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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343619138
Report Date: 02/11/2020
Date Signed: 02/11/2020 03:31:32 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:BARRETT, CHAROLFACILITY NUMBER:
343619138
ADMINISTRATOR:BARRETT, CHAROLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 758-7160
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:14CENSUS: 3DATE:
02/11/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Charol BarrettTIME COMPLETED:
03:35 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)Elvira Sierra met with licensee, Charol Barrett, for an unannounced Required-1 year inspection. Upon arrival present in the facility was Licensee caring for 1 infant child. 2 more children (school age) arrived during the inspection. Licensee stated that infant child is her grandaughter.The licensee's son and husband were also present during the inspection. Facility hours of operation are: M-F from 06:00 AM to 01:30 AM. Capacity and ratio requirements were met on this day. All adults living and working in the home have criminal record clearances on file with Licensing Office. Licensee stated that her daughter and grandchild moved into the home recently.

A health and safety inspection was conducted in all areas accessible to children and the following was observed; Off-limits areas include; Garage. Licensee is requesting to make all bedrooms, bathroom inside master bedroom, kitchen and backyard off limits on today's inspection. Licensee understand that children may never enter these off-limits areas. The facility appeared orderly and suitable for children. LPA observed the required postings, a working telephone, 2A10BC fire extinguisher and functioning smoke detector. A variety of toys and learning equipment available to the children. Licensee stated there are no weapons in the home. There are no bodies of water on the premises. Medications, toxic and hazardous items are inaccessible to children. The fireplace in the home is appropriately barricaded to prevent access to children. Licensee stated that she will use the front yard of the home for outdoor activities. Licensee understands that 100 % supervision is required in unfenced outside areas.
Random sample of children’s files were reviewed. LPA observed a current children’s roster and proof of Fire and disaster drills that were properly log. The licensee immunization records for measles (MMR), pertussis (Tdap), are available in the facility file. CPR and First Aid certification was verified and expired on 11/19. AB 1207 Mandated Reporter Training was verified and expires 03/21/20.

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: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
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 3
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: BARRETT, CHAROL
FACILITY NUMBER: 343619138
VISIT DATE: 02/11/2020
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
26
27
28
29
30
31
32
This provider is currently 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 the licensee on Safe Sleep Practices and SIDS; the licensee stated they are understood. Licensee was advised cribs must be use for sleeping infants and understand infants cannot sleep in car seats, swings or other items not intended for sleeping.Safe Sleep in Child Care flyer was provided.
LPA also discussed the Smoking Probation Regulation (AB 1819-Smoking Prohibition), and the Nutritious Beverage Act.
Lead Poisoning Facts Information Flyer was provided and Licensee 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.
Licensee 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.
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.
LPA verified the annual fees are current. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so the licensee can request to be added to the distribution list to receive Quarterly Updates.

This facility evaluation report was reviewed and discussed with the licensee. A Notice of Site Visit was provided and should remain posted for 30 days for parental review. Licensee 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. The licensee's signature on this form acknowledges receipt of this form.



>See page 809D for deficiencies cited today under Title 22 Division 12 of the Ca. Code of Regulations.
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: BARRETT, CHAROL
FACILITY NUMBER: 343619138
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/11/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/11/2020
Section Cited

1
2
3
4
5
6
7
102416-PERSONNEL REQUIREMENTS;
c)The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirements was not met as evidence by; Licensee's CPR is expired (11/09/19).
8
9
10
11
12
13
14
This is a violation that if not corrected can pose a health and safety hazard to children in care.
8
9
10
11
12
13
14
Type B
03/11/2020
Section Cited

1
2
3
4
5
6
7
102418 Immunizations (a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000. This requirement was not met as evidence by; LPA did not observed immunization records for child # 1. This is a violation that if not corrected can pose a health and safety risk to children in care.
Type B
03/11/2020
Section Cited

1
2
3
4
5
6
7
§1596.954 Carbon monoxide detectors required; inspection.Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.
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 EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:
DATE: 02/11/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/11/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3