343617807-11-1-2019-03-CC-KGOL-BHHSHJ-20191101135337

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343617807
Report Date: 11/01/2019
Date Signed: 11/01/2019 01:53:48 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	LAWRENCE, LINDA		FACILITY NUMBER:	343617807
ADMINISTRATOR:	LAWRENCE, LINDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 224-0284
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95818
CAPACITY:	14	CENSUS: 0	DATE:	11/01/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Linda Lawrence		TIME COMPLETED:	02:30 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) Goodell met with licensee, Linda Lawrence, for the purpose of an unannounced Annual Inspection. Hours of operation are Monday- Thursday 9:00am-1:00pm. LPA observed no children or adults other than licensee present during inspection. All individuals subject to criminal background review have obtained a criminal record clearance. LPA toured all areas accessible to children which includes garden house. Off-limits areas include the entire house, except for the kitchen and children's downstairs bathroom. LPA verified current phone number and email. LPA observed fire extinguisher. LPA also observed smoke and carbon monoxide detectors. No weapons or poisons observed in the home. No bodies of water. Outdoor play space is fenced. Licensee acknowledged that 100% supervision is required in unfenced areas. Children's records were reviewed. LPA observed fire drill log and Child Care Facility Roster (LIC9040) maintained. Preventative health training, current pediatric CPR and first aid certification was verified and expires 10/9/2021. Report continues on LIC809-C

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2019

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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: LAWRENCE, LINDA	FACILITY NUMBER: 343617807
	VISIT DATE: 11/01/2019

NARRATIVE

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The Mandated Reporter Training was discussed. Beginning January 1, 2018, Health and Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. In addition, effective January 1, 2018: Applicants must meet requirements as a precondition to licensure, existing licensees must meet requirements by March 30, 2018, new employees shall have 90 days from date of employment to complete training as required. This training requirement may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/. Proof completion was not on file. Licensee stated proof of completion will be submitted to LPA.

Licensee was encouraged to visit the Department website at WWW.CDSS.CA.GOV for child care updates, forms, self-assessment guides, legislation and regulation information.

Title 22 Deficiency cited on the attached LIC 809D. This facility evaluation report was reviewed and discussed with the licensee. Notice of Site Visit issued and must remain posted for 30 days.
Appeal Rights also issued and discussed.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2019

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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: LAWRENCE, LINDA	FACILITY NUMBER: 343617807
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/01/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/02/2019 Section Cited	1 2 3 4 5 6 7	On or before March 30, 2018, a person who, on January 1, 2018, is a...administrator, or employee of a licensed child day care facility shall complete the mandated reporter training... and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
	8 9 10 11 12 13 14	This requirement was not met due to LPA certificate of the online Mandated Reporter training was not on file.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2019

LIC809 (FAS) - (06/04)

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