406213817-2-27-2020-17-CC-MKST-BM7U5X-20200227141727

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406213817
Report Date: 02/27/2020
Date Signed: 02/27/2020 02:17:34 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:	NUSSER-RAINS FCC AKA MINDY'S DAY CARE		FACILITY NUMBER:	406213817
ADMINISTRATOR:	MINDY NUSSER-RAINS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 704-9792
CITY:	TEMPLETON	STATE: CA	ZIP CODE:	93465
CAPACITY:	14	CENSUS: 4	DATE:	02/27/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Mindy Nusser-Rains		TIME COMPLETED:	02:20 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 2/27/20 at 1:30pm, Licensing Program Analyst (LPA) Melissa Stewart conducted an unannounced Required- 1 year inspection and met with Licensee, Mindy Nusser-Rains. All required forms are posted in a prominent location. Licensee's Resource Family license number is 407806710. At the time of inspection, there were 4 children (one being an infant) supervised by one assistant and Licensee. The child care home operates in the living room, three bedrooms (two used for napping) and backyard of the home. LPA observed age appropriate toys, books and furnishings in the indoor activity area located toward the back of the home which has a door that leads to the outdoor activity area. The bathroom used by children was observed to be clean and free of toxins. The master bedroom and bathroom are off limits. All hazardous items are stored inaccessible to children in care. Licensee stated that guns and ammunition are stored in three individual safes. Licensee stated that her two dogs are fully up to date with vaccinations. Outdoors, LPA observed artificial grass, swing set located on wood chips to absorb a fall, playhouse and riding toys. The backyard is completely fenced; there are no bodies of water. The facility has combination carbon monoxide/smoke detectors in each bedroom and the living room. LPA observed the 2 A10 BC fire extinguisher which was serviced on 1/8/20. Licensee was reminded to service or replace the fire extinguisher yearly. Licensee completes and documents emergency drills. The most recent drill was held on 2/12/20. Continued on 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020

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: NUSSER-RAINS FCC AKA MINDY'S DAY CARE	FACILITY NUMBER: 406213817
	VISIT DATE: 02/27/2020

NARRATIVE

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Pediatric CPR and first aid certifications expire on 5/19/20 (Licensee) and 11/17/20 (Assistant). Licensee and assistant have met SB 792 immunization requirement. Mandated Reporter Training per AB 1207 was completed by Licensee on 11/16/18 and assistant on 11/26/18. LPA reminded Licensee that the Mandated Reporter Training must be renewed every two years: www.mandatedreporterca.com. Facility roster and a sample of children's records were reviewed and found complete. Licensee stated that there are no children enrolled who require medications at this time.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 reviewed and provided Licensee with Safe to Sleep brochure. Licensee stated that she provides the “Effects of Lead Exposure” brochure to all families at time of enrollment. Licensee was reminded that it is her responsibility to know the regulations for Family Child Care Home and was advised to review Quarterly Updates and Provider Information Notices (PINs) which can be accessed on-line at www.ccld.ca.gov. Licensee stated that she receives important updates from Community Care Licensing Division via email.

In the areas evaluated, no deficiency cited.

LPA observed Licensee post the Notice of Site visit.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020

LIC809 (FAS) - (06/04)

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