364846541-6-4-2024-09-CC-TBEN-D5WQFT-20240604120828

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364846541
Report Date: 06/04/2024
Date Signed: 06/04/2024 12:08:39 PM

Document Has Been Signed on 06/04/2024 12:08 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	RICE FAMILY CHILD CARE		FACILITY NUMBER:	364846541
ADMINISTRATOR/ DIRECTOR:	RICE, TEONA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 257-1407
CITY:	FONTANA	STATE: CA	ZIP CODE:	92336
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	06/04/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:32 AM
MET WITH:	Teona Rice, Applicant		TIME VISIT/ INSPECTION COMPLETED:	12:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On date and time listed, Licensing Program Analyst (LPA) Taityana Benson arrived at the facility to conduct a pre-licensing inspection for the purpose of a relocation. The applicant was previously licensed and has relocated to a new facility. Present during this inspection were: Applicant, Teona Rice and Assistant, Tierra Rice. LPA toured the facility, inside and out and the following was observed and/or discussed: Normal days and hours of operation are: Monday - Sunday, 23.5 Hours OFF-LIMIT AREAS INCLUDE: Entire 2^nd Floor, Living Room, Office, Downstairs Bedroom, and Garage. ·Fire Clearance Granted: 03/21/2024 Appropriate fire extinguisher, smoke detector and carbon monoxide detector are present and were tested by the applicant during this inspection. Fire extinguisher, smoke detector and carbon monoxide detector are in working order. ·All hazardous items are not inaccessible ·Toxins are not locked ·No guns or weapons present as of this date per Applicant, Teona Rice. Applicant understands all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 Regulations. ·Stairs are not barricaded ·Fireplace is properly screened to prevent access by children ·Storage of poisons are not inaccessible to children and are not locked ·The applicant provided proof of control of property (Lease Agreement) Report Continued On LIC809-C

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024

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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RICE FAMILY CHILD CARE	FACILITY NUMBER: 364846541
	VISIT DATE: 06/04/2024

NARRATIVE

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· Because the applicant leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).
· Facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights are not posted
·Mandated Reporter Training completed on 04/02/2024
·Pediatric CPR and First Aid Card - expire 03/2026
·Health & Safety Certificate - completed on 04/23/2016
·No bodies of water at this time. Applicant 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 when not in use.
·Clean, safe and age appropriate toys
·There are no toxic plants observed at this time
·The Applicant was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov
·Resident and/or staff records reviewed on 06/04/2024 indicate that all adults who require caregiver background checks have received all required clearances or exemptions.
·The Applicant can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov

The following was discussed with the applicant(s):

- Pre-Licensing Visit Packet provided
- Failure to meet the posting requirements shall result in an immediate $100 civil penalty.
- Documentation of fire & earthquake drills to be conducted every six months
- Responsibilities of being a mandated reporter

Report Continued On LIC809-C

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024

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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RICE FAMILY CHILD CARE	FACILITY NUMBER: 364846541
	VISIT DATE: 06/04/2024

NARRATIVE

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- Responsibility to know the regulations for anyone providing care
- Inaccessibility of hazards must be constantly reassessed depending on the children in care
- Current facility’s phone numbers must always be on file with the licensing office
- Baby walkers, baby-bouncer, and walker-jumpers are prohibited (16 CFR 1500.86(a)(4))

LPA reviewed with Applicant, Teona Rice the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.
LPA discussed the safe sleep regulations with Applicant, Teona Rice 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 Applicant, Teona Rice 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see PIN 22-02-CCP. 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

Applicant, Teona Rice 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.

Report Continued On LIC809-C

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024

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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RICE FAMILY CHILD CARE	FACILITY NUMBER: 364846541
	VISIT DATE: 06/04/2024

NARRATIVE

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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at: https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

- Community Care Licensing Division: cdss.ca.gov/inforesources/community-care-licensing

The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at: 951-782-4200.

Before licensure, the following needs to be corrected/completed:
1. The stairs must be completely barricaded from the floor upward to prevent access to all steps.
2. Required documents to be posted: Facility Sketch, Emergency Disaster Plan, PUB 394 Notification of Parents Rights, and Earthquake Preparedness Checklist LIC 9148.
3. The poisons and toxins in the downstairs closet adjacent to the office must be made inaccessible.
4. The living room must be made inaccessible (off limits areas).
5. The hazardous items inside the garage must be made inaccessible.
6. In the backyard, on the left side of the home, exercise equipment (handheld weights, weight bench, stationary exercise bike, and weight rack) and two rose bushes in the backyard with thorns must be made inaccessible to children.

A return visit may be required, once all corrections have been verified, the application for a Large Family Child Care Home will be submitted for approval with a maximum capacity (when there is an Assistant present): 12 – No more than 4 infants. Capacity 14 – no more than 3 infants, 1 Child in kindergarten or elementary school and 1 child at least age 6.

During the exit interview, the Applicant, Teona Rice, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Exit interview conducted and report was reviewed with the Applicant, Teona Rice.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024

LIC809 (FAS) - (06/04)

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