406208650-3-6-2020-17-CC-GRES-BMFQWY-20200306113244

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406208650
Report Date: 03/06/2020
Date Signed: 03/06/2020 11:32:54 AM

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: 5	DATE:	03/06/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Laura Pesenti		TIME COMPLETED:	11:35 AM

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	On March 6, 2018, at 10: 20 am, Licensing Program Analysts (LPAs) Gigi Reyes and Maria Mcdaniels conducted an unannounced Annual Required Inspection and met with Licensee, Laura Pesenti. LPAs disclosed the purpose of the inspection and were granted entry into the facility by the Licensee. Five children, Licensee and husband/assistant were present during the inspection. This is a two story, 4- bedroom, 2- bathroom house. Licensee accompanied LPAs inside and out of the facility during this inspection. The area at the back side of the home is dedicated for day care. LPA observed age appropriate toys, books furniture and equipment in the indoor activity area. The bathroom used by children was observed to be free of toxins. One bedroom downstairs is used 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 separately. The backyard is completely fenced and equipped with playhouse, swing set, and little tikes climbing structure, sand cushioning material is in place under the play structure. LPAs observed that the hot tub was covered and locked. At 11:10 am, LPAs tested one carbon monoxide detector and one smoke detector located in the kitchen and living room area. Both devices were functional. Continued on 809 C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: PESENTI FCC AKA LAURAS LITTLE ONES	FACILITY NUMBER: 406208650
	VISIT DATE: 03/06/2020

NARRATIVE

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At 11:20 am LPA reviewed pediatric CPR and first aid certification which expires on 04/09/2021. Licensee and assistant have met SB 792 immunization requirement. Licensee completed Mandated Reporter Training per AB 1207 on 4/4/2019. Facility roster and a sample of children's records were reviewed and found complete.

Home is not providing Incidental Medical Services (IMS). 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 that it is Licensee's responsibility to know the regulations and 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 was cited.

LPA observed Licensee post the Notice of Site visit.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

LIC809 (FAS) - (06/04)

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