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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483005906
Report Date: 09/23/2021
Date Signed: 09/24/2021 02:30:22 PM

Document Has Been Signed on 09/24/2021 02:30 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:CANTRELL, ILEANA FAMILY CHILD CARE HOMEFACILITY NUMBER:
483005906
ADMINISTRATOR:CANTRELL, ILEANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 448-3954
CITY:VACAVILLESTATE: CAZIP CODE:
95688
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 2DATE:
09/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Ileana CantrellTIME COMPLETED:
10:40 AM
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On 9/23/21 at 9:35AM, a required- 1 year visit inspection was made to the facility by Licensing Program Analyst (LPA) Martinez. A review of staff records on 9/13/21 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. There are currently 2 adults living in the home. At 10:15am the home was toured inside and outside. The licensee was supervising 2 children, and operating within the licensed capacity and ratio requirements. The facility’s operating hours are 7AM-5:30PM Monday–Friday. The floor plan submitted by the licensee was reviewed and verified. The off-limits areas of the home are entire upstairs, the garage and the living room, kitchen, and dinning room and they were made inaccessible by baby gate. Poisons are locked in the garage. Items which could pose a danger to children (detergents, cleaning compounds, medications, etc.) are stored out of the reach of children. The fireplace has been made inaccessible with a play gate for the dogs blocking it. There is a working smoke detector, carbon monoxide detector and fire extinguisher, rated at least 2A10BC, in the home. The licensee stated there are no firearms and/or other dangerous weapons in the home, and none were observed during today's inspection. Stairs are fenced with a baby gate. There are safe toys and equipment available for children. There is a working telephone in the home. The children use the back yard as the outdoor play area and it is fully fenced. There is an in ground pool in the back yard. The pool is fully fenced with a 5ft fence that has an outward opening door that is self latching. Two children's records were reviewed at 10AM; required emergency information forms were observed to be on file. Individual Sleeping Plans were on file for infants under 12 months of age. The licensee has completed Mandated Reporter training. The licensee and all employees have the required immunizations on file. The licensee has current pediatric CPR and First Aid certification, which expire on 5/2023.
This report was reviewed and discussed with the licensee. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Mikah Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2021
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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