455407741-4-22-2020-13-CC-CWIT-BNWPN9-20200422112734

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 455407741
Report Date: 04/20/2020
Date Signed: 04/22/2020 11:27:39 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:	MARTIN FAMILY CHILD CARE HOME		FACILITY NUMBER:	455407741
ADMINISTRATOR:	MARTIN, KATIE & WILLARD JR		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 921-1935
CITY:	REDDING	STATE: CA	ZIP CODE:	96001
CAPACITY:	14	CENSUS: 0	DATE:	04/20/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Katie Martin		TIME COMPLETED:	02:35 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	The facility inspection was conducted via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak by Licensing Program Analyst, Wisehart. The applicant is requesting a license for a capacity of 14. Services will be available 6:00 am - 6:00 pm Monday - Friday. The residence is a 4 bedroom, 3 bath home. There are two adults living in the home. The applicant was advised that all adults residing or working at the facility must have a criminal background clearance on file with CCLD. 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. Children will have access to the day care room and an entry way bathroom. The off limits areas are 4 bedrooms and master bathroom, an up stairs bathroom, kitchen, living room and dining room which are inaccessible via gates. The poisons/chemicals are stored and locked in shop and garage. The licensee will have to turn the door knob around if the paint is going to kept in the garage or the paint needs to be moved to the locked shed. The applicant understands that poisons shall always be kept locked. This is a two story home. There is a gate at the bottom of the staircase, making it inaccessible to day care children. The home appears clean and orderly at this time and will remain so during child care hours. There is a fire place that has a secured fence around it. There is a working telephone. The sharp knives, cleaning supplies, medicines, are stored out of the reach of children. The applicant stated firearms and ammunition are stored on site and stored and locked appropriately. The children in care will have access to age appropriate toys and equipment. The home is equipped with a working smoke detector, carbon monoxide detector and fire extinguisher rated at least 2A10BC. The applicant stated children will use the backyard as the outdoor play area and it is fully fenced. There is a spa on the property that does not have a locking lid which licensee is emptying and selling. The licensee agrees to have the spa emptied prior to licensure. The licensee has an in ground pool that is fully fenced with a wrought iron pool fence that is 5 feet high; bars are 3 1/2-4 inches apart; the gate swings away from the pool and self latches.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2020

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: MARTIN FAMILY CHILD CARE HOME	FACILITY NUMBER: 455407741
	VISIT DATE: 04/20/2020

NARRATIVE

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The applicant currently is not providing Incidental Medical Services and the Licensee does not plan on taking medical needs children. The licensee understand if she does ever accept a child with medical needs, she will need to file an IMS plan 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: http://www.ada.gov/childqanda.htm. Parents will be required to sign insurance affidavits if the provider does not plan to purchase additional child care liability insurance. Control of property will be sent to CCL. Parent's rights poster is posted. Emergency drills must be conducted at least once every six months and the date documented. Children's records to be maintained were reviewed. The roster is to remain current at all times. Unusual Incident Report procedures were explained, to include notification before close of next business day and follow-up with written report within seven days. The applicant will maintain current on Pediatric CPR and First Aid (expires 9/7/2021) as well as Mandated Reporter Training (expires 9/12/20). The applicant shall be present in the home and shall ensure that children in care are supervised by a fingerprinted adult with current Pediatric CPR and First Aid certification. The applicant understands that children may only be transported by adults with a criminal record clearance and are never to be left unattended in a vehicle. The applicant clearly understands the maximum number of children for whom care can be provided and the limitations on the number of infants (birth to age 2) that may be cared for and when two of the children in care must be school aged. During the COVID-19 State of Emergency the following staff/child ratio's apply - 1:4 infants (0-18 months) ; 1:6 with 2 infants plus 4 children or 1:10 with no infants. Smoking is prohibited at all times in those areas where childcare is provided. The Licensee understands that the use of baby walkers, bouncers or similar items are not approved equipment for use in licensed child care homes.

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). The licensee understands that any authorized employee of the Department may enter and inspect the facility with or without advanced notice. This report was reviewed and discussed with the applicant. Guide to Safe Sleeping Practices pamphlet was discussed along with the Provider Notice and Flyer for Lead Exposure Testing .

Any proposed changes to the physical plant, telephone number, or change of address shall be immediately reported to the Department.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2020

LIC809 (FAS) - (06/04)

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