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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623766
Report Date: 08/10/2023
Date Signed: 08/10/2023 11:44:02 AM

Document Has Been Signed on 08/10/2023 11:44 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:JANES, CLAREFACILITY NUMBER:
343623766
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
08/10/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Clare JanesTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Gagandeep Singh met with the licensee, Clare Janes, for a case management inspection. The licensee submitted an application for increasing the capacity from maximum of eight children in care to fourteen children. Licensee also informed the Department that licensee will be using newly constructed room in the back yard for the day care. Fire inspection was requested by the Department. The new room in the back yard was inspected by the local fire department on July 25, 2023 and clearance was granted.

During today's inspection, LPA inspected the day care area and backyard. LPA observed there is fully charged fire extinguisher, smoke and Carbon monoxide detector detector and fire pull alarm in the room. There is a bathroom attached to the room, which has functioning toilet and sink for the children. There is another sink in the day care room. Cabinets under the sink have child protective locks installed. There are no chemicals or other hazardous items in the day care room. There is no fire place in the day care room. There are pools, spas or other bodies of water on the property. Licensee has record of CPR valid until October 2024 and Mandated reporter training until November 2023. During inspection, LPA discussed the capacity regulations and requirements with the licensee and provided a handout as resource.

Based on the inspection today, licensee meets the requirements for a large family child care home license. Therefore, the license will be granted as of today. Copy of this report was reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2023
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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