334844621-10-20-2022-10-CC-SBRR-CKDN62-20221020101024

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334844621
Report Date: 10/20/2022
Date Signed: 10/20/2022 10:10:37 AM

Document Has Been Signed on 10/20/2022 10:10 AM - It Cannot Be Edited

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:	BROWN FAMILY CHILD CARE		FACILITY NUMBER:	334844621
ADMINISTRATOR:	BROWN, RENEE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 565-8667
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92563
CAPACITY:	14	CENSUS: 4	DATE:	10/20/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	07:35 AM
MET WITH:	Robert Brown & Renee Brown, Licensee		TIME COMPLETED:	10:15 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	On 10/20/2022 at AM Licensing Program Analyst (LPA) Susan Brewer arrived at the facility to conduct an annual inspection. LPA was greeted by Licensee’s Spouse Robert Brown, granted entry to tour the facility, inside and out. LPA reviewed records and observed and/or discussed the following: Present were the licensee Renee Brown and 4 residents. Updated were the LIC279 Application form Days & Hours of operation and the LIC610A Emergency disaster form. Normal days and hours of operation are Monday- Thursday, 7:00 AM to 5:00 PM OFF-LIMIT AREAS INCLUDE: Kitchen, Laundry Room, Entire 2^nd Floor and Garage. The inspection consisted of reviews of the following domain: Physical Plant, Care and Supervision, Records, Facility Administration, Staffing Ratio and Capacity, Personal Rights. The inspection found the facility to be in compliance in these domains. · The facility is operating within the licensed capacity and appropriate ratios. A census was taken of 4 children in care. · The Licensee is present in the home and has ensured that children in care are supervised. · 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. · Appropriate fire extinguisher tagged 11/02/2020 and needle is in the green, Smoke detector and carbon monoxide detector are present and were tested by the Licensee during this inspection on 10/20/2022. · All hazardous items are inaccessible, this includes detergents, cleaning compounds, medications and other items which could pose a danger to children are locked in the laundry room or garage. · Storage of poisons is inaccessible to children and locked in the garage. · There is a properly barricaded fireplace on 10/20/2022

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022

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: BROWN FAMILY CHILD CARE	FACILITY NUMBER: 334844621
	VISIT DATE: 10/20/2022

NARRATIVE

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· No guns or weapons present as stated by the Licensee. Licensee Renee Brown, understands all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 regulations.
· Stairs are barricaded on 10/20/2022.
· Home is clean and orderly, with heating and ventilation for safety and comfort
· Safe and appropriate toys and equipment are present for both indoor and outdoor activities.
· Outdoor play areas are fenced and/ or appropriate supervision is present
· Verification of control of property on file by grant deed. 06/03/2017.
· Pediatric CPR and First Aid Card expire on 09/2024.
· Health & Safety Certificate - completed on NOT ON FILE; Lead component 06/10/2021.
· Mandated reporter General NOT ON FILE; AB1207 Child Care Expires: 02/2024
· Fire clearance: 01/17/2018
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 10/03/2022 at 11:00 AM, 7 children present.
· There are no bodies of water on 10/20/2022. Licensee Renee Brown, 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.
· Children’s files are complete 10/20/2022.
· Staff’s files are complete on 10/20/2022.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

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

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022

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: BROWN FAMILY CHILD CARE	FACILITY NUMBER: 334844621
	VISIT DATE: 10/20/2022

NARRATIVE

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Licensee Renee Brown, was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA Susan Brewer, discussed the safe sleep regulations with licensee Renee Brown and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/ection-process.

No citations issued on 10/20/2022.

No civil penalties issued on 10/20/2022.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Renee Brown.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022

LIC809 (FAS) - (06/04)

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