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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343622327
Report Date: 03/10/2022
Date Signed: 03/10/2022 04:59:22 PM

Document Has Been Signed on 03/10/2022 04:59 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:GUILMET, JAMESFACILITY NUMBER:
343622327
ADMINISTRATOR:GUILMET, JAMESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 508-8057
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
03/10/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:James and Sharon GuilmetTIME COMPLETED:
02:50 PM
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On Thursday, March 10, 2022, 1:05 PM, Licensing Program Analysts (LPAs) Tanya Washington and Kelly Ferrara conducted an unannounced Required 1 year annual inspection and met with Licensee's spouse Sharon Guilmet. Licensee was picking up a school age child and arrived to the facility shortly after LPAs arrival. LPAs observed two children in care of Sharon Guilmet. There are no off limit areas in the home. Licensee is aware that if any alterations are made in the future, Licensing office must be contacted.
Licensee stated there are no new residents in the home since licensure. The hours of operation are Monday through Saturday from 6:00 AM to 12:15 AM.

LPAs observed current CPR/First Aid certificates for both the Licensee and his spouse which expire 02/2024. LPAs reviewed files for the children in care during today's inspection. LPAs observed that there were no hazardous items accessible to children. There is no fireplace in the home. LPAs observed that cleaning materials were inaccessible. Fire extinguisher, smoke detector, and carbon monoxide detector meet regulation. Toys appear to be safe. There are no bodies of water on the premises. LPAs discussed current COVID guidelines with Licensee.

LPAs observed a current fire drill log and children’s roster. Proof of AB1207 mandated reporter training was observed for Licensee and his spouse expiring 01/04/2024. LPAs explained that the OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/. Licensee is aware that certification must be renewed every two years.

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.

REPORT CONTINUED ON NEXT PAGE LIC809C

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE: DATE: 03/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2022
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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: GUILMET, JAMES
FACILITY NUMBER: 343622327
VISIT DATE: 03/10/2022
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This facility does not currently provide Incidental Medical Services- IMS. 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.

LPAs provided Licensee the Safe Sleep PIN 20-24 CCP and Infant Individual Sleeping Plan (LIC9227). Licensee stated that he does not currently have any children under that age of two years old but is open to enroll younger children.
LPAs 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. LPAs 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.

LPAs checked facilities fees and confirmed that it is up to date.



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.

In the areas that were evaluated, no Tittle 22 deficiencies were observed. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee James Guilmet.

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2022
LIC809 (FAS) - (06/04)
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