limit areas are the master bedroom and bathroom and the upstairs. LPA observed current CPR/First Aid certificate which expires 11/2020. LPA observed the following posted: a license, a Parents' Rights Poster and an Emergency Disaster Plan. LPA reviewed children's records for completeness, as well as the client roster. Licensee provided proof of immunizations for MMR, Pertussis, and influenza. LPA discussed the Provider Information notice 19-08-CCP which discusses new immunization requirements from the Department of Public Health. LPA provided licensee with and updated CPDH 286 for recording children’s immunizations. LPA observed that hazardous items (detergents, cleaning compounds, medication, sharp utensils, and other items that could pose a danger to children in care) are properly stored out of children's reach. LPA observed a fire place that was properly screened, and stairs were properly barricaded. There is a working telephone in the home. Licensee stated that there are no weapons in the home. Licensee’s fire extinguisher, carbon monoxide and smoke detector meet regulation. LPA observed fire drills documented on a calendar, indicating that the licensee is conducting disaster drills at least once every 6 months. Toys appear to be safe and in working order. The backyard is fenced. LPA did not observe any bodies of water on the premises. Licensee has a pool that is fenced properly according to Title 22 Regulation. REPORT CONTINUED ON THE FOLLOWING PAGE.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020

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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: COLTON-WALSH, DEBBIE	FACILITY NUMBER: 313605154
	VISIT DATE: 01/14/2020

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed and the licensee is currently providing IMS. Licensee has a plan of operation for the necessary 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

AB1207 Mandated Reporter training was observed to be current through 1/2021. LPA provided Licensee with website: http://childcare.mandatedreporterca.com/ and reminded the licensee that the training must be completed once every two years.

LPA discussed recent changes in licensing requirements, Safe Sleep Regulations Concepts and provided licensee with Provider Information Notice. LPA also provided licensee with CDSS’ AB 2370 brochure regarding the effects of lead exposure. LPA provided the licensee with the Summer 2019 quarterly update from Childcare Advocates.

Licensee stated that she enrolled with the child care advocates program and receives quarterly updates and provider information notices.

No deficiencies were observed during today’s inspection.

This report was reviewed with the licensee, and an exit interview was conducted. A Notice of Site Visit was provided and should remain posted for 30 days.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020

LIC809 (FAS) - (06/04)

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