343623609-7-28-2021-03-CC-ATIY-C5CQGE-20210728120925

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343623609
Report Date: 07/28/2021
Date Signed: 07/28/2021 12:09:34 PM

COMPREHENSIVE INSPECTION

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:	GARCIA, NATALIE		FACILITY NUMBER:	343623609
ADMINISTRATOR:	GARCIA, NATALIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 203-1949
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95838
CAPACITY:	14	CENSUS: 6	DATE:	07/28/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Natalie Garcia & Johnny Garcia		TIME COMPLETED:	12:30 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 July 28, 2021 at 10:45 AM, Licensing Program Analysts (LPAs) Alize Tillery and Tanya Gagan Singh met with licensee Natalie Garcia and her husband Johnny Garcia, for the purpose of an annual required 1 year inspection. The facility’s days and hours of operation are Monday - Friday from 7:00 AM to 5:00 PM. LPAs observed care and supervision of 6 children supervised by the Licensee and her husband. All individuals subject to criminal background review have obtained a criminal record clearance. A health and safety evaluation was conducted in all areas accessible to children. Off limit areas consist of all of second floor and the garage. LPAs observed a 2A10BC fire extinguisher, first aid kit and functioning smoke and carbon monoxide detectors. Per licensee, there are no weapons in the home. No children were observed in parked cars. LPA observed an empty blow up pool. Licensee confirmed that it is filled only before use and emptied after every use. Toxic and hazardous items are inaccessible to children. Safe toys were observed. Licensee has one dog in the home. A sample of children's records were reviewed. Five daycare children present during today’s inspection did not have complete files. Required postings and children’s roster was observed. Licensee was reminded to update the roster when new children start attending or previously enrolled children leave her facility. Licensee has record of conducting fire drills at least every six months. Per record, last drill was conducted on July 2021. LPAs observed recommended COVID19 posters and current guidelines were discussed. LPAs observed a current CPR and First Aid card which expires 8/2021. Licensee and husband are scheduled to retake the training 7/28/2021. Continued on LIC809C…

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize Tillery	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021

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: GARCIA, NATALIE	FACILITY NUMBER: 343623609
	VISIT DATE: 07/28/2021

NARRATIVE

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LPAs discussed the requirement of renewing mandated reporter training every 2 years and Licensee’s certificate is still current. Licensee and husbands mandated reporter training expires 4/2022.

Licensee does not currently provide Incidental Medical Services (IMS). For IMS information, licensee was advised to see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 discussed Safe Sleep in Child Care. LPA provided the following link:http://www.cdss.ca.gov/inforesources/Community-Care-Licensing/subscribe for the Licensee to subscribe to the distribution list and receive Quarterly Updates. Licensee was informed that a playyard or crib is required for each infant in care and a copy of the infant regulations was printed out and provided during the inspection.

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.CCLD.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 3 years for public review upon request.

Type B deficiencies are cited on the following LIC809D. Appeal Rights provided.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize Tillery	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021

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: GARCIA, NATALIE	FACILITY NUMBER: 343623609
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/28/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/25/2021 Section Cited	1 2 3 4 5 6 7	An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for
	8 9 10 11 12 13 14	the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by record review, LPAs did not observ all consent for emergency medical treatment forms for all children in care. This poses a potential Health and Safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Alize Tillery	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021

LIC809 (FAS) - (06/04)

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