393620135-12-6-2021-53-CC-ESIA-C9FPPX-20211206103016

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393620135
Report Date: 12/06/2021
Date Signed: 12/06/2021 10:30:22 AM

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:	EASTER, PATRICK AND TAKARA		FACILITY NUMBER:	393620135
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 2	DATE:	12/06/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Patrick and Takara Easter		TIME COMPLETED:	10:48 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	On Monday, December 06.2021 at 09:15 am. Licensing Program Analyst (LPA) Elvira Sierra conducted a Case Management visit for the purpose of increasing the maximum capacity from 8 to 14 children. Present in the facility was Licensees, Patrick Easter and Takara Easter caring for 2 children. Fire Safety Inspection Clearance was granted on 10/28/21 for a total capacity of 14 children. Facility hours of operation are from M-F from 06:00 am to 07:00 pm. All individuals subject to criminal background review have obtained a criminal record clearance. At 09:25 AM, with the help of the Licensees, a health and safety inspection of all areas accessible to children was conducted and the following was observed. Home appears orderly and suitable for children. The Off-limits areas includes all bedrooms, living room # 2, Kitchen, dining area, and outdoor Shed. Licensees acknowledged that children may never enter these off-limit areas. Current CPR/First Aid certificates on 09/12/2023. Posted License, Parent's Rights, Emergency Disaster Plan, Roster of the enrolled children, and Fire Drill Log are all being maintained by the Licensees. The fireplace in the living room is appropriately barricaded to prevent access by children. Hazardous items were stored inaccessible to children in care. LPA observed that firearms and ammunition are locked and stored separately and are inaccessible to children. Fire extinguisher (2A10BC), carbon monoxide and smoke detector meet regulation. Toys appear to be safe. The backyard is fenced for supervision. The Licensees understand that in unfenced area’s 100% supervision of children is required. There is a pool in the home that is gated according to regulation. Licensees understand that prior to making alterations or additions to the home or grounds, the licensees shall notify the Department of the proposed changes. In the areas that were evaluated, no deficiencies were observed at the time of the visit. Report continues on subsequent page 809C--

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021

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: EASTER, PATRICK AND TAKARA	FACILITY NUMBER: 393620135
	VISIT DATE: 12/06/2021

NARRATIVE

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Licensee, Patrcik Easter was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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

LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Capacity increase is approved as of today, December 6, 2021. The facility is licensed to serve a MAX. CAP(WHEN THERE IS AN ASSISTANT PRESENT): 12 - NO MORE THAN 4 INFANTS. CAP 14 - NO MORE THAN 3 INFANTS. 1 CHILD IN KINDERGARTEN OR ELEMENTARY SCHOOL AND 1 CHILD AT LEAST AGE 6.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensees..

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021

LIC809 (FAS) - (06/04)

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