406210335-9-28-2021-17-CC-EBAY-C7AQMJ-20210928121737

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406210335
Report Date: 09/28/2021
Date Signed: 09/28/2021 12:17:47 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:	APODACA FCC AKA BUSY BEE DAYCARE		FACILITY NUMBER:	406210335
ADMINISTRATOR:	MARY APODACA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 481-8498
CITY:	ARROYO GRANDE	STATE: CA	ZIP CODE:	93420
CAPACITY:	14	CENSUS: 6	DATE:	09/28/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Mary Apodaca		TIME COMPLETED:	12:30 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 9/28/21, at 10:30 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted a Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Mary Apodaca, 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 home’s playroom (converted garage), restroom and backyard are used for child care while the remainder of the FCCH is excluded from children care. At the time of the inspection six children are present, along with a Assistant (spouse- cleared and associated). LPA observed required licensing forms and documents post on the wall near the entry door of the FCCH. LPA also observed a combination smoke/carbon monoxide detector near the entry of the FCCH. The detector was tested (10:45 AM) and found to be operable. LPA observed a regulation fire extinguisher in the FCCH which was purchased on 9/28/21. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the FCCH's fire/disaster drill log. The most recent fire drill occurred on 8/2/21. A fireplace is located in an exclude area of the FCCH which is inaccessible to children in care. LPA observed the FCCH to be clean and orderly. The bathroom which is used for care is clean and free of toxins. LPA observed cleaning compounds on the shelf of an elevated cabinet in the laundry room. Cleaning products are also observed atop of the dryer and washer in the laundry room which is beyond the reach of children in care. Licensee informed LPA medications in the FCCH are stored in a cabinet in the master bedroom which is inaccessible to children in care and in an excluded area of the FCCH. LPA observed age appropriate toys, furniture and equipment in the FCCH. The FCCH's backyard is enclosed by chain link fencing. The fence’s entry/exit gates are secure. The footing in the backyard area is made up of natural grass and wood chips. LPA observed the backyard to be partitioned by wrought iron fencing. LPA observed a green house in the back yard as well as sheds containing housed good and yard equipment. Toys and play equipment observed in backyard are age (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: 09/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021

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: APODACA FCC AKA BUSY BEE DAYCARE	FACILITY NUMBER: 406210335
	VISIT DATE: 09/28/2021

NARRATIVE

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appropriate. LPA observed no bodies of water on the premises.

LPA reviewed a sampling of the children's records. All records reviewed are current and complete. A current roster of children was reviewed by the LPA as was documentation noting the children (0-24 months) sleep in 15 minute intervals. LPA also reviewed the Licensee's records. The Licensee's records are current and complete with Pediatric CPR and First Aid certifications expiring on 9/12/22 (EMSA approved) and Mandated Reporter training expiring on 9/12/22. Three dog are on site. LPA reviewed the vaccination record for each dog and found records are current.

Licensee informed LPA firearms and ammunition are on site. LPA review storage of each and noted firearms and ammunition are stored separately, secured and in an exclude area of the FCCH which is inaccessible to children in care.

The Licensee is not providing Incidental Medical Services (IMS). Policy was discussed. 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 discussed COVID 19 guidance and best practices with the Licensee. Licensee was 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: 09/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021

LIC809 (FAS) - (06/04)

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