585406273-8-12-2019-13-CC-DWIN-BEYSRP-20190812140639

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 585406273
Report Date: 08/12/2019
Date Signed: 08/12/2019 02:06:57 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:	NAGLE, ANNA FAMILY CHILD CARE HOME		FACILITY NUMBER:	585406273
ADMINISTRATOR:	NAGLE, ANNA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 844-3521
CITY:	BROWNS VALLEY	STATE: CA	ZIP CODE:	95918
CAPACITY:	14	CENSUS: 14	DATE:	08/12/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Anna Nagle		TIME COMPLETED:	02:15 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	On 08/12/2019 an Annual/Random inspection was made to the facility by Licensing Program Analyst (LPA), David Wilson. Prior to this inspection a review of staff records on 06/06/2019 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During today’s inspection the home and grounds were toured. The licensee and assistant were supervising fourteen children, and operating within the licensed capacity and ratio requirements. No children were observed left in any parked vehicle. The facility’s operating hours are 6:00am to 6:00pm, Monday–Friday. The floor plan submitted by the licensee was reviewed and verified. The off limits areas have been made inaccessible. Two off limits areas are the entire upstairs of the home, which has been made inaccessible via a half door locked with a combination lock located at entry way to upstairs areas. Additionally, off limits is the garage, which has been made inaccessible via a door lock. There are multiple other outdoor areas that are fenced in for livestock, barn areas and house deck areas that children do not go into and these areas are inaccessible by means of gates. Continued on next page...

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David Wilson	TELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2019

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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: NAGLE, ANNA FAMILY CHILD CARE HOME	FACILITY NUMBER: 585406273
	VISIT DATE: 08/12/2019

NARRATIVE

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A hot tub built into the back deck had on a cover that is bolted to the deck (this deck area is one of the "multiple" outdoor areas mentioned above where children do not have access to). The children use the fully fenced side yard and fully fenced one section of the backyard as the outdoor play area. The home is clean, orderly and comfortable. There are safe toys and equipment available for children. There is a working telephone in the home. Items which could pose a danger to children (detergents, cleaning compounds, medications, etc.) are stored out of the reach of children. The licensee stated there are no firearms in the home. The licensee stated poisons are locked in garage. There is a working smoke detector, carbon monoxide detector and fire extinguisher, rated at least 2A10BC, in the home. Four children's records were reviewed and in compliance. The licensee is not providing Incidental Medical Services (IMS) to children in care. The Incidental Medical Services (IMS) policy was discussed with the licensee. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417 (See Evaluator Manual Regulation Interpretations and Procedures). 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 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, www.ada.gov/childqanda.htm.
This report, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the licensee. All licensing reports are public information and must be made available upon request for at least three years. 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: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David Wilson	TELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2