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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493008327
Report Date: 02/07/2022
Date Signed: 02/07/2022 01:45:03 PM

Document Has Been Signed on 02/07/2022 01:45 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:ORSETH, DIAHANN FCCHFACILITY NUMBER:
493008327
ADMINISTRATOR:ORSETH, DIAHANNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 334-2735
CITY:PETALUMASTATE: CAZIP CODE:
94952
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
02/07/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Diahann Orseth, TIME COMPLETED:
01:45 PM
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An annual required inspection of the facility was conducted by Licensing Program Analyst Jennifer Velasco (LPA), who met with Licensee Diahann Orseth (L1). A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee was reminded that all adults 18 and over living or working in the home, 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.
During today’s inspection the home and grounds were toured. L1 and one assistant (S1) were supervising seven children under ten years of age and operating within the licensed capacity and ratio requirements. No children were observed left in any parked vehicle. Operating hours are 7:45 a.m. to 5:30 p.m., Monday - Friday, year-round. The floor plan submitted by L1 was reviewed and verified. L1 stated child care takes place in the great room, living room, hall bathroom, covered porch, and fenced backyard. Off limits areas include the kitchen, laundry room, garage, outdoor area excluding the fenced back yard, stairs leading to the second floor, and the entire second floor of the home. Facility shares a driveway with a separate home with a different address. Off-limits areas were made inaccessible to children in care with door locks and baby gates. The home was observed to be clean and orderly and was at a comfortable indoor temperature. There were safe toys and equipment available for children. L1 stated there is a working telephone in the home. The licensee’s pediatric CPR and First Aid certifications were reviewed and expire in 11/2023. Items which could pose a danger to children (such as detergents, cleaning compounds, medications, etc.) were observed to be stored out of the reach of children in a locked cupboard in the key locked garage. L1 stated there were no poisons in the home, and none were observed during this inspection. LPA observed a working smoke detector, carbon monoxide detector and fire extinguisher, rated at least 2A10BC, in the home.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2022
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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: ORSETH, DIAHANN FCCH
FACILITY NUMBER: 493008327
VISIT DATE: 02/07/2022
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The roster of children in care was reviewed and was current. L1 stated she has conducted an emergency drill within the past six months; the last drill was documented in 02.2022. The licensee stated there were no firearms in the home, and none were observed during this inspection. Children use the large, fully fenced, partially shaded backyard and front porch as outdoor play space. Seven children's records were reviewed at 11:10 a.m., and files contained current immunizations and/or medical exemptions, as well as Parents' Rights Notifications, as required. LPA discussed the safe sleep regulations with licensee 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 licensee 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.
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: http://www.ada.gov/childqanda.htm
A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the licensee. There were no Title 22 deficiencies cited during today's inspection.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov . For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing-process
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2022
LIC809 (FAS) - (06/04)
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