393620092-8-25-2021-53-CC-ASRN-C68RJP-20210825130417

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393620092
Report Date: 08/25/2021
Date Signed: 08/25/2021 01:04:57 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:	BROWN, VERNETTE		FACILITY NUMBER:	393620092
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 1	DATE:	08/25/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	10:39 AM
MET WITH:	Vernette Brown		TIME COMPLETED:	12:40 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 08/25/21 Licensing Program Analyst (LPA) Aruna Sridharan met with licensee Vernette Brown for a case management inspection. The purpose of today's inspection is for a change of capacity. The licensee has applied for a large family home day-care license. Today's census is 1 infant. All adult individuals subject to criminal background review have obtained a criminal record clearance and are cleared through the department. Licensee stated there are no new residents in the home since licensure. During today's inspection, LPA conducted a virtual tour of all areas of the home accessible to children in care with the Licensee. The facility is a single story home with an open front yard and a completely fenced in backyard. The daycare will be operated in the garage. The garage has airconditioning and has one window and door leading to the backyard. Off-limit areas include: all three bedrooms and shed in the backyard. Licensee acknowledged that children may never enter these off-limit areas. During today's inspection LPA discussed large family child care home capacity limitations with licensee. Fire clearance has been approved by the Stockton Fire Department on 08/20/2020. LPA observed cleaning supplies and medications to be properly stored out of reach of children. Licensee stated there are no weapons in the home. LPA observed a fire extinguisher, smoke detector, and carbon monoxide that meet the regulations. Licensee understands children must have 100% supervision in unfenced areas. LPA advised licensee that baby walkers, bouncers, jumpers, and similar items are not allowed in Family Child Care Homes. LPA observed all required postings were posted,last fire drill logged for 3/15/21 and current roster. LPA reviewed 1 child's file and licensee's file. LPA discussed the infant sleep regulations with licensee. LPA discussed the requirement to check and log infant napping every 15 minutes for infants 24 months and under. In addition LPA discussed the infant sleep plan. LPA discussed the requirement for all infants 12 months and under to have a completed copy of LIC 9227 in the child's file. LPA provided a copy of LIC 9227 for licensee during today's inspection. Licensee provides transportation for daycare children. LPA provided Car Seat poster and discussed that an assistant providing transportation has to have valid license and insurance. Report Continues on 809-C...

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna Sridharan	TELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

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 2

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: BROWN, VERNETTE	FACILITY NUMBER: 393620092
	VISIT DATE: 08/25/2021

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
26
27
28
29
30
31
32

The backyard is fully fenced in with play equipment and toys for children in care. LPA discussed with licensee that prior to making alterations or additions to the home or grounds, the licensee shall notify the Department of the proposed changes. LPA observed a current CPR/First Aid certificate valid until 09/2022 and Mandated Reporter certification (AB1207) valid 05/2023. LPA advised licensee to visit the licensing website at http://www.ccld.ca.gov for current forms, laws, regulations and legislation.

Licensee plans on providing Incidental Medical Services (IMS) policy, which 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 discussed licensing requirements, including SB 277 (no longer accepting religious beliefs for immunization's) and SB 792 pertaining to immunization requirements for staff.

LPA checked facilities fees and confirmed that it is up to date.

Effective today 08/25/2021, LPA is granting 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. Infants are children under the age of 2 years old.

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna Sridharan	TELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2