343618090-1-14-2022-03-CC-JGAG-CANQSE-20220114112527

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343618090
Report Date: 01/14/2022
Date Signed: 01/14/2022 11:25:31 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:	FITZ-HOISINGTON, BRENDA & BROWN, ASHLEY		FACILITY NUMBER:	343618090
ADMINISTRATOR:	BITZ-HOISINGTON,B&BROWN,A.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 761-3233
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95841
CAPACITY:	14	CENSUS: 2	DATE:	01/14/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Brenda Fitz-Hoisington		TIME COMPLETED:	11:30 AM

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On January 14, 2022 at 9:25 AM, Licensing Program Analysts (LPAs) Josiah Gathing and Alize Tillery met with licensees Brenda Fitz-Hoisington and Ashley Brown for the purpose of an annual required one-year inspection. The facility days and hours of operation are Monday – Friday 12:00 AM to 11:59 PM. At the time of the inspection 1 infant and 1 preschool age child were in care. All individuals subject to criminal background review have obtained a criminal record clearance.

A health and safety evaluation was conducted in all areas accessible to children. During the inspection, the licensee requested that all bedrooms be made off limits. Off limits areas consist of: 3 bedrooms, master bathroom, backyard, shed. LPAs observed a full 2A10BC fire extinguisher, first aid kit, and functioning smoke and carbon monoxide detectors. Per licensee, there are no weapons in the home. Toxic and hazardous items were inaccessible to children. Safe toys were observed in children’s play area.

During the inspection, LPAs found the children’s files to contain all required documents. LPAs also observed all required staff files. Children’s roster and fire drill log were made available during the inspection. LPAs observed Mandated Reporter certificates for Brenda expiring 2/26/2022 and Ashley expiring 4/5/2022. LPAs observed CPR and First Aid certificates for Brenda expiring 12/19/2023 and Ashley expiring 7/30/2023. Required postings were observed near the entrance.

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. The followinginformation regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA available at: http://wwwada.gov/childqanda.htm

CONTINUED ON LIC809-C…

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah Gathing	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2022

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

FACILITY NAME: FITZ-HOISINGTON, BRENDA & BROWN, ASHLEY	FACILITY NUMBER: 343618090
	VISIT DATE: 01/14/2022

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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/inspection-process.

Licensee 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 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPAs discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at http://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] 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.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and report was reviewed with the Licensee, Brenda Fitz-Hoisington.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah Gathing	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2022

LIC809 (FAS) - (06/04)

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