343619141-6-14-2021-03-CC-GSIH-C3YVRD-20210614163946

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343619141
Report Date: 06/14/2021
Date Signed: 06/14/2021 04:39:50 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: 8	DATE:	06/14/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Karen Greer		TIME COMPLETED:	04:20 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) Gagandeep Singh met with licensee, Karen Greer, for an unannounced annual random inspection. The purpose of the inspection was explained. Licensee lives in a single story home. Present, there are eight children (one infants, seven pre school age) in care with licensee and one helper. All adults living or working in the home have criminal background check on file. Licensee is operating within the capacity of this date. Licensee provides day care from Monday to Friday between 6 AM to 6 PM. LPA inspected the day care areas with the licensee. Day Care Areas: Family Room, Kitchen, Play room next to kitchen, Bathroom in Hallway, Bedroom # 1 or Office and Backyard. Off limit areas: Master Bedroom, Bedroom # 2 and Garage. There is no pool, spa or any other body of water in the house. As per licensee, there is no firearm or weapon in the house. All the cleaning supplies, poisons and other chemicals are stored inaccessible to the children. Cabinets in kitchen has child safety locks installed. The house is in good repair and free of hazards with proper temperature and ventilation. There is carbon monoxide detector, smoke detector, fully charged fire extinguisher and working telephone available in the house. There is a variety of age appropriate toys in the house. LPA review the children's record. LPA reviewed the identification and emergency information form for every child for proper names and numbers filled. Licensee has record of children’s immunization of each child in care. Licensee has record of training of preventive health and CPR card valid until March 22, 2023. LPA remind the licensee to conduct the fire or emergency drills at least once every six months and drills must be logged. Per licensee, last drill was conducted on June 03, 2021. Licensee’s immunization against influenza, pertussis, and measles were checked during previous inspection. Licensee has completed the Mandated reporter training on March 03, 2020. Licensee is aware that the training must be completed every two years. The training can be obtained online at www.mandatedreporterca.com. See next page for continuation ..............

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021

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: 06/14/2021

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Continuation from previous page ................

LPA encourage the licensee to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

No deficiencies are cited today. The copy of this report is reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for next 30 days.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021

LIC809 (FAS) - (06/04)

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