343619141-3-6-2020-03-CC-ESIA-BMG2CZ-20200306161734

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343619141
Report Date: 03/06/2020
Date Signed: 03/06/2020 04:17:41 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:	GREER, KAREN		FACILITY NUMBER:	343619141
ADMINISTRATOR:	GREER, KAREN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 470-0636
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95823
CAPACITY:	14	CENSUS: 3	DATE:	03/06/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:55 PM
MET WITH:	Karen Greer		TIME COMPLETED:	04:35 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	On March 06, 2020 at 03:00 PM Licensing Program Analyst (LPA) Elvira Sierra met with Licensee, Karen Greer for the purpose of an announced Annual inspection. At 03:05 census was taken. Upon arrival present in the facility was Licensee caring for 3 preschool children. One preschool child was picked up a few minutes later after LPA arrival. Facility hours of operation are: M-F from 06:00 AM to 06:00PM. 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 no new residents moved into the home since licensure. A health and safety inspection was conducted in all areas accessible to children and the following was observed; Off-limits areas are: Master bedroom, bedroom # 2 and garage. Licensee stated that she uses bedroom # 1 for diaper changing only. 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 and carbon monoxide detectors. 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.Safety latches are in use on some kitchen cabinets. The applicant understands that she must ensure the safety latches are not broken. The fireplace in the home is appropriately barricaded to prevent access by children. Outdoor play area is fenced for supervision. Licensee is part of the food program and does transport children. Random sample of children’s files were reviewed. Family Child Care Home Notification of Parents’ Rights and required immunization records were on file. 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), and the flu are available in the facility. CPR and First Aid certification was verified. Licensee CPR expires on 04/16/2020. AB 1207 Mandated Reporter Training was verified and expires 03/2020. Report continues on subsequent page 809C---

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

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: GREER, KAREN	FACILITY NUMBER: 343619141
	VISIT DATE: 03/06/2020

NARRATIVE

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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. LPA provided and discussed the Safe Sleep in Child Care and Effects of Lead Exposure brochures.

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.

LPA conducted an exit interview. Based upon today’s inspection, No deficiencies were observed.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

LIC809 (FAS) - (06/04)

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