Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455405525
Report Date: 12/21/2016
Date Signed: 12/21/2016 02:59:59 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: 10DATE:
12/21/2016
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Leslie RagulskyTIME COMPLETED:
03:05 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
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 facility was toured and floor plans were verified. All children were inside, involved in free activity play, and were being supervised by the licensee and her assistant. 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: The pool has chain-link fencing with slats - there is a waiver on file for allowance of the slats. Children records were reviewed. Acknowledgement of licensing reports forms were present. The licensee has current CPR and First Aid certifications. Staff required immunizations were 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 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) 895-5948
LICENSING EVALUATOR NAME: Patricia PachecoTELEPHONE: 530-895-5886
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2016
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1