406213966-3-7-2023-17-CC-EBAY-CPPR3B-20230307113940

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406213966
Report Date: 03/07/2023
Date Signed: 03/07/2023 11:40:15 AM

Document Has Been Signed on 03/07/2023 11:40 AM - 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:	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: 5	DATE:	03/07/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Denine Hicks		TIME COMPLETED:	12:00 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 3/7/23, at 9:30 AM, Licensing Program Analysts (LPAs) Elvin Baddley and Giovani.Gonzalez conducted an unannounced One Year Required Inspection of the abovementioned Family Child Care Home (FCCH). LPAs met with Denine Hicks, 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 FCCH's converted living room, kitchen, living room bathroom, front yard and backyard are used for child care, while the garage, bedrooms and remaining bathrooms are excluded from child care. At the time of the inspection LPA observed five children are present. 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. LPAs observed a combination smoke/carbon monoxide detector in the FCCH. The detector was tested at 9:57 AM and found to be operable. LPAs observed a regulation fire extinguisher in the FCCH which was last serviced on 8/15/22. LPAs reminded the Licensee to either service or purchase a regulation fire extinguisher annually. 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. Sharps are secured in a kitchen drawer. Each storage area is inaccessible to children. Toys, furniture and equipment observed are age appropriate. 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. LPAs 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 (CONT. 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: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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: 03/07/2023

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are used by children in care. The front yard is not enclosed. As such LPAs informed Licensee to ensure children are directly supervised when in the front yard area. The aforementioned are age appropriate. LPAs observed wood chips in the front yard area which services as cushioning No bodies of water are observed on site.

A sampling of the children's records were reviewed. The records are current, complete and possessed emergency contact information as well as immunization records. LPAs also reviewed documentation noting the children's sleep checks 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.

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: http://www.ada.gov/childqanda.htm

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA 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 for additional resource. LPAs 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.

A Notice of Site visit was given and must remain posted for 30 days.Exit interview conducted and report was reviewed with the Licensee Denine Hicks.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

LIC809 (FAS) - (06/04)

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