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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455407554
Report Date: 05/23/2019
Date Signed: 05/23/2019 08:51:38 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:RIDDLE, MINDY FAMILY CHILD CARE HOMEFACILITY NUMBER:
455407554
ADMINISTRATOR:RIDDLE, MINDYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 227-0501
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:14CENSUS: 0DATE:
05/23/2019
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Mindy RiddleTIME COMPLETED:
09:00 AM
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A change of location inspection was conducted today by Licensing Program Analyst (LPA), Jaime Snow and Patricia Pacheco. The applicant is also requesting to increase her capacity to 14 children. An approved fire inspection report is pending. Services will be provided 6:30 am - 7:30 pm, Monday - Friday. The applicant understands that child care must be provided in the "primary" residence of the applicant. The residence is a 3 bedroom/2 bath home. There are 2 adults living in the home. Applicant was advised that all adults residing or working at the facility must have a criminal background clearance on file with CCLD. All minors residing in the home must be fingerprinted within 30 days of reaching their 18th birthday and obtain a TB clearance. The applicant is aware of the immediate $100 per day civil penalty for adults working or residing in the home without a criminal record clearance.

The following areas are off limits to children: the laundry/garage, master bedroom and bedroom 2 have been made inaccessible by means of adoorknob covers. The home appears to be clean and orderly at this time and will remain so during child care hours. There is a working telephone. The sharp knives, cleaning supplies, medicines, are stored out of the reach of children. The poisons are locked in the detached shed in the backyard. The applicant reports there are no weapons in the home and none were observed during the visit. The children in care will have access to age appropriate toys and equipment. The home is equipped with a working carbon monoxide detector, smoke detector and fire extinguisher rated at least 2A10BC. The children will be using the backyard as a play area and it is completely fenced. There is no trampoline on the premises. There are no bodies of water on the property and the licensee understands that she must notify the Department prior to adding any.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Patricia PachecoTELEPHONE: 530-895-5886
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019
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: RIDDLE, MINDY FAMILY CHILD CARE HOME
FACILITY NUMBER: 455407554
VISIT DATE: 05/23/2019
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The applicant understands the responsibility to read and have knowledge of the laws and regulations for operation of a family child care home. Forms and regulations must be obtained from the website. http://ccld.ca.gov/. Megan's Law web site was provided (http://www.meganslaw.ca.gov). Incidental Medical Services (IMS) were discussed with the applicant. 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. The applicant understands that any authorized employee of the Department may enter and inspect the facility with or without advance notice. This report, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the applicant. All licensing reports are public information and must be made available upon request for at least three years.

Any proposed changes to the physical plant, telephone number, or change of address shall be immediately reported to the Department.
The following needs to be completed prior to the granting of license. Please include facility number in all correspondence.
1. Evidence that the home has received an approved fire inspection
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Patricia PachecoTELEPHONE: 530-895-5886
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019
LIC809 (FAS) - (06/04)
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