093623742-2-15-2022-03-CC-ABLI-CBNTTX-20220215140129

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 093623742
Report Date: 02/15/2022
Date Signed: 02/15/2022 02:01:33 PM

Document Has Been Signed on 02/15/2022 02:01 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	PELTON-WILKES, MORGAN		FACILITY NUMBER:	093623742
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 5	DATE:	02/15/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Morgan Pelton-Wilkes		TIME COMPLETED:	02:35 PM

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Licensing Program Analysts (LPAs) Amanda Blesi and Arianna Manabat met with Licensee Morgan Pelton-Wilkes to conduct a Change of Capacity inspection. The Licensee is requesting an increase from eight to 14 children. Today's census was five children in care including one infant.. Hours of operation are: closed Monday's; Tuesday through Friday 7:30am - 5:30pm.

Off-limit areas include: the entire upstairs, secondary living area and east side yard. Licensee acknowledged that children may never enter these off-limit areas. LPA observed a fire extinguisher and functioning smoke alarm and carbon monoxide detector. LPA observed the required Licensing postings on the wall and a current CPR/1st aid certification, which expires February 2024. LPA observed that hazardous items and chemicals were stored inaccessible to children in care. LPA did not observe any bodies of water on the premises and weapons and ammunition were observed stored and locked separately. LPA observed the home was clean, safe, sanitary, and in good repair with appropriate toys for the children. In the areas that were evaluated during today's inspection, the facility is in compliance.

Upon receipt of an approved fire clearance the licensee will be approved to operate as a Large Family Child Care Home with a maximum capacity (when there is an assistant present) of 12 children with no more than four infants OR a capacity of 14 children no more than three Infants; one child must be in Transitional Kindergarten/Elementary School and one child must be at least six years old. If there is not an assistant present, the facility must revert to a Small Family Child Care Home license.

LPAs reviewed the report with the Licensee and a copy was provided. Notice of Site was posted and must remain for 30 days.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2022

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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