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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 280104003
Report Date: 07/21/2021
Date Signed: 07/21/2021 11:24:05 AM

Document Has Been Signed on 07/21/2021 11:24 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,
, CA
FACILITY NAME:MC CALL FAMILY DAY CAREFACILITY NUMBER:
280104003
ADMINISTRATOR:MC CALL, JANISFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 738-5492
CITY:NAPASTATE: CAZIP CODE:
94559
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 12DATE:
07/21/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Janis Mc Call, LicenseeTIME COMPLETED:
11:40 AM
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A Required- 1 year inspection was made to the facility by Licensing Program Analyst (LPA) Kevin O'Connell. A review of staff records on 07/21/21 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. There are currently two adults living in the home.
During today’s inspection the home and grounds were toured.
The licensee and one assistant were supervising twelve 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 06:30AM to 05:30PM, Monday–Friday. The off-limits areas of the home were made inaccessible by gates. The home was clean and orderly, and was at a comfortable indoor temperature. There were safe toys and equipment available for children. There is a working telephone in the home. The licensee has current pediatric CPR and First Aid certifications, which expire on 04/2023.
Items which could pose a danger to children (detergents, cleaning compounds, medications, etc.) were stored out of the reach of children. Licensee states that there are no poisons but can key lock them. The fireplace is electric and screened. There is a working smoke detector, carbon monoxide detector and a 3A10BC charged fire extinguisher. The Licensee states that there are no firearms or dangerous weapons and none were observed.
The back yard is fully fenced and is used for outdoor play.
There is an in-ground pool (fenced separately) and hot tub (cover locked) that are inaccessible to children. This is accessible only through a key locked door through the dining room.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Kevin O'Connell
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2021
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,
, CA
FACILITY NAME: MC CALL FAMILY DAY CARE
FACILITY NUMBER: 280104003
VISIT DATE: 07/21/2021
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Two staff files were checked at 10:45am for Mandated Reporter Certificates and immunizations and all were current. Nine children's records were reviewed at 10:53am; required emergency information was observed to be on file. This facility is not providing Incidental Medical Services (IMS) to children.
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 was 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.

No Title 22 violations were cited during today's inspection.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Kevin O'Connell
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021
LIC809 (FAS) - (06/04)
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