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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622390
Report Date: 06/17/2021
Date Signed: 06/17/2021 04:06:47 PM

Document Has Been Signed on 06/17/2021 04:06 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:MINGO, ASHLEEFACILITY NUMBER:
343622390
ADMINISTRATOR:MINGO, ASHLEEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 225-3382
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 10DATE:
06/17/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Ashlee Mingo & Janice WilliamsTIME COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Gagandeep Singh met with licensee, Ashlee Mingo, for an annual random inspection. The purpose of the inspection was explained. Licensee lives in a single story home. Present, there are ten (one infant and nine preschool age) children in care, including licensee’s own child. All adults living or working in the home have criminal background check on file. Licensee is operating within the capacity of this date. Licensee provides day care from Monday to Friday between 7 AM to 6 PM.

LPA inspected the day care areas with the licensee. Day Care Areas: Family room, Kitchen, Dining area, Bedroom #1, Bedroom # 2, Bathroom in hallway and Backyard. Off limit areas: Master bedroom and Garage. There is no pool, spa or any other body of water in the house. As per licensee, there is no firearm or weapon in the house. All the cleaning supplies, poisons and other chemicals are stored inaccessible to the children. There are no stairs in the house. Fireplace is barricaded. The house is in good repair and free of hazards with proper temperature and ventilation. There is carbon monoxide detector, smoke detector, fully charged fire extinguisher and working telephone available in the house. There is a variety of age appropriate toys in the house.

LPA review the children's record. LPA reviewed the identification and emergency information form for every child for proper names and numbers filled. LPA observed licensee has record of immunization of each child. LPA remind the licensee to conduct the fire or emergency drills at least once every six months and drills must be logged. Per licensee, last drill was conducted in May 2021. LPA observed a well maintained roster on file. Licensee is aware that a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles. Licensee’s immunization records were checked previously. Licensee is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. Licensee has completed the training in August 2020 and certificate is on file. See next page for continuation ...............
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/17/2021
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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: MINGO, ASHLEE
FACILITY NUMBER: 343622390
VISIT DATE: 06/17/2021
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LPA encourage the licensee to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

No deficiencies are cited today. The copy of this report is reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021
LIC809 (FAS) - (06/04)
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