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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405594
Report Date: 06/09/2023
Date Signed: 06/09/2023 01:24:23 PM

Document Has Been Signed on 06/09/2023 01:24 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:ELLIOTT, BRIDGET & BRITTANYFACILITY NUMBER:
073405594
ADMINISTRATOR:ELLIOTT, BRIDGETFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 609-9303
CITY:CONCORDSTATE: CAZIP CODE:
94518
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 16DATE:
06/09/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:BRIDGET ELLIOTT & BRITTANY ELLIOTTTIME COMPLETED:
01:30 PM
NARRATIVE
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 Licensing Program Analyst Tasha Alexander met with licensees Bridget Elliott and Brittany Elliott for an unannounced 1 YEAR/REQUIRED inspection . Present for today's inspection are both licensees, Licensee's Mother Mercia Brown, and 16 children in care, consisting of 3 infants, 9 preschoolers and 4 school age. Today licensee Bridget Elliot says 2 of the school age children are helpers for the summer. Both helpers are under 14 years old. 2 of the children were picked up during today's inspection (1 infant and 1 preschooler). LPA toured the facility and backyard for a health and safety inspection. The children's files were reviewed. There is a fully charged 3A40BC fire extinguisher, a working smoke alarm and a working carbon monoxide detector in the home. all were inspected/tested and found to be in working condition. There is a working telephone in the home, no change in the phone number. Per licensee there are no fire arms/guns or weapons in the home. There are no swimming pools, hot tubs or other bodies of water located on the premises. All poisons, cleaning solutions and medications are inaccessible to children in care. Both licensees have current CPR & 1st AID cards which expire 6/2024 respectively. The off-limits areas are 3 of the 4 bedrooms which are the master bedroom/bath,Jr master bedroom/bath and Marcia's bedroom, garage and laundry room. These areas will be inaccessible to children in care by closed and/or locked doors and visual supervision.. Licensee was also informed of the licensing web address (www.ccld.ca.gov) for downloading child care forms and (www.myccl.com) to register to receive child care updates.

Licensee [or facility representative] 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.

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: ELLIOTT, BRIDGET & BRITTANY
FACILITY NUMBER: 073405594
VISIT DATE: 06/09/2023
NARRATIVE
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A review of staff records on 5/31/23 indicates that all facility staff or other individual who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Effective September 1, 2016, a person may not work or volunteer at a child care center or family child care home unless he or she has been vaccinated against pertussis, measles and influenza or has an exemption. Today licensee Bridget Elliott is unable to locate her immunization records. Licensee Brittany Elliott is up to date and in file.

Today the mandatory mandated reporter training course has also been discussed. Licensee and assistant's certificates are up to date. Both licensees have up to date certificates.

Infant Safe Sleep practices was also discussed today. Licensee keeps an infant sleep log and each infant has their own play pen for napping. Children up to 12 months have the completed LIC 9227 Individual Sleeping Plan form in file.

Incidental Medical Services (IMS) policy was discussed. 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 809-C

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2023
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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: ELLIOTT, BRIDGET & BRITTANY
FACILITY NUMBER: 073405594
VISIT DATE: 06/09/2023
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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.


An exit interview was conducted. A notice of site visit was posted.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2023
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Document Has Been Signed on 06/09/2023 01:24 PM - It Cannot Be Edited


Created By: Tasha Hackett-Alexander On 06/09/2023 at 12:44 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ELLIOTT, BRIDGET & BRITTANY
FACILITY NUMBER: 073405594

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/09/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Administration of Child Day Care Licensing
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Type B
Section Cited
CCR
102418(a)
Immunizations
(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
A REVIEW OF RECORDS REVEALED SEVERAL CHILDREN DO NOT HAVE IMMUNIZATION RECORDS IN FILE. SOME HAVE IMMUNIZATION BLUE CARDS BUT NO IMMUNIZATION RECORDS TO COMPARE.
POC Due Date: 06/23/2023
Plan of Correction
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LICENSEE WILL HAVE EACH CHILD'S PARENT/GUARDIAN SUBMIT THEIR CHILD'S IMMUNIZATION RECORDS. LICENSEE WILL SUBMIT COPIES OF THE RECORDS TO COMMUNITY CARE LICENSING BY 6/23/23
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:Loretta Dyson
LICENSING EVALUATOR NAME:Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:
DATE: 06/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/09/2023


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Document Has Been Signed on 06/09/2023 01:24 PM - It Cannot Be Edited


Created By: Tasha Hackett-Alexander On 06/09/2023 at 12:44 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ELLIOTT, BRIDGET & BRITTANY
FACILITY NUMBER: 073405594

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/09/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Staffing Ratio and Capacity
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Type B
Section Cited
CCR
102416.5(d)
Staffing Ratio and Capacity
(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. TODAY UPON ARRIVAL THE FCCH IS OVER CAPACITY BY 2 CHILDREN. LICENSEE SAYS 2 OF THE CHILDREN ARE "HELPERS". BOTH MINORS ARE UNDER 14 YEARS OLD.
POC Due Date: 06/13/2023
Plan of Correction
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LICENSEE MUST REDUCE HER CAPACITY BY 2 CHILDREN. LICENSEE CAN CARE FOR UP TO 14 CHILDREN AT ONE TIME. WHEN AT FULL CAPACITY, 2 OF THE CHILDREN MUST BE SCHOOL AGE AND ENROLLED/ATTENDING ELEMENTARY SCHOOL.
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:Loretta Dyson
LICENSING EVALUATOR NAME:Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:
DATE: 06/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/09/2023


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