406214343-7-12-2021-17-CC-EBAY-C4US44-20210712133208

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406214343
Report Date: 07/12/2021
Date Signed: 07/12/2021 01:32:15 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:	ROSE FCC AKA HOPE FAMILY CHILD CARE		FACILITY NUMBER:	406214343
ADMINISTRATOR:	ROBIN ROSE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 888-9504
CITY:	PISMO BEACH	STATE: CA	ZIP CODE:	93449
CAPACITY:	14	CENSUS: 5	DATE:	07/12/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Robin Rose		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 7/12/21, at 12:00 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted a Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Robin Rose, 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 home’s living room, kitchen, guestrooms, hallway bathroom and back yard are used for child care, while the home’s master bedroom is excluded. At the time of the inspection 5 children are present, four of which are napping. The home was orderly and the bathroom used for care was clean and free of toxins. LPA observed both cleaning compounds on the shelf of an elevated cabinet above the kitchen sink. The cleaning compounds are beyond the reach of children in care. Likewise, household medications are stored on elevated shelf of a neighboring kitchen cabinet which is also inaccessible to children in care. Toys, furniture and equipment in the FCCH are age appropriate. LPA observed required licensing forms and documents post on the wall near the entry of the FCCH. LPA observed a fireplace in the living room which is screened by a child safety gate. A combination smoke/carbon monoxide detector is observed in the FCCH. The detector were not tested as four of the five children in the FCCH were napping. LPA did observe a blinking light in the detector which suggested the detector's operational status. LPA observed a regulation fire extinguisher in the FCCH's kitchen area which was purchased on 2/21/21. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill log. The most recent fire drill occurred on the present (7/12/21). The FCCH's backyard is enclosed by wooden fencing. The fence’s entry/exit gates are secure. Toys and play equipment observed in backyard are age appropriate. LPA notes cushioning made up of wood bark underneath the play structure in the back yard area. LPA observed no bodies of water on site. (CONT. 809-C).

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021

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: ROSE FCC AKA HOPE FAMILY CHILD CARE	FACILITY NUMBER: 406214343
	VISIT DATE: 07/12/2021

NARRATIVE

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Licensee informed LPA no firearms or ammunition are stored on site.

LPA reviewed a sampling of the children records. All records reviewed are current and complete. A current roster of children was reviewed by the LPA. The children noted in the roster were present and on site. Licensee also had logs capturing children's sleep in 15 minute intervals. LPA also reviewed the Licensee's records. The Licensee's records are current and complete with Pediatric CPR and First Aid certifications expiring in 3/7/22 (EMSA approved) and Mandated Reporter training expiring on 2/24/22.

The Licensee is 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 were no deficiencies cited at this time.

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: 07/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021

LIC809 (FAS) - (06/04)

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