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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622927
Report Date: 03/30/2022
Date Signed: 03/30/2022 02:48:42 PM

Document Has Been Signed on 03/30/2022 02:48 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:ORDONA, APRILFACILITY NUMBER:
343622927
ADMINISTRATOR:ORDONA, APRILFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 927-7795
CITY:SACRAMENTOSTATE: CAZIP CODE:
95833
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
03/30/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:April OrdonaTIME COMPLETED:
10:15 AM
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Licensing Program Analyst (LPA) Michelle Pascual met with the Licensee, April Ordona, for the purpose of an unannounced annual random inspection. All individuals subject to criminal background review have obtained a criminal record clearance. Hours of operation for the facility are Monday-Friday, 6:30 AM to 6:00 PM. During today's inspection LPA observed 07 children supervised by the Licensee and the Licensee's spouse.

A health and safety inspection was conducted in all areas accessible to children. Off-limits areas include the all bedrooms (except bedroom #2) laundry room, and garage. Licensee has opted to utilize bedroom #2. Licensee acknowledged that children must never enter the off limit areas. LPA observed the required postings, a working phone, fire extinguisher, and smoke and carbon monoxide detectors. Licensee stated there are no weapons in the home.


The fenced backyard is available for children to play. There is a hot tub located in the backyard with a locked lid to prevent access to children in care. Licensee understands children must have 100% supervision in unfenced areas. Toxic and hazardous items are inaccessible to children. The fireplace is appropriately barricaded to prevent access by children.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Michelle Pascual
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2022
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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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: ORDONA, APRIL
FACILITY NUMBER: 343622927
VISIT DATE: 03/30/2022
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Children’s files were reviewed. LPA observed immunization records and signed Family Child Care Home Notification of Parents' Rights in children's files. LPA observed a current children's roster. Fire and disaster drills are being conducted and documented. The licensee's immunization records for measles (MMR), pertussis (Tdap), and the flu were verified. Licensee has a in person EMSA CPR and First Aid certification that expires 06/23. Licensee has completed the Mandated Reporter Training that has expired and is currently being renewed. Licensee understands that the training is required to be completed once every two years and the training is accessible at www.mandatedreporterca.com.

This Licensee does not currently provide IMS services to children in care. 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: https://www.ada.gov/childqanda.htm.

LPA verified that the annual fees are current. LPA provided and discussed the Safe Sleep in Child Care and Effects of Lead Exposure brochures.

This facility evaluation report was reviewed and discussed with the licensee. A Notice of Site Visit was provided and should remain posted for 30 days for parental review. Licensee was encouraged to visit the Department website at WWW.CDSS.CA.GOV for child care updates, current forms, legislation and regulation information. The licensee's signature on this form acknowledges receipt of this form.



In the areas that were evaluated, no deficiencies were observed or cited during todays visit.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Michelle Pascual
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022
LIC809 (FAS) - (06/04)
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