Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153906380
Report Date: 01/15/2019
Date Signed 01/15/2019 12:41:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:PADDOCK, JAMIE FAMILY CHILD CAREFACILITY NUMBER:
153906380
ADMINISTRATOR:PADDOCK, JAMIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 588-4648
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:14CENSUS: 6DATE:
01/15/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Jamie PaddockTIME COMPLETED:
12:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Jessika Thompson conducted an unannounced annual/random inspection. LPA met with Licensee Jamie Paddock, who provided a tour of the home, as shown on the facility sketch. Also present was licensee's assistant, Becky Bucher. Licensee, her husband and three minor children live within the home. There are no firearms on the premises. A pool was observed and is fenced in accordance with Title 22 Regulations Off limits areas are made inaccessible by use of baby gates. Required forms are posted. Smoke and carbon monoxide detectors meet State Fire Marshall. The home is kept clean and orderly, with heating and ventilation for safety and comfort. Stairs are barricaded. Safe toys and play equipment are observed. There is a working telephone. Adequate supervision is being provided during this visit. Outdoor play areas are fenced and supervised by the licensee or care giver. There are three dogs and three cats that are accessible to children. Licensee accepts full liability for their actions. Capacity as specified on the license is being maintained. Staff-child ratios are maintained. Children’s records contain all emergency information specified by regulation. There are no excluded individuals present at this home. All adults who reside or work in the home have a criminal record clearance or exemption as indicated on Facility Roster. Licensee has current pediatric CPR and First Aid that expires on 12/01/20. Licensee has proof of Child Abuse Mandated Reporter training, completed 09/26/18. Licensee is aware of safe sleep concepts and has completed a Sudden Infant Death prevention training course. Licensee maintains proof of immunization, for herself and Ms. Bucher, within the family child care home.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department.

To order forms, etc. visit our website at www.ccld.ca.gov. Business hours are Mon-Fri 5:00 AM to 6:00 PM and as arranged.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, no deficiencies were observed today.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2019
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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