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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313603280
Report Date: 01/06/2022
Date Signed: 01/06/2022 11:03:19 AM

Document Has Been Signed on 01/06/2022 11:03 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:STERLING, DEBORAFACILITY NUMBER:
313603280
ADMINISTRATOR:STERLING, DEBORAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 878-1535
CITY:APPLEGATESTATE: CAZIP CODE:
95703
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
01/06/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Debora Sterling - LicenseeTIME COMPLETED:
11:15 AM
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On Thursday, January 6th, 2021, at 9:30am, Licensing Program Analyst (LPA) Blake Morillas met with the Licensee, Debora Sterling, for the purpose of an unannounced Case Management inspection. The Licensee's helpers were also present upon arrival. All individuals subject to criminal background review have obtained a criminal record clearance. At 9:37am, 2 infants and 5 preschool age children were observed.

Earlier in the week, the Licensee appeared on the Local News in regards to being critically low on propane, which they use to heat the house. During the visit, a discussion was had with the Licensee where it was discovered that even though the propane whole house heater is the major head source, it is not the only one. The Licensee also stated that even being critically low, they did still have some fuel and as a precaution her husband purchasing a small axillary tank to tie into their gas line. Furthermore, the home did have electricity, so the Licensee purchased and installed electric heaters in all the rooms of the house. The Licensee continued to note that after the news report, propane was delivered and their tank was refilled.

At the time of the visit, the home was found to be warm and of a comfortable temperature with the whole house heater kicking in from time to time. Electric heathers were fount to be either placed high and out of reach or set up in a way not to cause harm to the children. Also discussed was the current Masking and Covid-19 Guidelines. A copy of Provider Information Notice (PIN) 21-29-CCP was given to the Licensee.

In the areas that were evaluated, there were no deficiencies at this time.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. At 10:43am, an exit interview conducted and report was reviewed with the Licensee, Debora Sterling.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Blake Morillas
LICENSING EVALUATOR SIGNATURE: DATE: 01/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/06/2022
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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