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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623648
Report Date: 11/05/2020
Date Signed: 11/05/2020 02:51:53 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:BELL, GABRIELLEFACILITY NUMBER:
343623648
ADMINISTRATOR:BELL, GABRIELLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 856-0968
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:14CENSUS: 0DATE:
11/05/2020
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:57 PM
MET WITH:Gabrielle BellTIME COMPLETED:
02:50 PM
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NOTE: Due to Covid-19 and DPH guidelines on physical distancing, a Tele-visit via FaceTime was conducted. On Friday, November 5, 2020, at 12:57 PM, Licensing Program Analyst (LPA) Elvira Sierra conducted a Pre-Licensing inspection visit. The applicant requested a license for a capacity of 14 children. Hours of operation will be M-F 06:00 AM to 06:00 PM. Applicant understands she must be present at the facility for 80% of operating hours. All adults living in the home have obtained criminal background clearance. Home is a 2 story, 3 bedrooms, and 2 1/2 bathrooms townhouse.

At 1:10 PM, with the help of the applicant, a health and safety inspection of all areas of the home was conducted and the following was observed; The Off-limits areas will consist of; Kitchen, Entire second floor and Garage. Licensee acknowledges that children may never enter these off-limit areas. Applicant acknowledges that she is required to notify licensing prior to making changes to off-limit areas. Safe toys and comfortable accommodations were observed. Home has a fireplace that is properly barricaded. Cleaning compounds, and hazardous materials are inaccessible to children. Applicant acknowledges poisons are to be locked under lock and key or combination lock while day care children are present. Home was observed having a 2A:10-B:C fire extinguisher, a working telephone and smoke and carbon monoxide detector. Facility has a water play table. Licensee was advised children must be closely supervised during water-related activities and bodies of water must be inaccessible to children when not in use. There is a community pool near the applicant's home. LPA observed that the pool has a fence that is at least four feet high with a locked entrance. Per applicant there are no weapons in the home. Outdoor play area is fenced for supervision and is free from defects or dangerous conditions. Applicant understands children must have on-site supervision in unfenced areas and during water activities. Day-care children may never be left alone with minors and adults providing care and supervision are to obtain criminal record clearances prior to working or living in the home.

Applicant stated that she will transport children. Applicant acknowledges that only drivers licensed for the type of vehicle to be operated shall be permitted to transport children in care, the manufacturer's rated seating capacity of the vehicle shall not be exceeded, motor vehicles used to transport children in care shall be maintained in safe operating condition, and all vehicle occupants must be secured in an appropriate restraint system. Report continue subsequent page 809C-----------

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: BELL, GABRIELLE
FACILITY NUMBER: 343623648
VISIT DATE: 11/05/2020
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 Applicant rents the home and LPA observed proof of lease agreement. LPA discussed the smoking prohibition with the Applicant. Type A/B citations and Immediate Civil Penalty regulation deficiencies were reviewed. LPA also explained the Zero Tolerance and immediate Civil Penalty regulation deficiencies and citations.

LPA advised applicant that baby walkers, bouncers, jumpers, and similar items are not allowed in a Family Child Care Home. It was discussed that fire drills must be conducted and documented at least every six months; LPA provided applicant with a Fire Drill log. Applicant completed the preventative health and safety training which includes the nutrition training and instructions of the prevention on lead exposure. CPR expires on 06/20/22. The Applicant provided proof of Immunization's to meet SB792 and completed the mandatory child abuse training and expires on 06/29/2022. LPA explained that training must be completed every two years (AB1207).



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

LIC 311D, records, postings, and reporting requirements were discussed. LPA discussed supervision, personal rights, criminal record clearances, staffing ratios and capacity, and maintaining buildings and grounds. Applicant was encouraged to visit the Department's website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to family child care homes. LPA provided and discussed the Safe Sleep in Child Care and Effects of Lead Exposure brochures. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so applicant can request to be added to the distribution list to receive Quarterly Updates.

*LPA discussed guidance and practices regarding social and physical distancing for providers to prevent exposure to COVID-19 while providing care for children. COVID-19 Posting documents and the use of Personal Protective Equipment during COVID-19 Outbreak guidance were provided.
Report continues on subsequent page 809C-----
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: BELL, GABRIELLE
FACILITY NUMBER: 343623648
VISIT DATE: 11/05/2020
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Fire Safety Inspection Clearance was granted on 11/03/20 and home has been cleared for up to 14.

Effective today, 11/05/20 this home is licensed for a Large Family Child Care License to serve 12 children (when there is an assistant present) with no more than 4 infants, or capacity of 14 children when 1 child is enrolled in Transitional Kindergarten or above and 1 child at least age 6 with a maximum of 3 infants

Facility evaluation report was emailed to Licensee and an email verification of receipt of report will be used in lieu of a signature on this report.

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3