376615426-9-4-2019-51-CC-JREG-BFPMZ8-20190904100243

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376615426
Report Date: 09/04/2019
Date Signed: 09/04/2019 10:02:49 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	PARKHURST, CARLENE FAMILY CHILD CARE		FACILITY NUMBER:	376615426
ADMINISTRATOR:	PARKHURST, CARLENE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 438-3114
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92011
CAPACITY:	14	CENSUS: 11	DATE:	09/04/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	License Carlene Parkhurst		TIME COMPLETED:	10:10 AM

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	Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of a Random Annual inspection. During this visit, there were 11 children in care with Licensee and her husband Daniel. The facility is within ratio and capacity. Day care hours are: Monday thru Thursday from 7 a.m. to 5 p.m. with occasional Fridays. LPA toured the home. Primary child care areas are the first floor of the home with the exception of the garage. Off limits areas have been made inaccessible with the use of safety gates. There are no hazardous substances accessible. There are no weapons stored in the home or on the property and there are no bodies of water present. The fireplace has been secured and the stairs have been made inaccessible. The fire extinguisher is full and of adequate size and mounted on the wall just inside the garage. The smoke alarm is hard wired, operational, and located on the ceiling near the staircase. The carbon monoxide detector is plugged in behind the sofa in the family room and is operational. The home is clean, orderly and has adequate ventilation and heating. Licensee has provided sufficient space for the children to eat, sleep and play within the home. Children’s toys and play equipment are safe and age appropriate. There is a working telephone and all required forms are posted. Children’s files were reviewed for emergency information. Licensee's and Daniel's pediatric CPR/FA certificate with American Red Cross is valid through 2/11/20. SB 792 (Staff Immunizations) and AB 1207 (Mandated Reporter Training) requirements have been met. SIDS/Safe Sleep was discussed and Child Care Providers Guide to Safe Sleep Handout provided. LPA discussed California Megan's Law and the website was provided as follows: www.meganslaw.ca.gov. Effects of Lead Exposure Handout provided for dissemination to the parents/guardians of current and future enrollees. LIcensee carries liability insurance. Policy verified at visit. 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

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019

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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: PARKHURST, CARLENE FAMILY CHILD CARE	FACILITY NUMBER: 376615426
	VISIT DATE: 09/04/2019

NARRATIVE

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provided, an updated Plan of Operation that includes 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.
Licensee is reminded that walkers, exersaucers, jumpers, bouncy seats, napping portables and drop sided cribs are not permitted for use.

Licensee is advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

No deficiencies are cited.

Notice of Site Visit was posted during this visit and must remain posted for 30 days.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019

LIC809 (FAS) - (06/04)

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