455404441-11-5-2019-13-CC-JSNW-BHN3QC-20191105172655

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 455404441
Report Date: 11/04/2019
Date Signed: 11/05/2019 05:27:04 PM

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:	BRESHEARS, CHERYL FAMILY CHILD CARE HOME		FACILITY NUMBER:	455404441
ADMINISTRATOR:	BRESHEARS, CHERYL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 222-2341
CITY:	REDDING	STATE: CA	ZIP CODE:	96003
CAPACITY:	14	CENSUS: 0	DATE:	11/04/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Cheryl Breshears		TIME COMPLETED:	01:15 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	An annual inspection was made to the facility by Licensing Program Analyst (LPA), Snow. A review of staff records on 10/31/19 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 was not supervising any 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 after school until 5:30 pm and in summer 7:30am until 5:30pm Mon–Fri. The floor plan submitted by the licensee was reviewed and verified. There are no off-limits areas of the home. The home was observed to be clean and orderly, and was at a comfortable indoor temperature of 81. There were safe toys and equipment available for children. The licensee stated there is a working telephone in the home. The licensee’s pediatric CPR and First Aid certifications were reviewed, and expire on 4/14/20. Items which could pose a danger to children (such as detergents, cleaning compounds, medications, etc.) were observed to be stored out of the reach of children. Poisons were locked in cabinets in the garage. *amended report 11/5/19

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime Snow	TELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019

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: BRESHEARS, CHERYL FAMILY CHILD CARE HOME	FACILITY NUMBER: 455404441
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/04/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 11/05/2019 Section Cited	1 2 3 4 5 6 7	Half the garage is used for children’s play and there are hazards present; fireball alcohol, multiple box cutters & power tools; they will need to be locked. As evidenced by half the garage is used for children’s play
	8 9 10 11 12 13 14	The licensee shall block off access to the garage until all possible hazards can be made inaccessible by a lock. Send a plan agreeing to prevent access to the hazards and explaining how; due 11/5/19.	8 9 10 11 12 13 14	*amended report 11/5/19
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime Snow	TELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019

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: BRESHEARS, CHERYL FAMILY CHILD CARE HOME	FACILITY NUMBER: 455404441
	VISIT DATE: 11/04/2019

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Half the garage is used for children’s play and there are hazards present; fireball alcohol, multiple box cutters & power tools; they will need to be locked. The LPA observed a working smoke detector, carbon monoxide detector and fire extinguisher, rated at least 2A10BC, in the home. The roster of children in care was reviewed and was current. The licensee has conducted an emergency drill within the past six months, last drill was documented on 8/1/19. The licensee stated the fire arms are locked in the safe with the ammunition separately locked and none were observed during today's inspection. The children use the backyard as the outdoor play area and it is fully fenced. LPA observed the swimming pool in the back yard has a fence meeting regulations as follows: is at least five feet in height, with a self-latching gate that swings away from the body of water.

Four children's records were reviewed at 12:30pm; current immunization's and Notification of Parent’s Rights forms were on file. 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.
Reports citing Type A violations are to be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file. *amended report 11/5/19

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime Snow	TELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019

LIC809 (FAS) - (06/04)

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