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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455406663
Report Date: 08/29/2019
Date Signed: 08/29/2019 01:00:36 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:HUMPHRIES, ROHNDA FAMILY CHILD CARE HOMEFACILITY NUMBER:
455406663
ADMINISTRATOR:HUMPHRIES, ROHNDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 917-9314
CITY:ANDERSONSTATE: CAZIP CODE:
96007
CAPACITY:14CENSUS: 5DATE:
08/29/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Rohnda HumphriesTIME COMPLETED:
01:05 PM
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An increased monitoring inspection was conducted by Licensing Program Analyst (LPA) Chris Krogstad. A non-compliance conference was held with the licensee on 4/24/18 regarding an absence of supervision. During today's inspection, the licensee was appropriately supervising five napping children in the front bedroom.

A review of staff records 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 presently two adults living in the home. Operating hours are 6:30am to 4:30pm, Mon–Fri. The home was toured and inspected. Items that could pose a danger to children were stored out of reach. Poisons are locked in a cabinet above the washer and dryer. Firearms are locked. The licensee stated ammunition is not stored on site and none was observed. The licensee's pediatric CPR and First Aid expire 12/31/18. The children use the backyard as the outdoor play area and it is fully fenced. There is a built in pool in the backyard and is fenced with a five foot wood panel fence that meets Title 22 requirements. The fence surrounds three sides of the pool. The back side of the pool is inaccessible by means of the perimeter six foot wood panel fence. The gate is self-latching and meets Title 22 requirements. The licensee is not providing Incidental Medical Services – IMS. 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 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 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: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Christen KrogstadTELEPHONE: (530) 895-4230
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019
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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