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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845193
Report Date: 12/30/2020
Date Signed: 12/30/2020 12:04:31 PM

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:SANDERS FAMILY CHILD CAREFACILITY NUMBER:
334845193
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
12/30/2020
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Emma Sanders-LicenseeTIME COMPLETED:
10:30 AM
NARRATIVE
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An informal meeting was held virtually via FaceTime due to COVID-19 State of Emergency, on December 30, 2020 at 9:20 AM. Present in the conference were Licensee Emma Sanders, Licensing Program Manager (LPM) Dawn Parker, Licensing Program Analysts (LPAs) LaKesha Edwards and Jeanette Sanchez. The purpose of the virtual meeting is to discuss the following:

· Criminal Record Clearance
· Operation of a Family Child Care Home-Poisons, detergents, cleaning compounds, other hazardous
Items should be stored where they are inaccessible to children. The home shall be kept clean and
orderly, with heating and ventilation.
· Infant Safe Sleep
· Personnel Requirements

Provided during the Tele-visit was 102370(a) Criminal Record Clearance, 102417(4)-Operation of Family Child Care Home and 102425- Infant Safe Sleep regulations.

The following plan of action, due January 13, 2021, was reached and agreed on during this meeting:
· Licensee agrees to make sure she remains in compliance by writing a statement with a plan on how she will keep the home in good condition. Licensee also agreed to provide a written statement that she has reviewed Safe Sleep Regulations and will follow the guidelines per regulations.

· Licensee agreed to make sure her CPR/First Aid License is current and up to date and assistant staff member as well.

· Licensee agrees to make sure any adult living in the home or work or volunteer at the facility have a Criminal Record Clearance prior to presence in the facility. Continued on 809-C
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Lakesha EdwardsTELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2020
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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: SANDERS FAMILY CHILD CARE
FACILITY NUMBER: 334845193
VISIT DATE: 12/30/2020
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LPM Parker discussed the importance of being in compliance at all times with Title 22 Regulations and how the licensee intends to ensure keeping the home clean and orderly, including having protective coverings over electrical outlets, providing the appropriate equipment for napping and feeding for infants in care and proof of following CDC and CDPH guidelines in regards to COVID-19 with postings and conducting screening with parents before children are dropped off. As a result of this informal conference, Licensee Emma Sanders, informed the Riverside Child Care Regional office that she understands that she must maintain full compliance with Title 22 regulations. An Exit interview was conducted and a copy of this report will be emailed to Licensee Emma Sanders in lieu of her signature.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Lakesha EdwardsTELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2020
LIC809 (FAS) - (06/04)
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