376628477-2-26-2020-20-CC-VWIN-BM6NT3-20200226094400

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376628477
Report Date: 02/26/2020
Date Signed: 02/26/2020 09:44:08 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:	MELVIN, TAHERIA FAMILY CHILD CARE		FACILITY NUMBER:	376628477
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	02/26/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Taheria Melvin		TIME COMPLETED:	09:50 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 (LPA) Vicky Williamson conducted an unannounced case management inspection for the purpose of an increase in capacity. A fire clearance for a capacity of 14 children was granted on 2/3/20. Met with Licensee, Taheria Melvin. Also present were licensee's 3 minor children. There were no daycare children present during today's inspection. Licensee states that the facility is closed today due to repairs being completed. Licensee stated that there are no new adults living or working in the home over the age of 18 years. A review of staff records on 2/26/20 indicates that licensee and adult residents in the home have criminal record clearances and/or exemptions on file. CPR and First Aid certifications expire on 12/2021. This single level, four bedrooms, two bath home was toured and inspected. Licensee will will use the following areas for child care: living room, kitchen, dining room, bedroom 1, bathroom 1, bedroom 2 and front yard (entrance only). Off limits areas include: garage, bedroom 3, bedroom 4, swimming pool, patio and entire backyard. They are made inaccessible to day care children through the use of door locks and a safety gate. Licensee will utilize Sweetwater Park for outdoor activities. Licensee is reminded to maintain visual supervision of children at all times. The fireplace is screened. The home has an inground pool that is surrounded by a mesh fence, with a self-latching key lock, self-closing gate that swings away from the pool and meets Title 22 requirements. The fire extinguisher is rated 3A;40B:C and is located in the kitchen, smoke and carbon monoxide detectors meet requirements and are operational. All poisons, detergents, cleaning compounds, and medicines were made inaccessible to children in care and located in off limit areas with latches and door locks and secured out of reach of children. Adequate heating and ventilation are provided for the children. Children’s toys and play equipment are available. The applicant has a working telephone and cell phone. The last disaster drill was conducted and documented on 1/23/20.

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky Williamson	TELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2020

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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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: MELVIN, TAHERIA FAMILY CHILD CARE	FACILITY NUMBER: 376628477
	VISIT DATE: 02/26/2020

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Licensee was reminded that any new/additional adults must be cleared prior to working or residing in home. Any minor upon their 18th birthday must be fingerprinted within 30 days.

Applicant does not plan on providing Incidental Medical Services (IMS) to clients at this time. 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

LPA reviewed the following with Licensee: Children’s records, unusual incident report, car seat law, visual for ratio/capacity, supervision.

MAX. CAP (WHEN THERE IS AN ASSISTANT PRESENT):12 NO MORE AN 4 INFANTS. CAP 14- NO MORE THAN 3 INFANTS. 1 CHILD IN KINDERGARTEN OR ELEMENTARY SCHOOL AND 1 CHILD AT LEAST AGE 6. It should be noted that Licensee owns the property.

Applicant is advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248.

A Large Family Child Care Home license will be issued upon final file review.

No deficiencies cited during today's inspection. LPA reviewed this report with licensee and an exit interview was conducted. The licensee was provided a copy of the appeal rights (LIC 9058 01/16) and the signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed Licensee post Notice of Site Visit.

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Vicky Williamson	TELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2020

LIC809 (FAS) - (06/04)

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