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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423916
Report Date: 01/05/2024
Date Signed: 01/05/2024 11:28:46 AM

Document Has Been Signed on 01/05/2024 11:28 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:WILSON, DEATRESEFACILITY NUMBER:
013423916
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
01/05/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Deatrese WilsonTIME COMPLETED:
12:00 PM
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On 1/5/24 Licensing Program Analyst (LPA) Monica Mathur conducted an announced Pre-licensing Inspection at Deatrese Wilson's home and met with Applicant, Deatrese who has applied for a Small Family Child Care Home - CHANGE OF LOCATION with a capacity of eight (8). Days and hours of operation will be Monday - Friday from 7am - 5pm. Persons living in the home are Applicant and an adult daughter. All adults have Criminal Record and Child Abuse Index Clearance and documentation for Tuberculosis (TB) clearance. Applicant completed 8-hour Preventative Health & Safety, Nutrition & Lead Poisoning training, 8-hour Pediatric CPR & First Aid (exp 4/4/24), Mandated Reporter training (exp 12/31/24), has documentation for Measles, Pertussis, Influenza opt out statement for the current flu season.

INDOOR: Home is constructed on one level. LPA inspected the indoor space of the home. It is sanitary and orderly, with heating and ventilation for safety and comfort. There are no stairs in the home. The fireplace and wall heater is screened/barricaded. LPA observed fully charged 2A10BC fire extinguisher, working smoke, carbon monoxide detector. Medicines, cleaning products, sharp objects are stored inaccessible to children in cabinets with latches and locks. Access to off limit areas are gated/locked. Applicant has fire arms and ammunition which are stored in compliance with licensing regulations and requirements.
ON LIMIT AREAS: Living/Play room, Hall bathroom
OFF LIMIT AREAS: All 3 Bedrooms, Kitchen, Dining nook, Laundry room

OUTDOOR: LPA toured the outdoor areas. The backyard yard is fenced on all sides. No bodies of water were observed. Deatched Garage/Storage shed is locked. Applicant plans to renovate and install artificial turf/grass in the back and side yard. Until then she will keep the yards off limit. Applicant was reminded Licensing office must be notified before adding an off-limit area to daycare use and when there are structural changes / construction activity planned at the home. A follow-up inspection may be scheduled after completion of work. OFF LIMIT AREAS: Entire backyard, Right side yard, Detached Garage/storage shed
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE: DATE: 01/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/05/2024
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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: WILSON, DEATRESE
FACILITY NUMBER: 013423916
VISIT DATE: 01/05/2024
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The Applicant provided proof of control of property. Because the Applicant rents/leases the home, proof of landlord notification is required. LPA observed the Property Owner/Landlord Notification form (LIC9151) that the Applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

LPA discussed the Safe Sleep Regulations with Applicant, and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant 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.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

On 11/30/23 the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2024
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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: WILSON, DEATRESE
FACILITY NUMBER: 013423916
VISIT DATE: 01/05/2024
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Applicant stated she is in the process of becoming a foster resource parent. LPA reminded her that children at home under age 10 will count in the ratio requirement during daycare hours.

Website links for provider resources:
Licensing forms, Title 22 regulations, can be obtained through the internet at www.ccld.ca.gov.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Subject to final approval by Management, the family home is recommended for Small Family Childcare Home license effective 1/5/24. Exit interview conducted and report was reviewed with the Applicant, Deatrese Wilson.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2024
LIC809 (FAS) - (06/04)
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