406210936-10-1-2024-17-CC-SLOS-D9MV9N-20241001161438

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406210936
Report Date: 10/01/2024
Date Signed: 10/01/2024 04:16:07 PM

Document Has Been Signed on 10/01/2024 04:16 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	CIPRES FCC AKA LITTLE BUGS CHILDCARE		FACILITY NUMBER:	406210936
ADMINISTRATOR:	CINDY CIPRES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 460-7057
CITY:	ATASCADERO	STATE: CA	ZIP CODE:	93422
CAPACITY:	14	CENSUS: 13	DATE:	10/01/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:50 PM
MET WITH:	Cindy Cipres		TIME COMPLETED:	04:30 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 10/1/24, at 2:50 pm, Licensing Program Analysts (LPAs) Shane Loftus and Elvin Baddley conducted an unannounced Annual/Random Inspection of the facility. LPAs met with Licensee, Cindy Cipres, and explained the purpose of the inspection. LPAs in the company of licensee, toured the interior and exterior of the Family Child Care Home (FCCH). The FCCH is a single-story dwelling consisting of 3 bedrooms, 2 bathrooms, living room, family room, kitchen, and backyard. The living room, family room, kitchen, bathroom, and a portion of the backyard are used for child care. There was an assistant (Sierra Lounder) and 13 children in care at the time of inspection.

The FCCH has a regulation 2A10 BC fire extinguisher that was serviced on 7/18/24. LPAs reminded licensee the fire extinguisher needs to be either serviced or newly purchased annually. LPAs tested the smoke and carbon monoxide detectors at 3:10 pm, and found to be operational. Licensee states cleaning supplies are stored in the garage, which is off limits to children. Medications are stored in the master bedroom, which is inaccessible to children in care. Sharps are stored on top of the refrigerator and in an elevated cabinet, making them inaccessible to children in care. The bathroom used for child care is clean and orderly. The FCCH has a fireplace that is covered with a glass screen. The facility has ventilation for childcare services. A portion of the FCCH’s backyard is cordoned off with metal fencing for children in care. The outdoor area has plenty of shade for the children in care. Toys and equipment observed in the FCCH are age appropriate. There are no bodies of water on the property. Licensee stated there are no guns or ammunition in the home.

The FCCH has the appropriate documentation posted in the home. A sampling of the children's records was reviewed and contain the required documents. Licensee documents 15-Minute Sleep Checks for infants in the Brightwheel application. The licensee’s and assistant’s records were reviewed, containing current CPR/First Aid and Immunization records. LPAs reminded licensee that Mandated Reporter AB1207 and CPR/First Aid must be updated every two years.

Continued on 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR NAME: Shane Loftus	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024

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 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CIPRES FCC AKA LITTLE BUGS CHILDCARE	FACILITY NUMBER: 406210936
	VISIT DATE: 10/01/2024

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

LPAs reviewed emergency drill log and observed the last emergency drill was conducted and documented 6/12/24. LPAs reminded licensee that emergency drills are required every six months and need to be documented.

Licensee does not provide Incidental Medical Services (IMS). Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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) or (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 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.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPAs completed the RSO profile in FAS.

Continued on 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR NAME: Shane Loftus	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CIPRES FCC AKA LITTLE BUGS CHILDCARE	FACILITY NUMBER: 406210936
	VISIT DATE: 10/01/2024

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

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. 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/inspection-process.

During today's inspection, no deficiencies were cited under Title 22 Division 12.

LPA observed Licensee posted the Notice of Site Visit.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR NAME: Shane Loftus	TELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024

LIC809 (FAS) - (06/04)

Page: 3 of 3