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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623617
Report Date: 06/29/2021
Date Signed: 06/29/2021 12:37:30 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:PARCON, GERIKAFACILITY NUMBER:
343623617
ADMINISTRATOR:PARCON, GERIKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 337-8724
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:14CENSUS: 9DATE:
06/29/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Gerika ParconTIME COMPLETED:
12:45 PM
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On Tuesday, June 29th, 2021, Licensing Program Analyst (LPA) Kelly Ferrara conducted an unannounced annual inspection and met with Licensee Gerika Parcon. LPA observed there were currently nine children in care with the Licensee and two assistants. Facility hours of operation are Monday through Friday 7 AM to 5 PM. Licensee stated there are no new adult residents in the home, and all adults have a criminal record clearance. LPA observed proper ratio and capacity was being followed and annual fees have been paid.

Off limit areas include: Entire upstairs, laundry room, and garage. Licensee acknowledged that children may never enter these off-limit areas. LPA conducted a health and safety inspection and observed that the facility is clean, safe, sanitary, and in good repair with proper ventilation. LPA observed the proper documents were posted where visible to parents. LPA observed that there were no hazardous items accessible to children including cleaning compounds, medications, or sharp objects. LPA observed the fireplace was screened, stairs were barricaded, and the fire extinguisher is in working condition and accessible. LPA observed the smoke and carbon monoxide detectors are functioning properly. The facility has adequate toys that are safe for children to use. Licensee stated there were no firearms in the home. LPA discussed the use of kiddie pools with the Licensee.

LPA reviewed safe sleep regulations for children under two in case Licensee decides to enroll infants. LPA observed the Licensee has a current CPR/First Aid certificate and Mandated Reporter training. LPA advised the Licensee to complete both trainings every two years. LPA observed the proper documents present for the assistants. LPA observed the facility children’s roster and fire drill log are current. LPA reviewed children’s files and observed that all the required documentation was present in each child's file.

Continued on 809-C

SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Kelly FerraraTELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021
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: PARCON, GERIKA
FACILITY NUMBER: 343623617
VISIT DATE: 06/29/2021
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LPA discussed Incidental Medical Services- IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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.

LPA discussed current COVID guidelines with Licensee and provided technical assistance. LPA provided the Community Care Licensing’s website WWW.CCLD.CA.GOV, so the Licensee can obtain updated licensing information, new regulations and access forms. LPA advised Licensee of their responsibility to stay current by reviewing PINs on the website.

No Title 22 Deficiencies were observed in the areas that were evaluated. LPA reviewed report with the Licensee. LPA observed the Notice of Site Visit posted and the Licensee understands it must remain posted for 30 days.

SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Kelly FerraraTELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021
LIC809 (FAS) - (06/04)
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