Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622633
Report Date: 08/22/2018
Date Signed: 08/22/2018 02:26:49 PM

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:NEWMAN, REGINAFACILITY NUMBER:
343622633
ADMINISTRATOR:NEWMAN, REGINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 248-9343
CITY:SACRAMENTOSTATE: CAZIP CODE:
95822
CAPACITY:14CENSUS: 10DATE:
08/22/2018
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Regina NewmanTIME COMPLETED:
11:00 AM
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LPA LeGuie met with licensee Regina Newman for the purpose of a prelicensing, change of location inspection. Her husband and 9 day-care children were present arrival. Licensee's 3 minor daughters were also present, one of which counts in the ratio.

A health and safety inspection was conducted inside and out. The single story home has an unfenced front yard, 3 bedrooms, 2 bathrooms, a living room, dining room, kitchen, garage and family room (day-care space) and fenced backyard. The OFF LIMITS areas in the home are all 3 bedrooms, master bathroom and the garage. Off-limits areas will remain inaccessible to children by closed doors and/or supervision. Per licensee, the fireplace near the dining room will not be in use. Toxic and hazardous items are stored in the garage and inaccessible to children. Functioning smoke and carbon monoxide detectors, a 3A40BC fire extinguisher, as well as a first aid kit were observed in the home. Preventative Health, current pediatric CPR and first aid training was verified and expires 4/14/2020. Per applicant, there are no weapons in the home. There are no bodies of water on the premises. Licensee was encouraged to maintain supervision at all times. Zero Tolerance and immediate Civil Penalty regulation deficiencies were reviewed. Proof of required immunization's and mandated reporting training certificates were obtained during the visit. A sample of children's files were reviewed and the property grant deed was observed during the visit.

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
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Eunique LeGuieTELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2018
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: NEWMAN, REGINA
FACILITY NUMBER: 343622633
VISIT DATE: 08/22/2018
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This facility evaluation report was reviewed and discussed with the licensee. Records, postings and reporting requirements were discussed. A LIC311D was provided and discussed. Applicant was encouraged to visit the department website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to family child care homes. This home is recommended to become licensed effective today, 8/22/18.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Eunique LeGuieTELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2018
LIC809 (FAS) - (06/04)
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