406213966-8-13-2021-17-CC-EBAY-C5UQ26-20210813114637

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406213966
Report Date: 08/13/2021
Date Signed: 08/13/2021 11:46:47 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:	HICKS FCC AKA LITTLE DUCKLINGS PRESCHOOL&CHILDCARE		FACILITY NUMBER:	406213966
ADMINISTRATOR:	DENINE HICKS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 441-2710
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93401
CAPACITY:	14	CENSUS: 4	DATE:	08/13/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Denine Hicks		TIME COMPLETED:	11:30 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 8/13/21, at 9:30 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Denine Hicks, Licensee of the FCCH and explained the purpose of the inspection. LPA, in the company of the Licensee, toured the interior and exterior of the FCCH. The FCCH's dining room, converted living room, kitchen, living room bathroom and backyard are used for child care, while the garage and bedrooms and remaining bathrooms are excluded from child care. At the time of the inspection LPA observed four children are present. The home is void of hazardous items and the bathroom the children use for care is clean and free of toxins. Medication in the FCCH is stored in the master bathroom which is inaccessible to children. LPA also observed cleaning compounds stored in elevated cabinets in both the living room restroom and kitchen. Each storage area is out of the reach of children. Toys, furniture and equipment observed are age appropriate. Required licensing forms and documents are posted on the wall of the FCCH's living room near the home's entry. The FCCH's dining room has a fireplace which is screened by glass and inaccessible to children. LPA observed a smoke detector (living room and dining room) and carbon monoxide detector (living room) in the FCCH. Both detectors were tested (10:13 AM and 10:15 AM) and found to be operable. LPA observed a regulation fire extinguisher in the FCCH which was last serviced on 8/17/20. With the fire extinguisher's service date nearing, LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The backyard is enclosed by a wooden and wire fencing. Toys and play equipment viewed on site are age appropriate. The fence’s entry/exit gate is secure. LPA observed a shed in the back yard area which contains children toys and games. The front yard of the FCCH has has play equipment and structures which are used by children in care. The aforementioned are age appropriate. LPA observed wood chips in the front yard area which services as cushioning No bodies of water were observed on site. (CONT.809)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021

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: HICKS FCC AKA LITTLE DUCKLINGS PRESCHOOL&CHILDCARE	FACILITY NUMBER: 406213966
	VISIT DATE: 08/13/2021

NARRATIVE

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A sampling of the children's records were reviewed. The records are current, complete and possessed emergency contact information. LPA also reviewed documentation noting the children's sleep in 15 minute intervals. The Licensee's records were also reviewed and found to be current. Pediatric CPR and First (EMSA approved) and Mandated Reporter certificates expire on 8/13/23.

Licensee stated no firearm or ammunition is 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. 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 are no deficiencies cited.

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: 08/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021

LIC809 (FAS) - (06/04)

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