325407862-1-14-2021-13-CC-EGRK-BX9P6P-20210114100238

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 325407862
Report Date: 01/14/2021
Date Signed: 01/14/2021 10:03:07 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:	MARRS, JACKIE FAMILY CHILD CARE HOME		FACILITY NUMBER:	325407862
ADMINISTRATOR:	MARRS, JACKIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 258-2554
CITY:	CHESTER	STATE: CA	ZIP CODE:	96020
CAPACITY:	14	CENSUS: 0	DATE:	01/14/2021
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Jackie Marrs		TIME COMPLETED:	10:00 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	A pre-licensing inspection was conducted today by LPA, Emilia Grisak in response to a request by licensee for a change of location. The facility inspection was conducted via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak. The licensee is requesting a license for a capacity of 14 and fire clearance was approved on 1/12/2021 for capacity of 14. Services will be provided seven days a week from 6am to 3am. The applicant understands that child care must be provided in the "primary" residence of the applicant. The residence is a one bedroom/two bath home. There are two adults living in the home. Applicant was advised that all adults residing or working at the facility must have a criminal background clearance on file with CCLD. All minors residing in the home must be fingerprinted within 30 days of reaching their 18th birthday and obtain a TB clearance. The applicant is aware of the immediate $100 per day civil penalty for adults working or residing in the home without a criminal record clearance. The entire upstairs which includes the master bedroom and bath, kitchen, and laundry room are off limits to the children. These areas have been made inaccessible by means of baby gates. The home appears to be clean and orderly at this time and will remain so during child care hours. There is a working telephone. Required postings are posted near the front entrance. The sharp knives, cleaning supplies, medicines, are stored out of the reach of children. There are no poisons stored in the home at this time and applicant understands poisons must be locked. The applicant reports there are no weapons in the home and none were observed during the visit. The children in care will have access to age appropriate toys and equipment. The home is equipped with a working smoke detector, carbon monoxide detector, and fire extinguisher rated at least 2A10BC. The fireplace is securely screened. The children will use the backyard as the outdoor play area and it is fully fenced There is no trampoline on the premises. There is no pool, spa, pond, fountain, nor any other source of water accessible to the children, and none is to be added without prior notification and approval of the licensing agency.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia Grisak	TELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2021

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: MARRS, JACKIE FAMILY CHILD CARE HOME	FACILITY NUMBER: 325407862
	VISIT DATE: 01/14/2021

NARRATIVE

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The licensee understands that any authorized employee of the Department may enter and inspect the facility with or without advance notice. This report, as well as the American Association of Pediatrics Guide to Safe Sleep Practices brochure, were reviewed and discussed with the licensee. All licensing reports are public information and must be made available upon request for at least three years.

Any proposed changes to the physical plant, telephone number, or change of address shall be immediately reported to the Department.

The facility will be processed for licensure.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia Grisak	TELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2021

LIC809 (FAS) - (06/04)

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