343619268-12-23-2019-53-CC-JBIK-BK5UKX-20191223143952

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343619268
Report Date: 12/23/2019
Date Signed: 12/23/2019 02:40:02 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:	LAURIA, STACIE		FACILITY NUMBER:	343619268
ADMINISTRATOR:	LAURIA, STACIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 505-1826
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95758
CAPACITY:	14	CENSUS: 13	DATE:	12/23/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:06 PM
MET WITH:	Stacie Lauria		TIME COMPLETED:	02:45 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) Jeevun Birk-Miller and Investigator Juan Barajas met with the licensee, Stacie Lauria, for the purpose of an unannounced annual random inspection. All individuals subject to criminal background review have obtained a criminal record clearance. During the inspection the licensee's assistant was present. A health and safety inspection was conducted in all areas accessible to children. Off-limits areas include: the upstairs and garage. LPA observed the required postings, a working phone, 2A10BC fire extinguisher, and functioning smoke and carbon monoxide detectors. Toxic and hazardous items are inaccessible to children. There are no bodies of water on the premises. There are no firearms at the facility. Six children’s files were reviewed. Emergency information and required immunization records were on file. Current in person EMSA CPR and First Aid certification was verified and expires 5/2020 and AB 1207 Mandated Reporter Training was verified for the licensee. The Licensee's certificate expires 5/2020. LPA discussed the changes to the mandated reporter training. 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. 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. Continued on to 809-C page...

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun Birk	TELEPHONE: (916) 917-6078
LICENSING EVALUATOR SIGNATURE:	DATE: 12/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2019

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: LAURIA, STACIE	FACILITY NUMBER: 343619268
	VISIT DATE: 12/23/2019

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LPA verified the annual fees are current. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov. LPA provided and discussed the Safe Sleep in Child Care and Effects of Lead Exposure brochures. LPA and Licensee discussed the new Immunization Cards. 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.

No citations were issued during this inspection.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun Birk	TELEPHONE: (916) 917-6078
LICENSING EVALUATOR SIGNATURE:	DATE: 12/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2019

LIC809 (FAS) - (06/04)

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