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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313615176
Report Date: 03/10/2020
Date Signed: 03/10/2020 11:54:20 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:CUNNINGHAM, ROBINFACILITY NUMBER:
313615176
ADMINISTRATOR:CUNNINGHAM, ROBINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 889-1052
CITY:AUBURNSTATE: CAZIP CODE:
95603
CAPACITY:14CENSUS: 4DATE:
03/10/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Robin CunninghamTIME COMPLETED:
12:10 PM
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At 10:58 AM Licensing Program Analyst (LPA) Lea Habtom and Licensing Program Manager Keven Peters met with the Licensee, Robin Cunningham, for the purpose of an unannounced Annual inspection. The Licensee's assistant, Taylor Werth, was also present upon arrival. At 10:59 AM LPA observed 4 preschool children supervised by 1 staff at the outdoor playground. Operating hours are 6:30am to 5:30pm, Monday through Fridays.

A health and safety inspection was conducted in all areas accessible to children. Off-limits areas include the basement, two locked sheds and side yard. Licensee acknowledged that children may never enter these off-limit areas. LPA observed a working phone, fire extinguisher, and functioning smoke and carbon monoxide detectors. Licensee stated there are no weapons in the home. Toxic and hazardous items (detergents, cleaning compounds, medications, sharp utensils, items that could pose a danger to children in care) are properly stored and inaccessible to children. The fireplace in the home is appropriately barricaded to prevent access by children. The stairs is properly barricaded by a wooden gate with a latching mechanism. Safe toys and play equipment are observed. The outdoor play space is fenced. The backyard is fenced and gated. There is not a ground pool on the property.

Some children’s files were reviewed. A current roster is being maintained. Licensee fire and disaster drills are conducted and documented with last fire drill completed on December 2019. CPR and first aid training were verified and expire March 31, 2020. LPA verified Mandated Reporter Training (AB 1207) was complete with an expiration date of June 30, 2021.

Licensee does not provide Incidental Medical Services (IMS). 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.
REPORT IS CONTINUED ON THE FOLLOWING PAGE LIC 809-C
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Lea HabtomTELEPHONE: (916) 208-2538
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
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: CUNNINGHAM, ROBIN
FACILITY NUMBER: 313615176
VISIT DATE: 03/10/2020
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LPA verified the annual fees are current. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so the Licensee can request to be added to the distribution list to receive Quarterly Updates.

LPA observed proof that licensee and staff/ volunteers have met the requirements of SB 792.

LPA discussed the new Safe Sleep in Child Care regulation and gave licensee the brochure. LPA discussed and gave licensee the Effects of Lead Exposure brochure.

LPA reviewed and discussed this facility evaluation report with the Licensee. LPA provided a Notice of Site Visit and the Licensee acknowledges that this notice should remain posted for 30 days for parental review. Licensee was encouraged to visit the Department website at http://ccld.ca.gov for child care updates, current forms, legislation and regulation information.



In the areas that were evaluated during today's inspection there were no deficiency observed.

SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Lea HabtomTELEPHONE: (916) 208-2538
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
LIC809 (FAS) - (06/04)
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