Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455405525
Report Date: 09/26/2017
Date Signed: 09/26/2017 12:21:51 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: 3DATE:
09/26/2017
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Leslie RagulskyTIME COMPLETED:
12:00 PM
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A required annual inspection was conducted at the facility by LPA Patricia Pacheco. 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. There are presently 2 adults and 1 minor living in the home.

During today’s visit the home and grounds were toured and the licensee was operating within the licensed capacity. LPA observed 3 children napping. The facility operates all hours 7 days a week. The floor plan was verified. Off limits areas are inaccessible. There is a working telephone in the home. The yard is completely fenced: The pool has chain-link fencing with slats - there is a waiver on file for allowance of the slats. The licensee has auditory alarms on all of the windows and doors which have direct access to the pool. The licensee is hoping to replace the chain-link fence with a wrought iron fence which meets regulations over the weekend. The children will not be allowed in the backyard until the fence installation has been completed and approved by the Department. Children records were reviewed. Acknowledgement of licensing reports forms were present. The licensee has current CPR and First Aid certifications. Staff required immunization records were previously reviewed. The licensee was previously provided a copy of A Child Care Provider's Guide to Safe Sleep. 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: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Patricia PachecoTELEPHONE: 530-895-5886
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2017
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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