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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343620846
Report Date: 12/05/2024
Date Signed: 12/05/2024 12:33:11 PM

Document Has Been Signed on 12/05/2024 12:33 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:HARRIS, SONYAFACILITY NUMBER:
343620846
ADMINISTRATOR/
DIRECTOR:
HARRIS, SONYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 640-7776
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
12/05/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Sonya HarrisTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On Thursday, 5 December, 2024, at approximately 9:30 am, Licensing Program Analysts (LPAs) Fabian Schwartz and Matthew Gallo met with Licensee, Sonya Harris, for the purpose of an unannounced annual inspection. Upon arrival, LPAs observed licensee supervising 1 infant child. Also present at time of inspection was licensee’s spouse and 3 adult children. 2 of licensee’s adult children have not been fingerprint cleared in Department’s Guardian Fingerprint System. Facility hours of operation are 24 hours, 7 days a week. LPAs verified that the annual fees are current.

A health and safety evaluation was conducted in all areas accessible to children. Facility is a 5 bedroom, 3 bathroom two-story home. Off-limit areas include: Upstairs, Garage, Backyard, Laundry Room, and Downstairs Bedroom. Licensee acknowledged that children may never enter these off-limit areas. LPAs observed that the facility is sanitary and in good repair. LPAs observed a functioning smoke detector, carbon monoxide detector, and a full 2A10BC fire extinguisher. The facility has adequate toys that appear to be safe for children to use. During inspection, there were multiple instances of chemicals in facility being accessible to children in care including a bottle of bleach on kitchen counter, spray cleaner under sink in unlatched cabinet, and chemical storage in off limits Laundry room which was easily assessable to children in care by an unlocked door which was open upon LPAs arrival to facility. The licensee stated there are no weapons or poisons in the home. LPAs observed that there is a fenced backyard with no pool.

LPAs reviewed 5 children’s files which were observed to be complete. Required postings were seen at the front entryway, and the children’s roster was observed. LPAs observed infant sleep plan (LIC 9227) and observed some infant sleeping logs for current infant in care, but licensee states they stopped doing them in August when Child #1 turned 1 year old. The facility has record of conducting fire drills, but the last fire drill was conducted on 1 April 24 which was more than 6 months from inspection day which violates licensing guidelines. Licensee’s and Assistant’s CPR/First Aid card expired on 10 November 2024. Licensee’s Assistant’s Mandated Reporter certificate expired in November 2024, and LPAs have observed Assistant to be left alone with children with expired Mandated reporter certificate. Licensee understands that trainings must be completed every two years.
PAGE 1. REPORT CONTINUES ON LIC809-C……
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: HARRIS, SONYA
FACILITY NUMBER: 343620846
VISIT DATE: 12/05/2024
NARRATIVE
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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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.

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: https://www.ada.gov/resources/child-care-centers/.

Licensee 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.

During the visit, an adult female (A1) walked down the stairs from the second floor. A1 stated her name to LPAs, which licensee confirmed through interview. The licensee stated that A1 is her 25 year old daughter and is currently living in the home and has always lived at the home. Upon record review, A1 did not appear in the Guardian database of criminal background clearances as having been fingerprinted. During interview, licensee also stated that her Son (A2) is currently and has always lived at the home. Records for A2 showed him to be 18 years and 9 months old. A2 also did not appear in the Guardian database, and licensee stated that he was never fingerprinted.
PAGE 2. REPORT CONTINUES ON LIC809-C…….
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: HARRIS, SONYA
FACILITY NUMBER: 343620846
VISIT DATE: 12/05/2024
NARRATIVE
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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

A notice of site visit was given and must remain posted for 30 days. Based on the inspection, 2 Type A and 4 Type B citations have been issued. The Type A citations are for not having fingerprint clearances for 2 adults in home and for having chemicals accessible to children in care. The Type A citation for unfingerprinted adults comes with a Civil Penalty which is explained further on attached LIC-421BG page. The 4 Type B citations are for licensee not maintaining a valid CPR certificate, Assistant not having a valid Mandated reporter certificate, Licensee not maintaining infant sleep logs for infant in care, and for not having conducted and documented a fire drill in the past 6 months.

Title 22 deficiencies are cited on the subsequent pages of this report. Licensee acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 809D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the Licensee. LIC 9224 and Appeal Rights were provided. Licensee's signature on this report acknowledges receipt of these rights.

Exit interview conducted and report was reviewed with the licensee. During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
LIC809 (FAS) - (06/04)
Page: 3 of 6
Document Has Been Signed on 12/05/2024 12:33 PM - It Cannot Be Edited


Created By: Fabian Schwartz On 12/05/2024 at 11:48 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: HARRIS, SONYA

FACILITY NUMBER: 343620846

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/05/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above by having multiple chemicals accessible to children in care which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 12/06/2024
Plan of Correction
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Licensee will make all chemicals and hazardous items inaccessible to children in care by 6 December 24. LPA will make a return visit to facility to check if facility has returned to compliance.
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above by not having two of her adult children, Lillieanne Harris and Jeremiah Harris have fingerprint clearances through Department's Guardian System which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 12/06/2024
Plan of Correction
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Licensee will have 2 adult children attain fingerprint clearance through department's Guardian Fingerprint System by 6 December 2024. LPA will conduct a return visit to facility to check if facility has returned to compliance.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Amanda Blesi
LICENSING EVALUATOR NAME:Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2024


LIC809 (FAS) - (06/04)
Page: 4 of 6
Document Has Been Signed on 12/05/2024 12:33 PM - It Cannot Be Edited


Created By: Fabian Schwartz On 12/05/2024 at 11:48 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: HARRIS, SONYA

FACILITY NUMBER: 343620846

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/05/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above by not conducting a fire drill in the last 6 months which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/05/2025
Plan of Correction
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Licensee will conduct a fire drill and document the drill on a fire drill log. Licensee will email LPA proof of completed fire drill log by 5 January 2025 to return to compliance.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above by not maintaining valid Mandated reporter certificates for all employees in facility which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/05/2025
Plan of Correction
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Licensee and Assistant will attain a current Mandated Reporter Certificate. Licensee will email LPA proof of current Mandated Reporter Certificate by 5 January 2025 to return to compliance.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Amanda Blesi
LICENSING EVALUATOR NAME:Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2024


LIC809 (FAS) - (06/04)
Page: 5 of 6
Document Has Been Signed on 12/05/2024 12:33 PM - It Cannot Be Edited


Created By: Fabian Schwartz On 12/05/2024 at 11:48 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: HARRIS, SONYA

FACILITY NUMBER: 343620846

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/05/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above by not maintaining valid CPR certificates for any employee in facility which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/05/2025
Plan of Correction
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Licensee and Assistant will attain a current CPR certificate. Licensee will email LPA proof of current CPR certificate by 5 January 2025 to return to compliance.
Type B
Section Cited
CCR
102425(j)(2)(D)(c)
Infant Safe Sleep
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above not maintaining sleep logs for infant in care which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/05/2025
Plan of Correction
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Licensee will resume maintaining sleep logs for infant in care. Licensee will email LPA 2 weeks of sleep logs for Child #1 by 5 January 2025 to return to compliance.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Amanda Blesi
LICENSING EVALUATOR NAME:Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2024


LIC809 (FAS) - (06/04)
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