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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009518
Report Date: 07/12/2019
Date Signed: 07/12/2019 10:43:33 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:PALMER-RHODES, SHERRIE FCCHFACILITY NUMBER:
483009518
ADMINISTRATOR:PALMER-RHODES, SHERRIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 425-1289
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:14CENSUS: 10DATE:
07/12/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Sherrie Palmer-RhodesTIME COMPLETED:
10:58 AM
NARRATIVE
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An annual inspection was made to the facility by Licensing Program Analyst (LPA) Kevin O'Connell. A review of staff records on 7/12/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. There is 1 adult living in the home. During today’s inspection the home and grounds were toured with the licensee at 09:25am. The licensee and her assistant were supervising 6 preschool and 4 school age children. Ratio/Capacity is met.
Operating hours are 7:00am to 5:30pm Mon-Fri. The converted garage, bathroom, kitchen, dining room and family room are the primary child care areas. The off-limits areas were inaccessible, door locks/child safety gates prevent access. The front yard are completely fenced and is used for outdoor play. The wood burning stove was screened. There are no poisons but the licensee knows to key or combination lock them. The home was observed to be clean and orderly, and was at a comfortable indoor temperature. There were safe toys and equipment available for children. There is a working telephone in the home. Items which could pose a danger to children (such as detergents, cleaning compounds, medications, etc.) were observed to be stored out of the reach of children. The LPA observed a working smoke detector, carbon monoxide detector and a charged fire extinguisher rated at least 2A:10-BC, in the home. The roster of children in care was reviewed and was current and a fire disaster drill was conducted within the past six months.
The licensee had current Pediatric CPR and First Aid certifications that expire on 10/20.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019
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,
, CA

FACILITY NAME: PALMER-RHODES, SHERRIE FCCH
FACILITY NUMBER: 483009518
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/12/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/26/2019
Section Cited
HSC
1596.8662(b)1
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On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she
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Licensee states that she and her assistant will take the Ab1207 Mandated Reporter Training and send proof to CCL by 7/26/19.
kevin.oconnell@dss.ca.gov
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completed the initial mandated reporter training.
This requirement is not met as evidenced by: During staff file review at 9:40 am Licensee (S-1) stated that she and her assistant (S-2) did not take the AB 1207 Mandated Reporter Training. This poses a potential health and safety risk to the children in care.
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kevin.oconnell@dss.ca.gov
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019
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,
, CA
FACILITY NAME: PALMER-RHODES, SHERRIE FCCH
FACILITY NUMBER: 483009518
VISIT DATE: 07/12/2019
NARRATIVE
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Licensee stated that there were no guns, dangerous weapons on the premises and none were observed. There is a pool in the backyard. It is fully fenced per regulation.
Five children's records was reviewed at 09:50am. Immunizations and signed Notification of Parent’s Rights forms were on file. Two staff files were reviewed (at 09:40am) for immunizations and Mandated Reporter Training certificates. The Mandated Reporter certificates were not not available.
The Incidental Medical Services (IMS) policy was discussed with the licensee. The licensee is not providing Incidental Medical Services (IMS) to children in care. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department.
The following information regarding ADA is 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, Safe Sleep in Childcare brochure, What does a Safe Sleep Environment Look Like brochure & Safe Sleep Concepts handout, were reviewed and discussed with the licensee. The Effects of Lead Exposure brochure has been reviewed with and discussed with the licensee.

All licensing reports are public information and must be made available upon request for at least three years.
Notice of Site Visit shall be posted for 30 days from today's visit.
Failure to keep this notice posted for 30 days may result in a civil penalty of $100.
The following violations of the California Code of Regulations, Title 22; Division 12, were observed:
see LIC 809D. The licensee was provided a copy of their appeal rights.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019
LIC809 (FAS) - (06/04)
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