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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455407911
Report Date: 11/02/2021
Date Signed: 11/02/2021 01:01:48 PM

Document Has Been Signed on 11/02/2021 01:01 PM - It Cannot Be Edited

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:PORTER, KELSEY FAMILY CHILD CARE HOMEFACILITY NUMBER:
455407911
ADMINISTRATOR:PORTER, KELSEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 921-3365
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
11/02/2021
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Kelsey PorterTIME COMPLETED:
11:10 AM
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An informal meeting was conducted with licensee via tele-inspection due to the current state of emergency regarding COVID-19 outbreak. The meeting was attended by Licensing Program Manager, Megan Aviles and Licensing Program Analyst Bianca Mendez. The purpose for the meeting was to discuss the citation that was issued for the absence of supervision on 9/27/21. The incident which led to the violation and citation was self reported and the licensee expressed remorse for what had occurred. The licensee described the changes that were implemented to prevent another incident from occurring. Licensee stated that she hired more employees to have more supervision of children. Licensee installed a new ring alarm system, cameras point to all doors in the hom, installed cameras in the playroom, there are locks on the exterior gates of the home and alarms on the gates. Licensee has had employees attend a training in supervision. Licensee expressed that she has learned from the experience and will be aware of this in the future.
Read and reviewed report with licensee
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2021
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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