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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343617889
Report Date: 03/10/2020
Date Signed: 03/10/2020 10:58:32 AM

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:SKELTON, BUDNIEFACILITY NUMBER:
343617889
ADMINISTRATOR:SKELTON, BUDNIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 397-0495
CITY:SACRAMENTOSTATE: CAZIP CODE:
95832
CAPACITY:14CENSUS: 2DATE:
03/10/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Budnie SkeltonTIME COMPLETED:
11:10 AM
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At 10:15 AM on Tuesday, March 10, 2020 Licensing Program Analyst (LPA)Elvira Sierra met with Licensee, Budnie Skelton for an unannounced Annual inspection. At 10:18 LPA took census. Present in the facility was Licensee caring for 2 children (1 preschool, 1 infant). Facility hours of operation are: M-F from 07:00 AM to 05:00 PM. All adults living and working in the home have criminal record clearances on file with Licensing Office.

A health and safety inspection was conducted in all areas accessible to children and the following was observed; Off-limits areas are: Entire upstairs and garage. Children may never enter these off-limits areas. Home is clean and appropriately ventilated. LPA observed the required postings, a working telephone, 2A10BC fire extinguisher and functioning smoke and carbon monoxide detectors. A variety of toys and learning equipment available to the children. Janice stated there are no weapons in the home. There are no bodies of water on the premises. Outdoor play area is fenced for supervision. Licensee understands that 100 % supervision is required in unfenced outside areas
children’s files were review. Fire and disaster drills were properly log. CPR and First Aid certification was verified. Mandated Report was verified and expired on 03/20. Licensee will submit new certificate to Licensing Office.
Facility is not providing IMS services to children in care. 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.

LPA advised on Safe Sleep Practices and SIDS. Assistants understand infants cannot sleep in car seats, swings or other items not intended for sleeping. LPA also discussed the Smoking Probation Regulation (AB 1819-Smoking Prohibition), and the Nutritious Beverage Act.


Report continues on subsequent page 809C----
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: SKELTON, BUDNIE
FACILITY NUMBER: 343617889
VISIT DATE: 03/10/2020
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Lead Poisoning Facts Information Flyer was provided and was advised that beginning January 1, 2019 a new law (AB 2370) requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families.
Facility was updated on immunization requirements from the Department of Public Health(CDHP) that will become effective July 1, 2019. Additional information and resources can be found on the https://www.shotsforschool.org website.

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/. Training should be renew every 2 years.

LPA verified the annual fees are current. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so facility can request to be added to the distribution list to receive Quarterly Updates.

This facility evaluation report was reviewed and discussed. A Notice of Site Visit was provided and should remain posted for 30 days for parental review. Facility was encouraged to visit the Department website at WWW.CDSS.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request.


**LPA conducted an exit interview, no deficiencies cited on today's inspection.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
LIC809 (FAS) - (06/04)
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