503910908-7-16-2019-04-CC-NLOI-BE5RLM-20190716130723

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 503910908
Report Date: 07/16/2019
Date Signed: 07/16/2019 01:07:40 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:	RIGGS, ALLISON FAMILY CHILD CARE		FACILITY NUMBER:	503910908
ADMINISTRATOR:	RIGGS, ALLISON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 552-9115
CITY:	CERES	STATE: CA	ZIP CODE:	95307
CAPACITY:	14	CENSUS: 0	DATE:	07/16/2019
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Allison Riggs		TIME COMPLETED:	01:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA), Norma Lomeli met with Applicant, Allison Riggs for a pre-licensing inspection. Present at time of inspection was applicant and Applicant’s Assistant, Nicole McCleskey, who is applicant’s adult daughter. Applicant and husband reside in the home. Verified applicant’s and applicant’s assistant CPR and First Aid certification was completed through America Red Cross and expires on 9/29/2020. Background clearances are discussed and LIS 531 is signed indicating that the adults currently living in the home and/or providing care and supervision to children have a criminal record clearance. Fire clearance was granted on July 11, 2019. Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed: Fire clearance was received on July 11, 2019. Fire alarm is located in the right hand side of the hallway wall. This is a single story, three bedrooms and two bathrooms home and children will have access to the living room, kitchen, bedroom #2 (day care room), bedroom #3 and hallway bathroom. Off-limits rooms are made inaccessible by use of a key lock. There is a fireplace in the in the living room that applicant states it will not be used during day-care hours. LPA observed a parents board in the living room, also observed in bedroom #2; a diaper changing table, children size furniture, safe toys and books for the children. Children will nap in bedroom #2 on mats and infants will nap bedroom #3 in play yards. Applicant understands she is to supervise children at all times. Facility has 3A40BC fire extinguisher, smoke alarm, carbon monoxide alarm and first aid kit in place. (Continued on LIC809-C):

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma Lomeli	TELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019

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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: RIGGS, ALLISON FAMILY CHILD CARE	FACILITY NUMBER: 503910908
	VISIT DATE: 07/16/2019

NARRATIVE

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Preventative Health and Safety class was completed on October 13, 2018.
Knives are stored inside a kitchen drawer and inside a top kitchen cabinet that are made inaccessible by the use of a child proof safety latch. Medications are stored inside a top kitchen and in the master bathroom inaccessible to the day care children.
Advised applicant fire drills are to be conducted once every 6 months and must be documented with date and time. A fire drill log was provided as an example.
Applicant is advised at least one staff member with current training in pediatric first aid and pediatric CPR is to be on site at all times children are present.
There is an above-ground pool that is fenced with a black rod iron fence in accordance with Title 22 Regulations. The gate is self-latching/self-closing and swings away from the pool.
There is a small dog that is kept indoors accessible to the day care children. Applicant is advised it is her responsibility to ensure the safety of children in care at all times from the pets.
There are firearms that are stored in accordance with Title 22 Regulations and ammunition stored separate in accordance with Title 22 Regulations. Poisons are kept locked inside a shed that is located in the backyard.
Applicant is reminded that any advertising (of day-care) such as business cards, flyers/posters, and/or signs must include facility number as per Title 22 Regulation "Advertisements and License Number" 102359 (a).
Applicant states the home is smoke-free.
Applicant states she will not be transporting day care children. Applicant understands that she must have proper restraints and/or car seats for all the children under her care when transporting children.
Fenced backyard has a cemented and sodded area for the children.
SB 792 immunizations verified and on file.
Applicant completed the Mandated Reporter Training on January 15, 2019. Applicant’s Assistant, Nicole McCleskey completed the Mandated Reporter Training on May 16, 2019.

(Continued on LIC809-C):

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma Lomeli	TELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019

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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: RIGGS, ALLISON FAMILY CHILD CARE	FACILITY NUMBER: 503910908
	VISIT DATE: 07/16/2019

NARRATIVE

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LPA discussed safe sleep pending regulations and Safe Sleep Regulation Concepts were given to applicant.
Incidental Medical Services (IMS) policy was discussed. 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 (USDOJ) 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, available at: http://www.ada.gov/childqanda.htm.

Required postings, forms packet, which included Parent Notification Requirement and LIC9224 were provided and discussed in detail. Applicant is advised that she may access CCLD website at www.ccld.ca.gov for additional forms and licensing updates. She is also reminded that it is her responsibility to read the regulations periodically. Applicant states she will operate her day care Monday through Friday from 7:30 AM to 6:00 PM and as arranged. No overnight care will be provided.

Licensure as a Large Family Day Care Home capacity of 14 children ages under 18 years will be recommended effective July 17, 2019.

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Norma Lomeli	TELEPHONE: (559)650-7870
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019

LIC809 (FAS) - (06/04)

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