<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845714
Report Date: 11/05/2019
Date Signed: 11/05/2019 02:34:17 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:ERWIN FAMILY CHILD CAREFACILITY NUMBER:
334845714
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
11/05/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Elizabeth ErwinTIME COMPLETED:
02:45 PM
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
Licensing Program Analyst (LPA), Blanca Ruiz-Silva conducted a case management inspection per Licensee's request. LPA met with licensee, Elizabeth Erwin and toured the facility indoor and outdoor. Upon arrival to the facility LPA observed five children engage in age appropriate activities. The licensee has applied to increase her capacity for a large Family Child Care Home. A prior inspection was conducted on 10/22/19. Fire clearance was granted on 10/28/19 for capacity of 14 children. A review of a sampling of the staff records and children's records were conducted as part of this evaluation. See Children’s Records Review (LIC857) and Staff Records Review (LIC859)
The licensee updated the following documents:
Facility is providing IMS This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 this inspection, LPA observed the door to the pool is self-latching, self-closing, and it swing away from the pool. Fence is at least five feet in height. Applicant understands all bodies of water including ponds, above ground pools and spas, in-ground pools and spas, and some fountains must be properly covered or fenced per title 22 regulations. Licensee understood that the removable fence must be securely in place during days and hours of operation of the family child care home. Licensee understands that outdoor play area must be supervised at all time while children area present.
The application for a increase of capacity will be submitted for approval with a maximum capacity of 14 children.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-SilvaTELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1