553601807-4-12-2023-53-CC-TLAE-CQU5CK-20230412195028

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 553601807
Report Date: 04/12/2023
Date Signed: 04/12/2023 07:50:42 PM

Document Has Been Signed on 04/12/2023 07:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME:	MCKAY, SUSAN		FACILITY NUMBER:	553601807
ADMINISTRATOR:	MCKAY, SUSAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 533-2871
CITY:	SONORA	STATE: CA	ZIP CODE:	95370
CAPACITY:	14	CENSUS: 6	DATE:	04/12/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Licensee, Susan McKay		TIME COMPLETED:	08:00 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	On April 12, 2023, Licensing Program Analysts (LPAs) Tobias Lake and Corina Beckby met with Licensee, Susan McKay for the purpose of an unannounced annual inspection. There were six children present at the time of inspection. Licensee's employee was also present during the inspection after 1:30PM. Licensee's operating hours are Monday through Friday from 6:00 AM. to 3:00 AM. LPA verified the annual fees are not current. LPA discussed the amounts owed and how to pay the fees online. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. A health and safety inspection was conducted in all areas accessible to children. Off-limits areas include the master bedroom/bathroom, daughter’s bedroom, the shed, detached garage. Off limit areas are being made inaccessible by closed and/or locked doors. Licensee has two dogs and four cats. Licensee has parent's signed acknowledgement of the presence of these pets during day care hours. LPA observed the required postings and a working phone. 3A40BC fire extinguisher meets regulations. LPA observed smoke and carbon monoxide detectors, and verified they were both functional. LPA toured the kitchen area and verified knives were inaccessible to children in care. LPA discussed the need to ensure cleaners are inaccessible to children in care. LPAs toured the bedroom used for napping and observed two soiled sheets, two soiled mats, and two cribs that had dirt and food collected under the mat. Licensee stated that they clean the sheets every Friday but their water well was broken this past weekend which is why the sheets were still soiled but as of Monday 04/10/2023, the well has been repaired. LPA observed Licensee remove the soiled sheets. LPA reminded Licensee that they need to keep soiled sheets in a separate container until they are cleaned. Licensee stated they will replace the cribs that are dirty with newer ones and will send photos to LPA. Continued on LIC 809C

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Tobias Lake	TELEPHONE: 916-224-9388
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

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
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: MCKAY, SUSAN	FACILITY NUMBER: 553601807
	VISIT DATE: 04/12/2023

NARRATIVE

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Licensee stated there are no weapons in the home. There is a pool and a spa in the backyard. The spa is drained but uncovered, and the fence surrounding the pool area is built correctly, however LPAs observed a open gate leading from the back of the pool area that could be accessible from the front yard if you walked around the house. Licensee will have the outer gate repaired to ensure it self-latches and will provide video of it working. Outdoor play space is fenced. LPA observed a restroom and discussed with the Licensee the need to keep hazardous items inaccessible to children in care.

Due to the pool being accessible, a Type A citation was issued and an immediate civil penalty of $500 was assessed.

LPA Lake also discussed compliance with Stipulation Order CDSS No. 7019329102 with the Licensee. After observation and discussion with the Licensee, it was found that the following stipulations were not adhered to:
C) Staff Training & D) Staff Training Plan, Licensee is unsure if they did the trainings required and does not have an implementation plan reflecting these trainings.
E) Sign-in System, Licensee has not created a sign-in system but documented some sign-ins via their Infant/Child Enrichment Services Attendance Record.
G) Accommodations, Licensee had possession of unsanitary cribs.
I) Missing Child Procedures, Licensee had not developed or posted a Missing Child policy.
J) Ingress/Engress Devices, auditory devices and childproof latches were not present on all doors that lead outside the home.
K) Notice to Parents, Not all parents had a written acknowledgement of receiving a copy of the Stipulation Order.

Licensee stated that they intend to review the Stipulation Order and will attempt to come into full compliance with it.

In addition, LPA discussed the infant sleep regulations with licensee. LPA discussed the requirement to check and log infant napping every 15 minutes. LPA observed logs starting from when the Licensee was made aware of the safe sleep regulations.

Continued on LIC 809C

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Tobias Lake	TELEPHONE: 916-224-9388
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

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
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: MCKAY, SUSAN	FACILITY NUMBER: 553601807
	VISIT DATE: 04/12/2023

NARRATIVE

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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Children's files were reviewed. Emergency information and required immunization records were on file for most children however one child was missing proof of immunization. LPA observed verification that most parents received Stipulation Order and related documents, but one was missing. LPA discussed with Licensee the need to maintain up to date records for children. LPA will provide a copy of LIC 311D Records to be Maintained in the Facility. LPA observed a current roster and documentation that fire drills are conducted correctly. Licensee's immunization records for measles (MMR), pertussis (Tdap), and the flu are available in the facility file. Current in-person EMSA pediatric CPR and First Aid certification was verified and expires 7/31/2024. LPA observed current Mandated Reporter Training and expires 02/03/24.

Incidental Medical Services (IMS) policy was discussed. This provider is not currently providing IMS services to children in care. 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

Continued on LIC 809C

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Tobias Lake	TELEPHONE: 916-224-9388
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

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
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: MCKAY, SUSAN	FACILITY NUMBER: 553601807
	VISIT DATE: 04/12/2023

NARRATIVE

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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

Exit interview conducted and report was reviewed with the licensee Susan McKay. Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for childcare updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request. Licensee's signature on this form acknowledges receipt of this form. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA Lake informed licensee Susan McKay that this report dated 04/12/2023 documents a Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Lake informed the licensee to provide a copy of this licensing report dated 04/12/2023 that documents the Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit must remain posted for 30 days.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Tobias Lake	TELEPHONE: 916-224-9388
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/12/2023 07:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: MCKAY, SUSAN	FACILITY NUMBER: 553601807
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/12/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

102417(g)(5)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (5) All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above by allowing their pool to be accessible to childen in care by leaving a gate open which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 04/26/2023
	Plan of Correction
1 2 3 4	Licensee will repair gate to ensure it self latches and swings away from the pool. Licensee will send a video of the gate working and closing to LPA Tobias Lake by 04/26/2023.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Tobias Lake	TELEPHONE: 916-224-9388
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/12/2023 07:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: MCKAY, SUSAN	FACILITY NUMBER: 553601807
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/12/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(a)(7)

Infant Safe Sleep

(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (7) Soiled bedding shall be placed in a closed container and made inaccessible to infants until washed. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in 2 out of 4 cribs by allowing there to be dirty sheets and cribs which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/26/2023
	Plan of Correction
1 2 3 4	Licensee will remove the two dirty cribs and replace with newer cribs. Licensee will also purchase properly fitted sheets for cribs. Licensee will provide pictures of the clean cribs and fitted sheets to LPA Tobias Lake by 04/26/2023

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Tobias Lake	TELEPHONE: 916-224-9388
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

LIC809 (FAS) - (06/04)

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