Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455405525
Report Date: 01/31/2018
Date Signed: 01/31/2018 01:47:34 PM

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: 4DATE:
01/31/2018
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Leslie RagulskyTIME COMPLETED:
01:55 PM
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LPA Pacheco conducted a case management inspection at the licensee's request. The licensee contacted LPA stating that the fence surrounding the in-ground pool has been completed. LPA toured the facility and examined the recently installed fence. 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, swings away from the pool and is self-latching. The licensee has a previously approved 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. LPA approved the use of the pool fence as it meets regulations.

No deficiencies were cited during today's inspection.

Notice of site visit must be posted for 30 day from today's date.
SUPERVISOR'S NAME: Jordan MonathTELEPHONE: (530) 513-1214
LICENSING EVALUATOR NAME: Patricia PachecoTELEPHONE: 530-895-5886
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2018
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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