406208650-11-6-2019-17-CC-MKST-BHNSDM-20191106124723

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406208650
Report Date: 11/06/2019
Date Signed: 11/06/2019 12:47:33 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	PESENTI FCC AKA LAURAS LITTLE ONES		FACILITY NUMBER:	406208650
ADMINISTRATOR:	LAURA PESENTI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 238-6462
CITY:	PASO ROBLES	STATE: CA	ZIP CODE:	93446
CAPACITY:	14	CENSUS: 7	DATE:	11/06/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Laura Pesenti		TIME COMPLETED:	12:50 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	(2)Licensing Program Analyst (LPA), Melissa Stewart, conducted an unannounced annual/random inspection and met with licensee, Laura Pesenti. The purpose of the inspection was explained and the home was toured inside and out. All required forms are posted in a prominent location. At the time of inspection, there were 7 children supervised by one assistant and licensee. The family child care home operates on the first floor and backyard of the home. LPA observed age appropriate toys, books and furnishings in the indoor activity area. The bathrooms used by children were observed to be clean and free of toxins. The master bedroom is off limits and two bedrooms downstairs are equipped with pack n play cribs and are used only for napping. The upstairs bedroom is off limits and is made inaccessible by a child safety gate. All hazardous items are stored inaccessible to children in care. Licensee stated there are guns and ammunition which are stored and locked per regulation. The backyard is completely fenced and equipped with playhouse, swing set with sand to absorb a fall and little tikes climbing structure located on the grass. LPA observed that the hot tub cover was locked. Carbon monoxide and smoke detectors were tested and operational. Fire extinguisher was serviced on 10/31/19. Licensee was reminded to service or replace the fire extinguisher yearly. Licensee completes and documents safety drills. The most recent drill was held on 10/4/19. continued on 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: PESENTI FCC AKA LAURAS LITTLE ONES	FACILITY NUMBER: 406208650
	VISIT DATE: 11/06/2019

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Licensee and assistant have current pediatric CPR and first aid certification expiring in 2021. Licensee and assistant have met SB 792 immunization requirement. Licensee completed Mandated Reporter Training per AB 1207 on 9/6/18. Facility roster and a sample of children's records were reviewed and found complete.

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: www.ada.gov/childqanda.htm

LPA reviewed and provided Licensee with Safe to Sleep brochure. LPA provided “Effects of Lead Exposure” brochure to be distributed to all families and maintain a record of receipt of the brochure in child's file. Licensee was advised to review Quarterly Updates and Provider Information Notices (PINs) which can be accessed on-line at www.ccld.ca.gov.

In the areas evaluated, no deficiency cited.

LPA observed Licensee post the Notice of Site visit.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2