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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009675
Report Date: 03/02/2020
Date Signed: 03/02/2020 09:55:58 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:LAFAGES, SINDY FCCHFACILITY NUMBER:
483009675
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
03/02/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:02 AM
MET WITH:Sindy LafagesTIME COMPLETED:
10:10 AM
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A Case Management inspection was made to the facility by Licensing Program Analyst (LPA), Melchisedeck Augustin for the purpose of increasing the facility's capacity to 14. On 02/26/20, the Vallejo Fire Department conducted a fire safety inspection, and the facility was granted a fire clearance to operate at a capacity of 14. A review of staff records on 03/02/20 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 are currently two adults living in the home. The Licensee is partnered with Child Start Inc, and Solano Quality County. The facility does not have any standing waivers.

During today’s inspection the home and grounds were toured. The licensee was supervising five children, and operating within the licensed capacity and ratio requirements. No children were observed left in any parked vehicle. The facility’s operating hours are 4:00am to 1:00am, Mon–Fri. The floor plan submitted by the licensee was reviewed and verified. The off-limits areas of the home are two bedrooms and one bathroom, and were made inaccessible by door locking mechanism and plastic door knob covers. The backyard is currently off limits due to the construction of wooden deck and yard maintenance. The facility has a converted garage that is utilized as additional play space. The stairs/staircase in the converted garage were barricaded with a physical door barrier. There were safe toys and equipment available for children. Three knobs on the stove in the kitchen were accessible. The licensee stated there is a working telephone in the home. The licensee’s pediatric CPR and First Aid certifications were reviewed, and expire on 08/03/20. 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. Poisons were locked in the backyard shed. The fireplace has been made inaccessible with a screen. The LPA observed a working smoke detector, carbon monoxide detector and fire extinguisher, rated at least 2A10BC, in the home. The licensee has conducted an emergency drill within the past six months, last drill was documented on 02/19/20. The licensee stated there are no firearms and/or other dangerous weapons in the home and none were observed during today's inspection. There were no pools or other bodies of water observed. One child's record (C1) was reviewed at 9:11am; current immunization and Notification of parent's rights was on file.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: LAFAGES, SINDY FCCH
FACILITY NUMBER: 483009675
VISIT DATE: 03/02/2020
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The licensee is not providing Incidental Medical Services (IMS) to children in care. The Incidental Medical Services (IMS) policy was discussed with the licensee. 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 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. 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.

There were no Title 22 deficiencies cited during today's inspection.

The facility's license for a Large Family Child Care Home is currently pending and following item needs to be corrected prior to the granting of a license.

The Licensee needs to provide evidence that the knob on the kitchen stove were made inaccessible.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2020
LIC809 (FAS) - (06/04)
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