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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503908458
Report Date: 01/31/2020
Date Signed: 01/31/2020 03:18:18 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:MOEBIUS, MISTY FAMILY CHILD CAREFACILITY NUMBER:
503908458
ADMINISTRATOR:MOEBIUS, MISTYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 345-9814
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY:14CENSUS: 12DATE:
01/31/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Misty MoebiusTIME COMPLETED:
03:45 PM
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An annual random visit #2 is being conducted by LPA Claudia Henley. I was met by licensee and her spouse assistant and adult assistant. Licensee Misty Moebius arrived approximately 15 minutes later into the inspection. A tour of the home, inside and outside, as shown on the facility sketch is provided. There are no "bodies of water", except for a large fish tank in the family room. The fish tank currently has a wood cover/lid on top. There are no firearms in this home. Poisons, cleaning compounds, medications and other hazardous items are inaccessible to children. Fireplace is inaccessible to children and not used during day care hours. There is a working fire extinguisher, a smoke detector, carbon monoxide detector and there is adequate heating and ventilation for safety and comfort. There are no stairs in the home. A fire/disaster drill was conducted within the last six months. Safe toys and play equipment are observed. There is a working telephone. Adequate supervision is being provided during this visit. Children are supervised when outside in the back and front yard. Licensee is aware that 100% visual observation/supervision is required at all times since the licensee's home is located in the country. Children do not have access to the west side of the home area (which is made inaccessible by a fence). There are three dogs on the premises. Two dogs are outside and behind a fence and one dog inside of the home which is accessible. Licensee also has chickens in the back yard and inaccessible to the children by a chicken coop. Licensee is aware of the liability when it comes to pets on the premises. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home. Pediatric CPR & Pediatric First/Aid is current for licensee, spouse and assistants until 1/20/2021. Twelve children's files were reviewed. Current roster available. Licensee and assistants are up-to-date on their immunization record and child abuse mandated reporting. Licensee does not give children medication at this time. The day care hours and days of operation will be: Monday through Friday, 5:30 a.m. to 8:00 p.m.

No deficiencies were cited during this visit.

Site Visit Notice posted. Exit interview was conducted.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
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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