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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845022
Report Date: 10/19/2023
Date Signed: 10/19/2023 03:56:56 PM

Document Has Been Signed on 10/19/2023 03:56 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:ROWLAND FAMILY CHILD CAREFACILITY NUMBER:
334845022
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
10/19/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:07 PM
MET WITH:Katherine RowlandTIME COMPLETED:
04:05 PM
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On October 19, 2023 at 3:07 pm, Licensing Program Analyst (LPA) Jessica Rubio arrived to the facility to conduct and case management visit to increase the license capacity from a small family child care home to a large family child care home. A fire clearance was granted for an increase of capacity on 10/6/2023. LPA met with licensee Katherine Rowland and toured the facility inside and outside and the following was observed and/or discussed:

· Normal days and hours of operation are: Monday through Friday 7:30 am – 5:30 pm.

· Off-limit areas include: Two bedrooms, the office, and garage.

· All hazardous items are stored inaccessible to children.

· Weapons are not present on this date as stated by Licensee. Licensee understands all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 Regulations

· There is an above ground spa located in the backyard that is properly covered and locked. There is also a small plastic kiddie pool located in the pig pen that is strictly for the pigs. It contained little water and LPA advised licensee that the water must be emptied out after each use. Licensee understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 Regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position.

· Licensee's Pediatric CPR and First Aid Card expires on 5/28/2024. Licensee's Mandated reporter training is complete and expires on 6/21/2025. Licensee completed Health & Safety Training in June 2016.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023
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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: ROWLAND FAMILY CHILD CARE
FACILITY NUMBER: 334845022
VISIT DATE: 10/19/2023
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· Resident and/or staff records were reviewed and all adults who require caregiver background checks have received all required clearances and/or exemptions. Licensee was reminded that all adults 18 and over, living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA requested an updated sketch of the backyard. Once received the Large Family Child Care Home License will be submitted for approval with a maximum capacity of 12, or 14 with parent notification. An exit interview was conducted, and this report was reviewed with the licensee Katherine Rowland. Appeal rights were discussed and provided during the exit interview. A notice of site visit was provided to licensee and must remain posted for 30 days

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023
LIC809 (FAS) - (06/04)
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