<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406214071
Report Date: 12/20/2019
Date Signed: 12/20/2019 02:59:49 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:LOUDAT FAMILY CHILD CAREFACILITY NUMBER:
406214071
ADMINISTRATOR:KIMBERLEY DIANNE LOUDATFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 423-5788
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:14CENSUS: 7DATE:
12/20/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:32 PM
MET WITH:Kimberley LoudatTIME COMPLETED:
03:00 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
(1)Licensing Program Analyst (LPA), Melissa Stewart, conducted an unannounced annual/random inspection and met with Licensee, Kimberly Loudat. The purpose of the inspection was explained and the home was toured inside and out. All required forms are posted in a prominent location. At 11:45am, there were 7 children (including 2 infants) supervised by one assistant and licensee.

The family child care home operates on the lower level of the home. There is a child safety gate located at the bottom of the stairs making the main floor of the home inaccessible to children. LPA observed age appropriate toys, books and furnishings in the indoor activity area. The bathroom used by children was observed to be clean and free of toxins. There are two bedrooms on the lower level one is used for indoor activities and napping infants and the other is used for napping infants in pack n play crib. All hazardous items are stored inaccessible to children in care. Licensee stated there are no guns or ammunition in the home. There is an in ground pool and hot tub in the back yard which is completely fenced and is not accessible to children in care. Licensee utilizes the area in front of the home for outdoor activities. The outdoor activity area is not fenced. Licensee stated that children are supervised at all times when playing outdoors.

LPA observed the carbon monoxide detector located on the main level of the home and smoke detectors on both levels of the home. LPA observed the 2 A10 BC fire extinguisher which was serviced on 7/30/19. Continued on 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: LOUDAT FAMILY CHILD CARE
FACILITY NUMBER: 406214071
VISIT DATE: 12/20/2019
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
26
27
28
29
30
31
32
Licensee is Pediatric CPR and first aid certified through March 2020. Licensee reported that the children's and employees files had been moved to another room in the home. As Licensee was unable to access the files due to children needing care and supervision, LPA left the facility at 12:09pm and returned at 2:05pm. At this time there were 11 children present. The upstairs dining area is also used for children's activities. Licensee has met immunization requirement per SB 792. Licensee did not have a record of her Assistant's immunizations. A sample of children's records were reviewed and found complete.

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. LPA provided “Effects of Lead Exposure” brochure to be distributed to all families. 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.

See LIC 809-D for cited deficiencies in accordance with the California Code Regulations Title 22, Division 12 and/or Health and Safety Code. Appeal rights provided.

LPA observed Licensee post the Notice of Site visit.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: LOUDAT FAMILY CHILD CARE
FACILITY NUMBER: 406214071
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/14/2020
Section Cited

1
2
3
4
5
6
7
AB1207 Mandated Reporter Training- On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider or employee of a licensed child day care facility shall complete the mandated reporter training ...and shall complete renewal mandated reporter training every two years...
This requirement is not met as evidenced by:
8
9
10
11
12
13
14
Based on interviews conducted, Licensee failed to ensure that she and her employees have completed the Mandated Reporter Training per AB1207. Licensee stated that she was unaware of the required training. This poses a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14
Type B
01/20/2020
Section Cited

1
2
3
4
5
6
7
Immunizations- Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. The family day care home shall maintain documentation of the required immunizations...
This requirement is not met as evidenced by:
8
9
10
11
12
13
14
Based on record review and Licensee's statement that she does not have a record of her Assistant's immunizations on file at the FCC, Licensee failed to ensure that the regulation stated above was met. This poses a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14
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 MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 12/20/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3