455400941-1-9-2020-13-CC-CWIT-BKNQQK-20200109112226

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 455400941
Report Date: 01/09/2020
Date Signed: 01/09/2020 11:22:35 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	WERNER, EMILY FAMILY CHILD CARE HOME		FACILITY NUMBER:	455400941
ADMINISTRATOR:	WERNER, EMILY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 221-2973
CITY:	REDDING	STATE: CA	ZIP CODE:	96002
CAPACITY:	14	CENSUS: 8	DATE:	01/09/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Emily Werner		TIME COMPLETED:	10:40 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	An annual inspection was made to the facility by Licensing Program Analyst (LPA),Wisehart. A review of staff records on 1/9/2020 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. There are currently 2 adults living in the home. During today’s inspection the home and grounds were toured. The licensee and spouse were supervising 8 children, and operating within the licensed capacity and ratio requirements. No children were observed left in any parked vehicle. The facility’s operating hours are 9 am - 12 pm Mon/Tue/Thursdays and the facility closes from June - September. The floor plan submitted by the licensee was reviewed and verified. The master bedroom is off-limits and has been made inaccessible by means of a doorknob cover. The home is clean, orderly and comfortable. There is a working telephone in the home. The licensee has current pediatric CPR and First Aid certification, which expire on 03/31/20. The Licensee's mandated reporter training was valid and expires 3/7/2020. Items which could pose a danger to children (such as detergents, cleaning compounds, medications, etc.) are stored out of the reach of children. Poisons are locked in cabinet in the garage in back yard which is inaccessible to children. The fireplace is in use and the licensee has a screen to make it inaccessible. There is a working smoke detector, carbon monoxide detector and fire extinguisher, rated at least 2A10BC, in the home. The licensee has a current roster of children in care. The LPA reviewed 11 children's records at 10:11 am and all have emergency contact information and immunization records on file.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020

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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: WERNER, EMILY FAMILY CHILD CARE HOME	FACILITY NUMBER: 455400941
	VISIT DATE: 01/09/2020

NARRATIVE

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The LPA reviewed the staff files at on 1/9/2020 at 10:16 am and have the required immunization on file.
The licensee has conducted an emergency drill within the past six months, last drill was conducted on 9/5/19. The licensee stated there are no firearms and/or other dangerous weapons in the home and none were observed during today's inspection. The children use the front yard and it is fully fenced. There is an in-ground swimming pool in the back section of the backyard. The pool has a 5 foot wrought iron fence with a self closing latch. The licensee is not providing Incidental Medical Services (IMS) to children in care. The Incidental Medical Services (IMS) policy was discussed with the licensee. 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 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, www.ada.gov/childqanda.htm. This report, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the licensee. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020

LIC809 (FAS) - (06/04)

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