393620928-10-24-2023-53-CC-SWIS-CWWQZD-20231024123634

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393620928
Report Date: 10/24/2023
Date Signed: 10/24/2023 12:36:42 PM

Document Has Been Signed on 10/24/2023 12:36 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 SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	NIXON, MEGAN		FACILITY NUMBER:	393620928
ADMINISTRATOR:	NIXON, MEGAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 351-5149
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95215
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 12	DATE:	10/24/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:34 AM
MET WITH:	Megan Nixon		TIME COMPLETED:	12:30 PM

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On October 24, 2023, Licensing Program Analyst (LPA) Stacey Williams met with Licensee, Megan Nixon for an unannounced annual one-year inspection. There were twelve children (2 infants) present during the inspection supervised by Licensee and her Assistants. All individuals subject to criminal background review have obtained a criminal record clearance. Hours of operation are Monday-Friday from 7:00AM-5:30PM. Licensee stated that she does not provide overnight care.

Licensee was reminded that all adults 18 and over living or working in the home, 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.

LPA and Licensee toured the facility. The childcare activity area is located in the back of the home which Licensee identifies as the activity center. The off-limits areas include: all bedrooms in the main house, locked shed in the backyard, the storage shop located in the backyard and the garage.

The licensee stated that there are no weapons in the home. There are no bodies of water on the property. Licensee stated she has one pet dog and one cat. Both animals do not interact with children in care.

A health and safety inspection was conducted in the areas accessible to children. The house has a working telephone, fully charged fire extinguisher, smoke detector and carbon monoxide detector that meet regulations. LPA observed all the required postings in an area visible to authorized representatives. LPA observed all poisons locked with a key lock or combination lock.

While touring the facility LPA observed two infants in care napping. Infants were observed napping in separate rooms. Each infant was sleeping in play yards with blankets in the play yard and pacifiers in their mouths with attachments to their clothing. Licensee was reminded of the safe sleep regulations.

Report continues on 809C................

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023

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 SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: NIXON, MEGAN	FACILITY NUMBER: 393620928
	VISIT DATE: 10/24/2023

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LPA reviewed staff and child files. LPA found that the Licensee and her Assistants have the required immunizations on file. Mandated Reporter Training is current for Licensee and her Assistants. Licensee understands that Mandated Reporter training must be complete every two years. EMSA /CPR is current for Licensee and her Assistants. Licensee’s CPR expiration date is 4/2025. LPA observed children’s files contained required immunization records and licensing forms. Infant files reviewed had Individual Sleep Plans (LIC9227) and Safe Sleep logs. Licensee reported that sleep logs are initially documented through the Brightwell App and later transferred to a hard copy sleep log. Children's roster was observed. Licensee has a current fire drill log on file. The last fire drill was conducted 10/2023. Licensee was reminded that fire drills are to be conducted once every six months and logged.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee 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.

Licensee was 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.

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.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/24/2023 12:36 PM - It Cannot Be Edited

Created By: Stacey Williams On 10/24/2023 at 12:16 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: NIXON, MEGAN	FACILITY NUMBER: 393620928
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

102425(b)

Infant Safe Sleep

(b) Cribs or play yards shall be free from all loose articles and objects. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in 2 out of 2 infants observed sleeping which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 10/25/2023
	Plan of Correction
1 2 3 4	Licensee was provided a copy of safe sleep regulations during today's inspection. Licensee shall review safe sleep regulations and share requirements with parents of infants in care. Licensee shall immediately modify the current sleeping arrangements for infants in care and ensure the play yard is free from all loose articles and objects.

Type A

Section Cited

CCR

102425(b)(1)(A)

Infant Safe Sleep

(b) Cribs or play yards shall be free from all loose articles and objects. (1) Pacifiers shall be allowed in the crib or play yard if the following provisions are in place: (A) There shall not be anything attached to the pacifier. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in 2 out of 2 infants observed sleeping which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 10/25/2023
	Plan of Correction
1 2 3 4	Licensee was provided a copy of safe sleep regulations during today's inspection. Licensee shall review safe sleep regulations and share requirements with parents of infants in care. Licensee shall ensure that infants using pacifiers do not have pacifier attachments on their clothing while sleeping.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Bettina Engelman

LICENSING EVALUATOR NAME:

Stacey Williams

LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023

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 SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: NIXON, MEGAN	FACILITY NUMBER: 393620928
	VISIT DATE: 10/24/2023

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Based on today's observations, Title 22 Deficiencies have been cited on the attached LIC 8099D. Upon receipt of Type A citations, facility shall post and provide copies of the LIC 809D for parents/guardians of children currently in care and for parents/guardians of newly enrolled children for the next 12 months. Facility must also keep the signed LIC 9224, Acknowledging Receipt of Licensing Reports LIC 809D in each child's files.

Exit interview conducted and report was reviewed with the Licensee. During the exit interview, Licensee, Megan Nixon confirmed that there are no Registered Sex Offenders living in the facility.

Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Title 22 deficiencies were cited during today’s inspection on subsequent page, LIC 809D. Appeal rights were also provided.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023

LIC809 (FAS) - (06/04)

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