406210090-10-7-2021-17-CC-EBAY-C7KS4Q-20211007133307

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406210090
Report Date: 10/07/2021
Date Signed: 10/07/2021 01:33:14 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:	BALLWEBER FCC AKA JESSIE'S FAMILY DAYCARE		FACILITY NUMBER:	406210090
ADMINISTRATOR:	JESSICA BALLWEBER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 545-9301
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93401
CAPACITY:	14	CENSUS: 3	DATE:	10/07/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Jessica Ballweber		TIME COMPLETED:	01:45 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	On 10/7/21, at 12:10 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Jessica Ballweber, Licensee of the FCCH and explained the purpose of the inspection. LPA, in the company of the Licensee, toured the interior and exterior of the FCCH. The FCCH's playroom (converted family room), backyard, hallway restroom and guest rooms (2) are used for child care services, while the FCCH's master bedroom, kitchen and garage are excluded from care. At the time of the inspection, LPA observed three children in care. The home has ventilation to afford for the children’s comfort. Medication at the FCCH is stored in a kitchen cabinet on an elevated shelf. which is excluded from care and inaccessible to children. Cleaning products and compounds are also stored on elevated shelves in the home's hallway closet and kitchen cabinet. The bathroom used by children in care is clean and free of toxins. Toys, furniture and equipment observed in the FCCH's interior are age appropriate. Required licensing forms and documents are posted on a bulletin board in the playroom. LPA observed a smoke and carbon monoxide detector in the FCCH's playroom. Each detector was tested (12:40 PM and 12:41 PM) and found to be operable. The FCCH has a regulation fire extinguisher which was service on 2/10/21. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The FCCH maintains working telephone services. The backyard has an artificial grass footing. The backyard is enclosed by wooden fencing and partitioned to afford an area for gardening and an excluded area which is inaccessible to children. Toys and play equipment observed in backyard are age appropriate. LPA observed a shed is the backyard which contains household supplies and tools. LPA observed the shed to be secure and inaccessible to children in care. LPA observed no bodies of water on site. (CONT 809-C)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 10/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2021

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: BALLWEBER FCC AKA JESSIE'S FAMILY DAYCARE	FACILITY NUMBER: 406210090
	VISIT DATE: 10/07/2021

NARRATIVE

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A sampling of the children's records are reviewed. The records were current, complete and possessed emergency contact information as mandated by regulations as well as a record of immunizations. Records also include documentation of the children's sleep logged in 15 minute intervals. The Licensee records are also current and complete with Pediatric CPR and First Aid certifications expiring on 1/28/23. Mandated Reporter Training certification expires on 10/7/23. A review of the FCCH's fire drill log shows the last drill was completed on 9/7/21.

The Licensee stated no firearms or ammunition are stored on site.

The Licensee is not providing Incidental Medical Services (IMS). Policy was discussed. When any IMS is pf 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 discussed COVID 19 guidance and best practices with the Licensee. Licensee is reminded that it is Licensee's responsibility to know the regulations for a FCCH which can be accessed on-line at www.ccld.ca.gov.

In areas evaluated, there were no deficiencies cited at this time.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 10/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2021

LIC809 (FAS) - (06/04)

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