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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393620135
Report Date: 08/15/2023
Date Signed: 08/15/2023 02:13:15 PM


Document Has Been Signed on 08/15/2023 02:13 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:EASTER, PATRICK AND TAKARAFACILITY NUMBER:
393620135
ADMINISTRATOR:EASTER, PATRICK AND TAKARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 986-5797
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:14CENSUS: 4DATE:
08/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Patgrick EasterTIME COMPLETED:
02:30 PM
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On 08/15/23, Licensing Program Analyst (LPA) Elvira Sierra met with the licensees, Patrick, and Takara Easter for the purpose of an unannounced annual inspection. All individuals subject to criminal background review have obtained a criminal record clearance verified by LPA accessing Guardian. Licensees own the home. Home is four bedrooms and three bathrooms house. Licensees stated that the formal dining area was converted to an additional bedroom. LPA reminded Licensees that Licensing must be notified of any changes, additions, or any new construction to the house. Licensee stated there are no new residents in the home since licensure. Per Licensees hours of operation are M-F from 04:00am to 06:00pm. Present in the facility were Licensees caring for four children.

A health and safety inspection were conducted in all areas accessible to children. Off-limit areas include Entire house except play area (converted garage), bathroom and the half back area of the backyard. Laundry area is only used for transition to the bathroom and living area is used as a transition to the backyard. Front area of the backyard is used for transition to the back are where children can play. LPA advised Licensees to make sure that children are 100% supervised during transitions due to observed hazards on the off-limits areas of the backyard. Licensee were reminded that day care children may never enter these off-limit areas. Home is clean and appropriately ventilated. Age-appropriate toys and reading material were observed. Medications and knives are inaccessible to children. There is a weapon in the home that is storage according to Title 22 regulations. Swimming pool in the home is fenced according to regulations. Facility maintains a working phone, a functioning carbon/monoxide detector and a 2A10BC fire extinguisher that meets Fire Marshall standards. Outdoor play area is fence for supervision. Facility last emergency drill was conducted on 06/24/23 and was properly logged. First Aid Kit is fully stocked and accessible. Facility provides meals and transportation if needed. Four children files were reviewed. Facility roster was reviewed and is complete and up to date. CPR/First Aid certificates expires on 09/12/2023

Licensees were reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated. ---------------------Report continues subsequent page 809C--
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:
DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2023
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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: EASTER, PATRICK AND TAKARA
FACILITY NUMBER: 393620135
VISIT DATE: 08/15/2023
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers
LPA discussed the safe sleep regulations and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensees 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.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensees were informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensees, Patrick and Takara Easter. _.

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

DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023
LIC809 (FAS) - (06/04)
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