344500476-9-28-2022-53-CC-SMAY-CJPQVA-20220928123002

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 344500476
Report Date: 09/28/2022
Date Signed: 09/28/2022 12:30:15 PM

Document Has Been Signed on 09/28/2022 12:30 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:	LANKENAU, PEGGY & MICHAEL		FACILITY NUMBER:	344500476
ADMINISTRATOR:	LANKENAU, PEGGY & MICHAEL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 519-6488
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95624
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 7	DATE:	09/28/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Peggy Lankenau		TIME COMPLETED:	12:45 PM

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On September 28, 2022, Licensing Program Analyst (LPA) Salene Mayberry met with Licensee Peggy Lankenau for the purpose of an unannounced annual random inspection. Facility hours of operation are Monday through Friday 6:00 am to 6:00 pm.

A review of the Facility Personnel Summary shows that all adults living and working in the home have criminal record clearances on file with Licensing. Licensee stated that no new residents have moved into the home. Capacity specified on the license was met during today’s inspection. Present in the facility were seven children, ages 10 months, 2, 2, 2, 3, 5 and 7. LPA verified the annual fees are current.

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.

A health and safety inspection was conducted in all areas accessible to children. The facility is a two-story family home with four bedrooms, two and a half bathrooms, a playroom, living room, laundry, kitchen and garage. Upon entry, LPA observed the posting of the facility license, Emergency Disaster Plan, Earthquake Preparedness Checklist and Notification of Parent Rights. LPA also observed a current roster and confirmed fire drills are conducted at least once every six months. Current in person EMSA CPR and First Aid certification was verified and expires 6/17/23. LPA also verified AB1207 Mandated Reporter Training was current and expires 8/28/24. LPA discussed the requirement to renew the mandated reporter training every two years and provided the Mandated Reporter training website: www.mandatedreporterca.gov.

Report continues on LIC809-C.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2022

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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: LANKENAU, PEGGY & MICHAEL	FACILITY NUMBER: 344500476
	VISIT DATE: 09/28/2022

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The facility maintains a working phone, 3A40BC fire extinguisher, and functioning smoke and carbon monoxide detectors. Hazardous and personal hygiene items are inaccessible to children in care. Sharp utensils are stored in a kitchen drawer secured with safety locks. Licensee stated there are no weapons in the home. The fireplace in the home is appropriately barricaded to prevent access by children. The outdoor play space is fenced and includes three play structures that are all in good repair. There are no bodies of water on the premises. The Off-limit areas are: the entire second floor and the garage. Licensee acknowledged that children are never allowed in any off-limit areas, and that off-limit areas will remain inaccessible by locked doors, gates and supervision.

LPA asked Licensee for the facility records which included children and staff files. Seven children’s files and two staff files were reviewed. All required forms for the children in care are complete and maintained in the files.

Licensee currently does not have any children enrolled that require IMS. If in the future any IMS is provided, Licensee acknowledges that a Plan for Providing IMS must be submitted to the Department.

LPA observed copies of the LIC9227 Individual Sleeping Plan, for infants in care under 12 months and sleep logs for all infants in care under 24 months. LPA discussed the safe sleep regulations with Licensee and provided 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.

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

Report continues on LIC809-C.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2022

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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: LANKENAU, PEGGY & MICHAEL	FACILITY NUMBER: 344500476
	VISIT DATE: 09/28/2022

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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. LPA also encouraged Licensee to visit the department website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to family child care homes.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

In the areas that were evaluated, no deficiencies were cited during today’s inspection.

An Exit interview conducted, and the report was reviewed with Licensee. LPA posted a notice of site visit. Licensee understands the Notice must remain posted for 30 days and that a failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Salene Mayberry
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2022

LIC809 (FAS) - (06/04)

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