515407633-8-24-2020-13-CC-CWIT-BSSTQW-20200824145637

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 515407633
Report Date: 08/24/2020
Date Signed: 08/24/2020 02:57:05 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	FREGOSO, ANABERTA FAMILY CHILD CARE HOME		FACILITY NUMBER:	515407633
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	08/24/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Anaberta Fregoso		TIME COMPLETED:	01:00 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	The facility inspection was conducted via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak by Licensing Program Analyst (LPA) Wishart. The licensee has requested a capacity increase from 8 children to 14 children. The LPA toured the inside and outside areas. The home is a single level, 3 bedroom, 2 bath home. There are 2 adults are living in the home. The applicant was advised that all adults residing or working at the facility must have a criminal background clearance on file with CCLD. The applicant is aware of the immediate $100 per day civil penalty for adults working or residing in the home without a criminal record clearance. Services will be offered Monday - Saturday 3:00 AM-5:00 PM. LPA verified the following: Children will have access to playroom, living room, dining room, kitchen, and a hallway bathroom. The homes off limits areas include 2 bedrooms and the master bed/bathroom and laundry area which were made inaccessible via gates and door knob covers. Also, the free standing shop, garage and carport were made inaccessible via locks. The poisons/chemicals are stored in a locked backyard shed which LPA confirmed during the tour. The applicant understands that poisons shall be kept locked . The home appears clean and orderly at this time and will remain so during childcare hours. There is a working telephone. The sharp knives, cleaning supplies, medicines, are stored out of the reach of children. The applicant stated no firearms or ammunition is stored on site and none were observed. The children in care will have access to age appropriate toys and equipment. The home is equipped with a working smoke detector, carbon monoxide detector and it has a fire extinguisher rated at least 2A10BC. The children will use the local park for outside play as the backyard of the home is off limits.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2020

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: FREGOSO, ANABERTA FAMILY CHILD CARE HOME	FACILITY NUMBER: 515407633
	VISIT DATE: 08/24/2020

NARRATIVE

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The backyard is fully fenced and there is a fence preventing access to the alley way behind the home. There is a built in pool in the back yard that is surrounded by a chain link fence. The licensee is meeting the pool waiver requirements at this time. There are two fire places in the home, one in the living room and one in the converted garage/play room. The fireplace in the garage/playroom is unusable and turned off and has a board blocking the entrance. The wood fireplace in the living room is not used as stated by the applicant. The licensee understands if either fireplace is ever utilized a secured fire fence would need to be installed prior to use. The applicant will maintain current on Pediatric CPR and First Aid (9/22/20) as well as Mandated Reporter Training (expires 9/13/21).The Licensee took the Preventive Health Practices class on 7/27/19 which included the nutrition portion but did not include the lead exposure testing portion, however, the license is enrolled in a class offered on 10/3/2020.

The applicant currently is not providing Incidental Medical Services (IMS) but the Licensee understands the need to file an IMS plan with CCL if ever accepting a child with those needs. 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.

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.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2020

LIC809 (FAS) - (06/04)

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