543910637-3-6-2020-04-CC-TMAZ-BMFQHN-20200306111124

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543910637
Report Date: 03/06/2020
Date Signed: 03/06/2020 11:11:30 AM

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:	DAY, MIKAYLA FAMILY DAY CARE		FACILITY NUMBER:	543910637
ADMINISTRATOR:	DAY, MIKAYLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 326-8627
CITY:	VISALIA	STATE: CA	ZIP CODE:	93277
CAPACITY:	14	CENSUS: 6	DATE:	03/06/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Mikayla Day		TIME COMPLETED:	11:30 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

On March 6, 2020, Licensing Program Analyst (LPA), Theresa Marquez, conducted an unannounced Required inspection and was met by Licensee, Mikayla Day. Also present was Licensee’s spouse/Assistant Justin Day. LPA toured the home inside and outside and a census was taken. Licensee has a working telephone and the above telephone number was verified.

Current facility sketch reviewed, and Licensee confirmed that the kitchen/dining area, toy room, living room, hall bathroom and fenced back yard are used for providing care and are accessible to children. All other rooms were off-limits and made inaccessible by use of door knob spinners and safety gates. Safe toys and play equipment were observed. There were no stairs in this home. The fireplace located in the toy room was made inaccessible and will not be in use during day-care hours. There was a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Cleaning compounds, medication and other hazardous items were made inaccessible. There were no firearms or ammunition on the premises. No poisons were observed during inspection.

The outdoor play area in the backyard was fenced and there were no hazards to children present. There were no swimming pools or other bodies of water on the premises. No pets were observed.

Capacity as specified on the license was being maintained. Licensee’s pediatric CPR/First Aid expires on 10/30/2020. Mandated Reported Training was completed on 11/15/2018. An emergency fire/disaster drill was been completed within the last 6 months.

A review of records indicates that immunization records were in file for children and adults. Licensee had a current roster of the children and maintains emergency information and forms as required. Adequate supervision was being provided during this visit. All adults who reside or work in the home have a criminal record clearance.

Hours of operation are Monday-Friday, 6:00 AM to 6:00 PM.

Continued LIC809-C

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: DAY, MIKAYLA FAMILY DAY CARE	FACILITY NUMBER: 543910637
	VISIT DATE: 03/06/2020

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
26
27
28
29
30
31
32

Incidental Medical Services (IMS) were not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide these services.

The following information regarding Americans with Disability Act (ADA) was provided: US Department of Justice toll free ADA Information line at (800) 514-0301 (voice) and (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm for Commonly Asked Questions about Child Care Centers and the ADA.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINS), Quarterly Updates, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were cited.

An exit interview was conducted with Licensee. Licensee was provided a copy of the Facility Evaluation Report (LIC 809) and the Notice of Site Visit form (LIC 9213).

The LIC 809 is required to remain in the facility for public review and the LIC 9213 is required to be posted for 30 days.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2