406211099-9-23-2021-17-CC-EBAY-C75P3K-20210923105740

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406211099
Report Date: 09/23/2021
Date Signed: 09/23/2021 10:57:50 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:	HIGGINS FAMILY CHILD CARE		FACILITY NUMBER:	406211099
ADMINISTRATOR:	REBECCA HIGGINS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 235-5589
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93401
CAPACITY:	14	CENSUS:	DATE:	09/23/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Rebecca Higgins		TIME COMPLETED:	11:00 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 9/23/21, at 9:00 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted a unannounced Required Annual inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Rebecca Higgins, Licensee of the FCCH and explained the purpose of the inspection. LPA, in the company of Licensee, toured the interior and exterior of the FCCH. The home’s entire first story, specifically the home's living room, den, kitchen, and hallway restroom, is used for child care, while the home’s upper story is detached and excluded from care. At the time of the inspection LPA observed six children on site. LPA observed required licensing forms and documents posted on the wall near the FCCH's main entry. LPA observed a combination smoke and carbon monoxide detector in the FCCH. The detector was tested at 9:40 AM and found to be operable. The FCCH has a regulation fire extinguisher which was purchased on 1/16/21. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill log and noted the last fire/disaster drill occurred on 9/16/21. LPA observed age appropriate toys, furniture and equipment in the FCCH's interior. The home is void of hazards. LPA observed the restroom used by children in care to be clean and free of toxins. Medication is stored in the upper story of the home which is inaccessible to children and excluded from care. LPA observed cleaning compounds on an elevated shelf in the restroom used for child care. LPA observed the cleaning compounds to be beyond the reach of children in care. Sharps in the FCCH are stored on an elevated shelf in a cabinet which is beyond the reach of children. The backyard is enclosed by wooden and composite plastic fencing. The fence’s entry/exit gates are secure. The backyard has a number of play structures and trees which providing shade. Toys and play equipment in the backyard area are age appropriate and in satisfactory condition. No bodies of water are observed on site. LPA reviewed a sampling of children's and Licensee's records. The children's records are current and (LIC 809-C)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021

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: HIGGINS FAMILY CHILD CARE	FACILITY NUMBER: 406211099
	VISIT DATE: 09/23/2021

NARRATIVE

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complete. A current roster of children was reviewed by the LPA. The children noted in the roster were present and on site. The emergency contact information and immuinzations of children in care is current. The Licensee's records are also current and complete with Pediatric CPR and First Aid (EMSA approved) certifications expiring on 11/16/21. LPA reviewed the Licensee's Mandated Reporter certificate which expires on 9/23/23.

Licensee informed LPA no firearm or ammunition are stored on site.

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 as well as the stipend and the outdoor play area toys and structures. 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: 09/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021

LIC809 (FAS) - (06/04)

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