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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343621903
Report Date: 02/11/2020
Date Signed: 02/11/2020 04:12:46 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:GRANT, FAITHFACILITY NUMBER:
343621903
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: DATE:
02/11/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Faith Grant, LicenseeTIME COMPLETED:
04:25 PM
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Licensing Program Analyst (LPA) Joleen Kenney met with Licensee, Faith Grant, for the purpose of an Increase of Capacity comprehensive inspection. Facility hours of operation are Monday-Friday and is opened 24 hours. Licensee understands that the Licensee is allowed to operate for 24 hours but cannot watch the same child for a 24 hour period of time. LPA and Licensee toured the home, and backyard. Off-limit areas includes the entire upstairs laundry room and garage. Licensee acknowledged that children may not enter these off limit areas. LPA observed care and supervision of 2 children. Licensee has requested a capacity increase to 14 children. On 2/7/2020, the Fire inspection was conducted and approved by the Sacramento City Fire Department. Licensee stated there are no new residents in the home since licensure. LPA observed cleaning supplies properly stored out of reach of children. Medications are stored out of children's reach. Licensee stated there are no weapons in the home. Fire extinguisher (2A10BC), smoke detector and carbon monoxide detector meet regulations. Toys appear to be clean and safe. The backyard is fenced and there are no bodies of water. Licensee understands that prior to making alterations or additions to the home or grounds, the licensee shall notify the Department of the proposed changes. No deficiencies were observed at the time of the inspection.

Effective today 2/11/2020, the capacity increase is approved to serve up to fourteen 14 children with a qualified assistant, two (2) of which must be school age children, one at least age 6 years of age, one enrolled in kindergarten and no more than three (3) may be infants; or 12 children with a qualified assistant, four (4) of which may be infants. Infants are children under the age of 2 years.

Exit interview conducted. Notice of site visit posted.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
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)
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