343620689-7-2-2019-03-CC-MLOR-BDPS46-20190702133214

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343620689
Report Date: 07/02/2019
Date Signed: 07/02/2019 01:32:19 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:	MAGANA, SARAH		FACILITY NUMBER:	343620689
ADMINISTRATOR:	MAGANA, SARAH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 422-7855
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95831
CAPACITY:	14	CENSUS: 9	DATE:	07/02/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Sarah Magana		TIME COMPLETED:	01:45 PM

NARRATIVE

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Licensing Program Analysts (LPA) Mai Lor and Jeremey McClain conducted an unannounced annual random inspection on 7/2/19. During this inspection, LPAs met with Licensee Sarah Magana Upon arrival, there were 9 children. Present during this inspection were Licensee's husband and Assistant. All adults residing in the home have criminal record clearances.

A health and safety inspection was conducted in all areas accessible to children. Off-limit areas of the home include the master bedroom, laundry room and garage. The pool is fenced with a self-latching gate and meets Title 22 Regulations. Licensee understands that children may never enter these off-limit areas. Applicant acknowledges she is required to notify licensing prior to making changes to off-limit areas so that they may be inspected for safety. Licensee stated there are no weapons on premises. Fire extinguisher is fully charged. Smoke detectors and carbon monoxide detector are operable. The home provides safe toys, play equipment and materials. The home has a working telephone. LPA advised applicant that in areas that are not fenced, supervision must always be maintained. Medications, toxic and hazardous items are appropriately stored and inaccessible to children.

A sample of children and staff records were reviewed and contained all the required documentation. The licensee's immunization records for measles (MMR), pertussis (Tdap), and the flu are available in the facility file. Current in person EMSA CPR and First Aid certification was verified and expires 03/2021 and AB 1207 Mandated Reporter Training was verified and expires 01/09/2020. All required licensing postings was observed.

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.

(Report continue on subsequent LIC 809)

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019

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: MAGANA, SARAH	FACILITY NUMBER: 343620689
	VISIT DATE: 07/02/2019

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LPA verified the annual fees are current. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, 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.

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 deficiencies observed during this inspection. LPA reviewed report with the Licensee and provided copies. An exit interview was conducted, and a Notice of Site was provided. Licensee understands it must remain posted for 30 days.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019

LIC809 (FAS) - (06/04)

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