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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455408060
Report Date: 03/10/2022
Date Signed: 03/10/2022 11:24:29 AM


Document Has Been Signed on 03/10/2022 11:24 AM - 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:HEARN, DARCY FAMILY CHILD CARE HOMEFACILITY NUMBER:
455408060
ADMINISTRATOR:HEARN, DARCYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 262-8166
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:14CENSUS: 0DATE:
03/10/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Darcy Hearn, LicenseeTIME COMPLETED:
11:40 PM
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A case management inspection was conducted today at 10:40 am by Licensing Program Analyst (LPA), J. Helton and N. Cunningham in response to a relocation application that was received by the department on 02/07/22. LPAs met with Applicant Hearn. The applicant is requesting a license for a capacity of 14 children. The facility operates Monday-Friday, 7:00 am to 5:30 pm. The residence is a 3 bedroom/ 3 bath single story home. There are four adults currently living in the home.

The home and yard were toured, and the facility sketch was verified. The following areas will be off limits to children: all bedrooms, kitchen, front living room, and dining room and garage, which were made inaccessible by door locks. The home is equipped with a working smoke detector and carbon monoxide detector. The licensee stated children will use the backyard for outdoor play which is fully fenced.
LPA reviewed with applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Home, children’s forms/records, facility forms/records, and information to be posted.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Nicolette CunninghamTELEPHONE: (530) 521-5235
LICENSING EVALUATOR SIGNATURE:
DATE: 03/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/10/2022
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: HEARN, DARCY FAMILY CHILD CARE HOME
FACILITY NUMBER: 455408060
VISIT DATE: 03/10/2022
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Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The increased capacity for a capacity of 14 is granted effective 3/11/22. There were no violations observed during this visit. Exit interview conducted and report was reviewed with Applicant Hearn.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Nicolette CunninghamTELEPHONE: (530) 521-5235
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2022
LIC809 (FAS) - (06/04)
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