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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483007066
Report Date: 02/25/2020
Date Signed: 02/25/2020 07:50:54 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME:NEWTON FAMILY CHILD CARE HOMEFACILITY NUMBER:
483007066
ADMINISTRATOR:NEWTON, DEANDRA AND JAMESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 647-3976
CITY:VALLEJOSTATE: CAZIP CODE:
94591
CAPACITY:14CENSUS: 12DATE:
02/25/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
07:14 AM
MET WITH:Deandra NewtonTIME COMPLETED:
08:00 AM
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Licensing Program Analysts (LPAs) Melchisedeck Augustin and Glenn Ouye conducted an unannounced case management inspection at the facility to verify that an adult (A1) who does not have criminal record clearance is not residing or working at the facility. The Department’s record indicates that A1 has not obtained a criminal record clearance, as required by the Department. LPA Augustin conducted a previous inspection on 02/19/20, at which time, LPA observed bedding materials, clothing on a clothes rack in the facility outdoor shed, and according to the Licensee; A1 resided in the shed for one night on 01/26/20. During today’s inspection, LPAs met with Licensee Deandra Newton and LPAs discussed the purpose of the inspection with the Licensee. LPAs toured the facility backyard and LPAs requested access into the outdoor shed, however, LPAs did not gain access into the outdoor shed. LPAs were unable to verify the presence of A1 at the facility, because the outdoor shed was locked; and LPAs did not have access to enter the shed. The Licensee claimed that A1 left the facility and A1 took the keys to the outdoor shed with him. LPAs consulted with the Licensee on CCR 102370(d) and 102370(d)(1). The Licensee understands that a $500 Civil Penalty may be assessed for having an adult work or reside at the facility without an approved criminal record clearance or exemption.

This report was discussed and reviewed with the Licensee. Notice of Site Visit shall be posted for 30 days from today’s inspection. There were no Title 22 deficiencies cited during today's inspection.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020
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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