406213429-7-12-2024-17-CC-GRES-D74RCQ-20240712125444

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406213429
Report Date: 07/12/2024
Date Signed: 07/12/2024 12:54:52 PM

Document Has Been Signed on 07/12/2024 12:54 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	PARIZEK FCC AKA TEMPLETON MONTESSORI PRESCHOOL		FACILITY NUMBER:	406213429
ADMINISTRATOR:	PARIZEK, HEATHER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 434-1010
CITY:	TEMPLETON	STATE: CA	ZIP CODE:	93465
CAPACITY:	14	CENSUS: 1	DATE:	07/12/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Heather Parizek		TIME COMPLETED:	01:15 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 July 12, 2024, at 11:50 AM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Triennial inspection at above Family Child Care Home (FCCH). LPA met with Licensee, Heather Parizek. LPA discussed the purpose of the inspection. FCCH operates from Monday to Thursday, from 9:00 AM to 1:00 PM during summer and Monday to Wednesday, 9:00 -100 PM during the regular season. Licensee cares for children ages 2 to 12 years of age. During the inspection, LPA and Licensee toured the inside and outside of the home. LPA did not observe, any day care children present except for Licensee’s own child. The required licensing forms were posted at the day care area. FCCH was free of hazardous items at the time of the inspection. FCCH utilizes living room, dining, kitchen, 1 bathroom the fenced backyard. The backyard is enclosed by 5 -foot vinyl fence and surface is covered with wood chips/mulch. Bathroom for children’s use is free of toxins. Smoke and carbon monoxide detectors were tested and found functional, the regulation fire extinguisher was serviced on 8/14/2024. Age-appropriate toys, book, equipment were observed. Licensee stated there are no guns nor ammunition in the home. Continued LIC 809C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024

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: PARIZEK FCC AKA TEMPLETON MONTESSORI PRESCHOOL	FACILITY NUMBER: 406213429
	VISIT DATE: 07/12/2024

NARRATIVE

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LPA reviewed the facility file and found that the Pediatric CPR and First Aid certificate expires on 6/15/2026 while Mandated Reporter Training was renewed on 2/23/2024 and expires in 2/23/2026. Children’s records were reviewed and found complete. Control of property was reviewed.

FCCH conducts and logs the fire and disaster drills every 6 months, last drill was conducted on 2/1/2024.

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.

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.

LPA discussed the safe sleep regulations with licensee, Heather Parizek 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. Continued on LIC 809C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024

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: PARIZEK FCC AKA TEMPLETON MONTESSORI PRESCHOOL	FACILITY NUMBER: 406213429
	VISIT DATE: 07/12/2024

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LPA also informed licensee, 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 is not providing Incidental Medical Services (IMS). IMS policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

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

During the exit interview, the LICENSEE, Heather Parizek confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

During today’s inspection no deficiency was cited.

A notice of site visit was given to Licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the licensee, Heather Parizek

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024

LIC809 (FAS) - (06/04)

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