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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416649
Report Date: 12/12/2022
Date Signed: 12/12/2022 12:25:12 PM

Document Has Been Signed on 12/12/2022 12:25 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SUTTON, PATRICIAFACILITY NUMBER:
013416649
ADMINISTRATOR:SUTTON, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 846-4116
CITY:PLEASANTONSTATE: CAZIP CODE:
94566
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
12/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:46 AM
MET WITH:Patricia Sutton TIME COMPLETED:
12:45 PM
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On December 12, 2022 Licensing Program Analyst (LPA) Lorraine Dacanay Breaux met with licensee Patricia Sutton for the purpose of conducting an unannounced 1-year annual inspection. Present in the home for today’s inspection was the licensee's fingerprint cleared assistant/son, Benjamin Sutton, five (5) children were in care. The hours of operation will be Monday- Friday, 7:00 AM to 6:00PM

The facility is a 2 story, 5 bedroom, 3.5 bathroom home. This home consist of living room, family room (screened fire place), dining room, kitchen, garage and front and back yard areas. The home has heating and ventilation for safety and comfort. Per the licensee, ISOLATION AREA will be in the on limits family room away from the other children in care.

On-limit-areas include: on main level bedroom (child care room), family room, kitchen (travel through) and bathroom in the bedroom (child care room). Front and rear yard both gated. There is a pellet stove in the family room that is inaccessible to children in care.

Off-limit-areas include: Main level the half bathroom, living room (right of the entrance), dining room, kitchen, and the second level which includes the master bedroom and 2 bathrooms, 4 bedrooms. Off-limit areas will be inaccessible by closed and/or locked doors, child gates and/or by supervision.



There is an in ground pool in the back yard that is fully fenced that is at least 5 feet in height the door swings away from the pool and self-latches. There is a firearm in the home which is stored in the locked cabinet. The ammunition is locked and stored separately. Detergents, cleaning compounds, medications and other items which could pose a danger to children are stored and inaccessible to children. Stairs leading to upstairs is gated. Licensee has ample age-appropriate toys and learning materials inside and outside that were observed to be safe and in good condition. The home has a fully charged 3A40BC fire extinguisher. Smoke detector, carbon monoxide detector and a working telephone.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2022
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: SUTTON, PATRICIA
FACILITY NUMBER: 013416649
VISIT DATE: 12/12/2022
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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. 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

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 [email protected]. 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.

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.

LPA discussed the safe sleep regulations with licensee 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 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.

There are no deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Patricia Sutton.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022
LIC809 (FAS) - (06/04)
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