475407738-4-14-2020-13-CC-JSNW-BNNJVN-20200414072324

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 475407738
Report Date: 04/13/2020
Date Signed: 04/14/2020 07:23:37 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:	MEREL, RONYA FAMILY CHILD CARE HOME		FACILITY NUMBER:	475407738
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 2	DATE:	04/13/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Ronya Merel		TIME COMPLETED:	12:15 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 Licensing Program Analyst (LPA) conducted a prelicensing inspection today. Due to Covid 19 declared emergency the inspection was conducted via facetime video. Services will be provided M-F 7:45am – 5:45pm. The applicant understands that child care must be provided in the "primary" residence of the applicant. 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 residence is a two bedroom, one bath house. The bedrooms are off limit with a doorknob cover. The laundry room leading to the garage is off limits with a lock. Poisons are locked in the garage and a shed. 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 applicant stated there was no weapon in the home & none was observed. The children in care will have access to age appropriate toys and equipment. The home is equipped with a working smoke detector and fire extinguisher rated at least 2A10BC and carbon monoxide detector. The children will use the backyard as the outdoor play area and it is completely fenced. There is a seasonal creek behind the home and access is prevented by a 5 foot chain link fence. Parents will be required to sign insurance affidavits if the provider does not plan to purchase additional child care liability insurance. Proof of control of property or landlord notification/consent is on file. Continued on page 2

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime Snow	TELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2020

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: MEREL, RONYA FAMILY CHILD CARE HOME	FACILITY NUMBER: 475407738
	VISIT DATE: 04/13/2020

NARRATIVE

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Parent's rights are posted. Emergency drills must be conducted at least once every six months and the date documented. Children's records to be maintained. 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. 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. Smoking is prohibited during the hours of operation in those areas where children are present.
The applicant plans to provide Incidental Medical Services (IMS) and will send a plan prior to accepting children with this need. 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. This report, as well as the AAP Guide to Safe Sleep Practices, were reviewed and discussed with the licensee.
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 advance notice. 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 facility is ready for licensure. License effective 4/14/2020.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime Snow	TELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2020

LIC809 (FAS) - (06/04)

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