515407671-2-4-2020-13-CC-MMAZ-BLGP8R-20200204100559

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 515407671
Report Date: 02/04/2020
Date Signed: 02/04/2020 10:06:08 AM

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:	KRAUS, ERIKA FAMILY CHILD CARE HOME		FACILITY NUMBER:	515407671
ADMINISTRATOR:	KRAUS, ERIKA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 701-7585
CITY:	YUBA CITY	STATE: CA	ZIP CODE:	95993
CAPACITY:	14	CENSUS: 0	DATE:	02/04/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Erika Kraus		TIME COMPLETED:	10:15 AM

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	A pre-licensing inspection was conducted today by LPA Mikah Martinez. The applicant is requesting a license for a capacity of 14. Services will be provided Mon-Fri with 23 hour care. The licensee is aware that care cannot be provided for more than a 24 hour period of time. The residence is a four bedroom/ three bath home with an office. There are 2 adults 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. All minors residing in the home must be fingerprinted within 30 days of reaching their 18th birthday and obtain a TB clearance. 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. Children will have access to the kitchen, family dining room, living room and two bedrooms and an office. The children will enter the home through the front door. The master bedroom, one bedrooms, and garage are off limits and made inaccessible by door knob covers. Poisons are stored in the inaccessible portion of the backyard that is key locked. The sharp knives, cleaning supplies, medicines, are stored out of the reach of children. There will be firearms stored in the home and locking and storage of the firearms were discussed with the licensee. There is a fire place in the home however it is not used and the licensee will send a photo of the latched used to maintain the doors to the fire place closed. The children in care will have access to age appropriate toys and equipment. The home is equipped with a working smoke detector and carbon monoxide detector fire extinguisher rated at least 2A10BC was observed in the home. The children will use the backyard as the outside play area. The backyard is fully fenced and separated from the non daycare used backyard where animals are held. The applicant may intend to provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Mikah Martinez	TELEPHONE: (530) 895-4014
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2020

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: KRAUS, ERIKA FAMILY CHILD CARE HOME	FACILITY NUMBER: 515407671
	VISIT DATE: 02/04/2020

NARRATIVE

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The applicant may intend to have liability insurance and will provide the department with a copy of the insurance. Proof of home ownership is on file. Parent's rights poster will be posted. Emergency drills must be conducted at least once every six months and the date documented. Children's records to be maintained were reviewed. The roster is to remain current at all times. Unusual Incident Report procedures were explained, to include notification before close of next business day and follow-up with written report within seven days. The applicant will remain current on Pediatric CPR and First Aid. The applicant shall be present in the home and shall ensure that children in care are supervised by a fingerprinted adult with current Pediatric CPR and First Aid certification. The applicant understands that children may only be transported by adults with a criminal record clearance and are never to be left unattended in a vehicle. The applicant clearly understands the maximum number of children for whom care can be provided and the limitations on the number of infants (birth to age 2) that may be cared for and when two of the children in care must be school aged. Smoking is prohibited at all times in those areas where childcare is provided.

The applicant understands the responsibility to read and have knowledge of the laws and regulations for operation of a family child care home. Forms and regulations must be obtained from the website. http://ccld.ca.gov/. Megan's Law web site was provided (http://www.meganslaw.ca.gov). The licensee understands that any authorized employee of the Department may enter and inspect the facility with or without advance notice. This report was reviewed and discussed with the applicant. Guide to Safe Sleeping Practices pamphlet was provided and discussed.

Any proposed changes to the physical plant, telephone number, or change of address shall be immediately reported to the Department.

The following is needed before issue of a license:
1. Photo of latch for fireplace doors
2. photo of backyard play equipment
3. photo of locked side gate
4. photo of day care area set up (dinning room/living room/office/ bedroom completion
5. photo of safe in bedroom
6. photo of postings

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Mikah Martinez	TELEPHONE: (530) 895-4014
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2020

LIC809 (FAS) - (06/04)

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