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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009925
Report Date: 04/12/2021
Date Signed: 04/12/2021 02:10:50 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:RANKINS-GILLIAM, TANIA FCCHFACILITY NUMBER:
483009925
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
04/12/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Tania Rankins-GilliamTIME COMPLETED:
10:30 AM
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The facility inspection was conducted via tele-inspection due to the Covid-19 state of emergency pandemic. The department has suspended all field operations and the applicant has agreed to conduct the video conference with LPA, (Licensing Program Analyst) Glenn Ouye.

LPA Ouye met with Tania Rankins-Gilliam to conduct a capacity increase for her family child care home. Her application for the capacity increase was submitted on 9/18/2020. The fire safety inspection was approved on March 2, 2021. The smoke detectors and carbon monoxide detector were tested and functional. The licensee also showed LPA the newly installed fire pull station alarm.

LPA Ouye and the licensee discussed infant safe sleep regulations and LPA Ouye emailed a copy of the regulations along with the sleep log and individual infant sleeping plan. The licensee indicated that only the downstairs level will be used for child care. The upstairs will be off limits. The licensee has a child safety gate at the stairs making the upstairs inaccessible to children in care.

The licensee is approved to operate as a large FCCH effective April 12, 2021. A copy of the license and this report will be sent to the licensee.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:

DATE: 04/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2021
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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