Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455405525
Report Date: 01/11/2018
Date Signed: 01/11/2018 10:17:46 AM

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:RAGULSKY, LESLIE FAMILY CHILD CARE HOMEFACILITY NUMBER:
455405525
ADMINISTRATOR:RAGULSKY, LESLIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 222-1933
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:14CENSUS: 1DATE:
01/11/2018
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Leslie RagulskyTIME COMPLETED:
10:20 AM
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A required increased monitoring inspection visit was made to the facility by LPA Patricia Pacheco. The facility file was reviewed prior to this visit. A non-compliance conference was held with the licensee on 08/30/16, regarding an absence of supervision violation that was cited on 06/07/16. The licensee also requested a review of her newly installed pool fence.

The facility was toured and floor plans were verified. There was only one child in care with both the licensee and her assistant providing supervision. The items which could pose a danger to children (detergents, cleaning compounds, and medications) were inaccessible to children in a locked cabinet and laundry room with a high latch. The toys, floors, and other equipment appeared clean and safe. There is a working smoke detector, carbon monoxide detector and fire extinguisher in the facility. The yard is completely fenced. A 5 foot wrought iron fence has been installed to replace the chain-link fence that previously surrounded the in-ground pool. The wrought iron fence surrounds the pool on two sides, the house on the third side and a 6 foot wood panel fence on the fourth side. The gate has a high latch but the spring installed on it was not functioning to make the gate self-closing at the time of the inspection. The licensee stated that the spring will be replaced this weekend and understands that the backyard needs to remain inaccessible until the spring is installed and approved by the Department. The licensee still has a waiver in place for the use of auditory alarms on all of the windows and doors that provide direct access to the pool and the conditions of the waiver were being met. Children records were reviewed. The licensee has current CPR and First Aid certifications. Staff required immunization records were previously reviewed. 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
SUPERVISOR'S NAME: Jordan MonathTELEPHONE: (530) 513-1214
LICENSING EVALUATOR NAME: Patricia PachecoTELEPHONE: 530-895-5886
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2018
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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: RAGULSKY, LESLIE FAMILY CHILD CARE HOME
FACILITY NUMBER: 455405525
VISIT DATE: 01/11/2018
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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. All licensing reports are public information and must be made available upon request. This report was reviewed and discussed with the licensee. There were no Title 22 deficiencies cited during today's visit.
Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Jordan MonathTELEPHONE: (530) 513-1214
LICENSING EVALUATOR NAME: Patricia PachecoTELEPHONE: 530-895-5886
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2018
LIC809 (FAS) - (06/04)
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