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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045408277
Report Date: 05/09/2023
Date Signed: 05/09/2023 10:14:18 AM

Document Has Been Signed on 05/09/2023 10:14 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:BARRON, KELLY FAMILY CHILD CARE HOMEFACILITY NUMBER:
045408277
ADMINISTRATOR:BARRON, KELLYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 606-1487
CITY:OROVILLESTATE: CAZIP CODE:
95965
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
05/09/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Kelly BarronTIME COMPLETED:
10:20 AM
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A prelicensing inspection was conducted today at 8:40am by Licensing Program Analysts (LPAs), Laura Chavez and Julie Gifford. LPAs met with applicant Kelly Barron. The applicant is requesting a license for a capacity of 14. The facility will operate Monday-Friday, 6:00am to 6:00pm. The residence is a three bedroom/one bath single story home. There are two adults and four minors currently living in the home.

The home and yard were toured, and the facility sketch was verified. The following areas will be off limits to children: the three bedrooms, outdoor laundry room, and kitchen. These areas have been made inaccessible by means of locks, doorknob covers and baby gates. Poisons are locked in the shed located in the back yard. The home is equipped with a working smoke detector and fire extinguisher rated at least 2A10BC. The children will use the backyard as the outdoor play area. The backyard is completely fenced. There is no pool, spa, pond, fountain, or any other body of water on the premises. LPA Chavez reviewed with applicant Kelly Barron the LIC 311D, Forms/Records To Keep In Your Family Child Care Home, children’s forms/records, facility forms/records, and information to be posted.

The applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. Report continued: See LIC809-C
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: BARRON, KELLY FAMILY CHILD CARE HOME
FACILITY NUMBER: 045408277
VISIT DATE: 05/09/2023
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LPA discussed the safe sleep regulations with applicant Kelly Barron representative and discussed the Child Care Licensing Safe Sleep web page at:https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-
resources/safe-sleep as an additional resource. LPA also informed the applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at:https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following items need to be completed prior to the granting of license:

1. Proof of making the area indicated on the yard sketch off-limits in the backyard.
2. Proof of making the propane tank off-limits.
3. Proof of making the grounded water spigot in the outdoor play area off-limits.
4. Proof of removing or making the screw coming up on the concrete off-limits.
5. Proof of mowing the lawn and removing foxtails from the outdoor play area.

Exit interview conducted and report was reviewed with applicant Kelly Barron.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
LIC809 (FAS) - (06/04)
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