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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408747
Report Date: 09/19/2022
Date Signed: 09/19/2022 12:12:11 PM

Document Has Been Signed on 09/19/2022 12:12 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:MCCAULEY, LATASHAFACILITY NUMBER:
073408747
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 9CENSUS: 4DATE:
09/19/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Latasha MccauleyTIME COMPLETED:
12:15 PM
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On 9/19/22 at 9:40 AM Licensing Program Analyst (LPA) Michelle Sutton conducted an unannounced Case Management inspection for a change of capacity at Latasha McCauley Family Childcare Home. LPA met with Latasha and explained the purpose of today's inspection. LPA was granted the inspection authority to enter the Home. The family childcare home days and hours are Monday to Friday 5:30 AM to 5:30 PM. Present in the home at time of inspection were licensee, licensee's assistant and 4 children ages 1-4. Licensee is in compliance for the maximum licensed capacity and ratio for a Small Family Child Care Home.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

IN-USE AREAS: A health and safety tour of inside the home was done. LPA toured the premises with licensee. The living room, family room, kitchen, hall bathroom and backyard are the primary areas for day-care. There is a 2A10BC fire extinguisher, working smoke and carbon monoxide detector in the home. The fire department granted clearance for a Large Family Childcare home.

OFF-LIMIT AREAS: The downstairs master bedroom/bath, laundry room, entire upstairs/loft, garage which includes a spare room and the gated off areas of the backyard such as the left side and center of the yard. These areas are inaccessible to children in care by closed and locked doors, visual supervision and a safety gates



OUTDOOR SPACE: LPA toured the outdoor area (backyard) and observed it was fenced. There are no water bodies in play yard. The right side of the yard is used for the primary day care area which is gated.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Michelle Sutton
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2022
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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: MCCAULEY, LATASHA
FACILITY NUMBER: 073408747
VISIT DATE: 09/19/2022
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Children files and Facility files 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



LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

There were no deficiencies cited during today's inspection. Licensee is approved for a Large family childcare home. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Latasha McCauley.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Michelle Sutton
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2022
LIC809 (FAS) - (06/04)
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