406214193-7-16-2021-17-CC-MKST-C4YV4G-20210716160620

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406214193
Report Date: 07/16/2021
Date Signed: 07/16/2021 04:06:27 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:	LAKEMAN FCC AKA LITTLE FINGERS AND TOES		FACILITY NUMBER:	406214193
ADMINISTRATOR:	LAKEMAN, LEENTJE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 382-9275
CITY:	PASO ROBLES	STATE: CA	ZIP CODE:	93446
CAPACITY:	14	CENSUS: 4	DATE:	07/16/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Leentjie Lakeman		TIME COMPLETED:	04:06 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 7/16/21 at 1:50pm, Licensing Program Analyst (LPA) Melissa Stewart met with Licensee, Leentjie Lakeman, outside of the Family Child Care Home (FCCH) and conducted a COVID19 risk assessment. Licensee reported that her child had been diagnosed with an ear infection and that her FCCH was closed for the day. All answers indicated no exposure to COVID19. LPA explained that the purpose of the inspection was to follow up with the incident previously reported by Licensee to CCLD on 4/23/21 and a 1 Year Required inspection. Licensee accompanied LPA on a tour of the home, inside and out. The outdoor activity area is located through a gate at the back of the home. There are various age appropriate toys, play kitchen and a Little Tikes climber located on a large mat to cushion a fall. Licensee reported that children have their own plastic cup labeled with their name and that water is accessible indoors via the refrigerator and outdoors via a large water jug. Children's cubbies are located outdoors and the outdoor yard is completely fenced. All required forms are posted in a prominent location outside near the gate where parents drop off and pick up their children. At the time of inspection, Licensee's five (5) children were present, including her 11 year old child. Licensee reported that child care services are primarily outdoors with the exception of a short period of time in the morning and nap time. Children nap on cots (and occasionally on the couches) in the living area located adjacent to the open plan kitchen. 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: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

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: LAKEMAN FCC AKA LITTLE FINGERS AND TOES	FACILITY NUMBER: 406214193
	VISIT DATE: 07/16/2021

NARRATIVE

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Licensee has a safety gate to make the formal dining area and front door inaccessible to children. The two (2) bedrooms are off limits and are made inaccessible by a latch at the top of the door. The bathroom used by children was observed to be clean and free of toxins. All hazardous items are stored inaccessible to children in care. Licensee stated there are no guns or ammunition in the home. No bodies of water were observed. There is a trampoline on the grass in front of the home which is not fenced. Licensee reported that the front yard is not used for child care and that the trampoline is only used by her own children when the FCCH is closed.

Carbon monoxide and smoke detectors were tested at 2pm and found to be operational. LPA observed the 2 A10 BC fire extinguisher, located in the kitchen by the stove, which was serviced on 1/4/21. Licensee was reminded to service or replace the fire extinguisher yearly. Licensee completes and documents emergency drills. The most recent drill was held on 6/9/21. Licensee and assistant are Pediatric CPR and first aid certified through 1/21/2022. Licensee and assistant have met SB 792 immunization requirement. Mandated Reporter Training per AB 1207 was completed by Licensee and assistant in April 2021. Facility roster and a sample of children's records were reviewed and found complete.

Incidental Medical Services (IMS) policy was discussed. Licensee stated that there are no children enrolled who require medications at this time. 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

Continued 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: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

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: LAKEMAN FCC AKA LITTLE FINGERS AND TOES	FACILITY NUMBER: 406214193
	VISIT DATE: 07/16/2021

NARRATIVE

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LPA interviewed Licensee regarding the incident which was self reported to the CCLD office on 4/23/21. On 4/20/21, the parent of C1 contacted Licensee at 7pm and reported that C1 (age 3 years 8 months) had informed parent that C2 (age 4 years) had touched C1 inappropriately while sitting on the couch at the FCCH. Licensee denied that the children had been without adult supervision at any time. Licensee reported that she had been in the kitchen while eight (8) children were watching tv sitting on the couches in the living area that morning before Assistant arrived at approximately 9am. The couches are located approximately 6 feet from the open plan kitchen. Licensee reported that she was never out of earshot of the children while they were sitting on the couches. The parent of C1 reported that C1 was scared to return to the FCCH and that both parents were upset by the incident. Licensee informed the parent of C1 that C1 could not return to care due to the lack of trust between Licensee and C1 and C1s parents. Licensee reported that there have been no further allegations of this nature regarding C2 and that C2 still attends the FCCH.

LPA reviewed and provided Licensee with PIN 20-24-CCP regarding the Safe Sleep regulations in effect as of 9/15/2020. Licensee reported that she provides the “Effects of Lead Exposure” brochure to all families at time of enrollment (or re-enrollment). Licensee was reminded that it is her responsibility to know the regulations for FCCH which can be accessed on-line at www.cdss.ca.gov. Licensee reported that she receives Provider Information Notices (PINs) via email.

In areas evaluated, no deficiencies 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: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

LIC809 (FAS) - (06/04)

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