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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 475408088
Report Date: 06/02/2022
Date Signed: 06/06/2022 10:16:44 AM

Document Has Been Signed on 06/06/2022 10:16 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:MEYER-PALMER, B AND MEYER-EASTLICK, D FCCHFACILITY NUMBER:
475408088
ADMINISTRATOR:MEYER-PALMER, BRYNNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 643-0252
CITY:YREKASTATE: CAZIP CODE:
96097
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
06/02/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:D. Meyer- Eastlick & B. Meyer-PalmerTIME COMPLETED:
12:30 PM
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A prelicensing inspection was conducted today at 10:30 am by Licensing Program Analyst (LPA), N. Cunningham. LPA met with applicant D. Meyer-Eastlick and B. Meyer- Palmer. The applicant is requesting a license for a capacity of 14 children. The facility will operate Monday-Friday, 7:30 am to 5:30 pm. The residence is a 3 bedroom/ 2 bath one story home. There are three adults and two 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: three bedroom and one bathroom, by gates and locks. The home is equipped with a working smoke detector and carbon monoxide detector. The licensee stated children will use the back yard which will be fully fenced when the gates are closed.

LPA reviewed with applicant 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.

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.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE: DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/02/2022
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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: MEYER-PALMER, B AND MEYER-EASTLICK, D FCCH
FACILITY NUMBER: 475408088
VISIT DATE: 06/02/2022
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LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed 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.

There were no violations observed during this visit. Exit interview conducted and report was reviewed with D. Meyer-Eastlick.

The following items need to be completed prior to the granting of license:
1. Proof of control of property
2. Proof of completion of preventative health and safety training
3. Proof of EMSA approved course for B. Meyer-Palmer
4. Fix the backyard fence

Exit interview conducted and report was reviewed with Applicant D. Meyer-Palmer.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
LIC809 (FAS) - (06/04)
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