406213817-9-26-2024-17-CC-EBAY-D9GRTP-20240926131841

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406213817
Report Date: 09/26/2024
Date Signed: 09/26/2024 01:18:53 PM

Document Has Been Signed on 09/26/2024 01:18 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:	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: 10	DATE:	09/26/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Mindy Nusser-Rains		TIME COMPLETED:	01:30 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 09/26/2024, at 10:15 AM, Licensing Program Analysts (LPA's) Elvin Baddley and Matthew Sapien conducted an Annual Random Inspection of the abovementioned Family Child Care Home (FCCH). LPAs met with Mindy Nusser-Rains, Licensee of the FCCH and explained the purpose of the inspection. LPAs, in the company of the Licensee, toured the interior and exterior of the FCCH. The home’s living room, kitchen, bedrooms, hallway bathroom and backyard are used for child care, while the remainder of the home excluded. It should be noted child care in the FCCH was being cared for in a previously excluded areas of the home given renovations/constructions which had perviously occurred. It should be noted LPAs discussed the home's renovations/constructions. LPAs reminded LIcensee, CCLD should be informed of renovations/constructions in the home prior to commencement of such projects and children only should be cared for in areas approved by CCLD. Further, LPAs explained the approval needed for children be cared for in excluded areas of the FCCH. At the time of the inspection, LPAs observed ten children present, along with two staff members proving care and supervision. LPAs' observed required licensing forms and documents post on the wall in the FCCH. LPAs observed a fireplace in the living room which is screened by a metal mesh. Combination smoke/carbon monoxide detectors are observed through out the FCCH. LPAs tested a detector in the bedroom at 11:34 AM which was found to be operable. LPAs observed a regulation fire extinguisher in the FCCH's kitchen area which was serviced on 1/22/24. LPAs reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPAs reviewed the home’s fire/disaster drill log. The most recent fire drill occurred on 9/18/24. The FCCH's backyard is enclosed by wooden fencing. The backyard fence’s entry/exit (LIC 809-C, Page 2)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

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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Document Has Been Signed on 09/26/2024 01:18 PM - It Cannot Be Edited

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/26/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416.3(a)(6)

Prior to making alterrations or additions to a Family Child Care Home or ground, the Licensdee shall noptify the Department of the proposed change, including, but not lilmited to, the following...Any change from an area of the Family Child Care Home previously identied as "off limits" to an area where care and supervion will be provide to children in care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation/interview/record review, the licensee did not comply with the section cited above in that Licensee did not inform CCLD personnel of constructions occurring at the Family Child Care Home, which include the addition of a wall , the removal of fences and the installation of AC into the home. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/10/2024
	Plan of Correction
1 2 3 4	Licensee to provide CCLD an outline noting how Licensee will inform CCLD of future constructions in the home. Additional, Licensee to provide children in care services only in area approved by CCLD, pending a Fire Inspection as well as permission from CCLD to perform care in other areas of the home. LIcensee to submit plan of correction to CCLD (elvin.baddley@dss.ca.gov) by the close of business (5:00 PM) on 10/10/24.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

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: NUSSER-RAINS FCC AKA MINDY'S DAY CARE	FACILITY NUMBER: 406213817
	VISIT DATE: 09/26/2024

NARRATIVE

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gates are secure. The footing in the area is varied. The backyard is partitioned in a manner which separates the play structures and equipment for different age groups. LPAs reminded Licensee to ensure children are accessing age appropriate play structures and equipment. LPAs observed a shed in the FCCH backyard area. The shed contains household items and is secured. LPAs also observed a car covering covers a boat. The area is inaccessible to children in care. Licensee is reminded to replace outdoor toys, play structures and equipment which is degraded and not in good repair.

LPAs reviewed the records of children on site. The records were current, complete and possessed emergency contact information and immunization records, among other required licensing documents and forms. LIcensee has electronic records (Brightwheel) which contains logs documenting the sleep checks of children (0-24 months) in 15 minute intervals. The Licensee's records are current and complete with pedantic CPR and First Aid certifications (EMSA approved) expiring on 11/6/25, and Mandated Reporter training certification expires on 8/3/25, among other required licensing documents and forms. The FCCH contains firearms and ammunition. LPAs reviewed storage of the aforementioned and notes the items are secured, stored separately and in an excluded area of the home.

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. LPA 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 reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a (LIC 809-C, Page 3)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

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: NUSSER-RAINS FCC AKA MINDY'S DAY CARE	FACILITY NUMBER: 406213817
	VISIT DATE: 09/26/2024

NARRATIVE

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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 LPA completed the RSO profile in FAS on 9/26/24.

A Type B Deficiency is being cited based on LPAs' observation/interviews/record reviews pursuant to Title 22 of the CA Code of Regulations 102416.3 (a)(6) (refer to LIC 809-D). Licensee was provided a copy of their Appeal Rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee Mindy Nusser-Rains.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024

LIC809 (FAS) - (06/04)

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