334819629-10-23-2019-10-CC-SBRR-BH8PJF-20191023112127

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334819629
Report Date: 10/23/2019
Date Signed: 10/23/2019 11:21:40 AM

COMPREHENSIVE INSPECTION

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME:	JONES FAMILY CHILD CARE		FACILITY NUMBER:	334819629
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 1	DATE:	10/23/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:12 AM
MET WITH:	Melissa Carreon Jones, Licensee		TIME COMPLETED:	11:25 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	(1) On 10/23/3019 at 9:12 AM, Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility for the purpose of conducting a random annual inspection as part of a compliance review. LPA toured the facility, inside and out, records were reviewed and the following was observed and/or discussed: Normal days and hours of operation are: Monday through Friday, 6:00am to 6:00pm; and Varias days will offer overnight care 9:45 PM to 6:45 AM. OFF-LIMIT AREAS INCLUDE: All bedrooms, laundry room, garage and backyard was made off limits as of 11/28/2018. · The facility is operating within the licensed capacity and appropriate ratios on 10/23/2019. · The Licensee is present in the home and has ensured that children in care are supervised on 10/23/2019 in an off-limit area of the home, the Master Bedroom. · When temporarily absent from the home, the Licensee shall arrange for a substitute adult to care for and supervise children · A working telephone is present on 10/23/2019. The licensee uses her cell phone. · Appropriate fire extinguisher last serviced on 11/25/2018 and is fully charged, smoke detector and carbon monoxide detector is present and were tested by the applicant during this inspection. · All hazardous items are inaccessible, this includes: detergents, cleaning compounds, medications and other items which could pose a danger to children

SUPERVISOR'S NAME: Telma Sandoval	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2019

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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: JONES FAMILY CHILD CARE	FACILITY NUMBER: 334819629
	VISIT DATE: 10/23/2019

NARRATIVE

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· Storage of poisons is inaccessible to children in closet with a child proof door knob on the closet. The licensee states that she will be replace with a key lock door knob.
· There is a properly barricaded fire place on 10/23/2019.
· No guns or weapons present as stated by the Licensee on 10/23/2019. Licensee understands all guns, weapons and ammunition must be key-locked separately and made inaccessible per Title 22 regulations.
· There are no stairs at this facility.
· Home is clean and orderly, with heating and ventilation for safety and comfort
· Safe and appropriate toys and equipment are present for the indoor activities and outdoor activities are not being provided at this facility.
· Outdoor play areas are fenced and made off limits as of 11/28/2019.
· Verification of control of property on file and reviewed on 10/15/2019.
· Property owner/landlord notification and consent on file
· 10:12 AM During the inspection the LPA observed postings at the entrance of the home. The Facility Sketch, Emergency Disaster Plan are not posted at the from entrance of the home. The licensee states that she can not find them. The Notification of Parent’s Rights is posted
· Pediatric CPR and First Aid Card expire on 04/2020
· Health & Safety Certificate - completed on 09/2007.
· There are no bodies of water at the home on 10/23/2019. Licensee does not own a pool and understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Clean, safe and age appropriate toys
· Documentation of fire drills on file. The last fire drill was July 19, 2019, 6 children present. The drill was conducted 3 times and exiting the house to the front yard.

SUPERVISOR'S NAME: Telma Sandoval	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2019

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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: JONES FAMILY CHILD CARE	FACILITY NUMBER: 334819629
	VISIT DATE: 10/23/2019

NARRATIVE

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· Each child’s file contains a copy of the emergency information card with required information
· Criminal record clearances are required prior to all adults living or working in a Family Child Care Home. A civil penalty of $100.00 per day the person has been present, may be assessed. All individuals subject to a criminal record review shall obtain a criminal record clearance or exemption prior to working, residing or volunteering in a licensed home. This was verified on 10/15/2019.
· The Department was granted inspection authority as required by the Health and Safety Code
· Facility is not currently providing IMS at this time. 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

During the exit interview, the LICENSEE, Melissa Jones, confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

A NOTICE OF SITE VISIT WAS NOT ISSUED. LPA S.Brewer, began at 9:12 AM, the licensee had to leave the facility to pick up additional day care children from the school. LPA S.Brewer, will continue the inspection later this morning when the licensee returns to the facility with the additional childre.

A copy of this report was reviewed and provided to the licensee Melissa Jones, on 10/23/2019 and must be made available to the public upon request for the next 3 years.

SUPERVISOR'S NAME: Telma Sandoval	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2019

LIC809 (FAS) - (06/04)

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