343618341-7-8-2019-03-CC-KFEA-BDVRUD-20190708131946

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343618341
Report Date: 07/08/2019
Date Signed: 07/08/2019 01:19:52 PM

COMPREHENSIVE INSPECTION

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:	LANEY-THIBAUT, PATRICIA		FACILITY NUMBER:	343618341
ADMINISTRATOR:	LANEY-THIBAUT, PATRICIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 988-4145
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY:	14	CENSUS:	DATE:	07/08/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:35 AM
MET WITH:	Patricia Laney-Thibaut		TIME COMPLETED:	01:30 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) Kelly Ferrara met with Licensee Patricia Laney-Thibaut for an unannounced random annual inspection of her large family child care home. All adults who reside or work in the home have obtained a criminal record clearance. Hours of operation are Monday through Friday from 7:30 AM- 5 PM. There were 10 children present at the time of inspection being supervised by the Licensee and an assistant. A health and safety inspection was conducted in all areas accessible to children. Off limit areas include: Entire upstairs, laundry room, garage, kitchen, and formal dining room. LPA observed a current children's roster, working phone, and first aid kit in the home. LPA observed a 2A10BC fire extinguisher, screened fireplace, and functioning smoke and carbon monoxide detectors that meet regulations. LPA observed a fire drill log with the last drill completed in February 2019. LPA observed an emergency disaster plan, parent's rights poster, and the license were posted. Knives, medications, and chemicals were all stored inaccessible to children and poisonous items were locked. LPA did not observe any bodies of water on the premises and Licensee stated there are no firearms present. All children's files were reviewed and all of them contain the required licensing documentation. Licensee was able to provide proof of her immunizations for herself and assistants as well as the Mandated Reporter training. LPA advised that this must be completed every two years. LPA observed a current CPR/First Aid certificate which expires July 2020. 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 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.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5935
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2019

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: LANEY-THIBAUT, PATRICIA	FACILITY NUMBER: 343618341
	VISIT DATE: 07/08/2019

NARRATIVE

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The facility evaluation report was reviewed and discussed with the Licensee. Notice of site visit was provided and it must remain posted for 30 days for parental review. Licensee was encouraged to visit the Department website at WWW.CCLD.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 3 years for public review upon request. Safe sleep information was given to the Licensee.

No deficiencies were cited based on today's inspection.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5935
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2019

LIC809 (FAS) - (06/04)

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