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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406214374
Report Date: 02/24/2020
Date Signed: 02/24/2020 11:36:19 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:GUZMAN FCC AKA HAPPY FEET PRESCHOOL & NURSERYFACILITY NUMBER:
406214374
ADMINISTRATOR:MELINDA RUTH GUZMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 723-4882
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY:14CENSUS: 11DATE:
02/24/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Melinda GuzmanTIME COMPLETED:
11:45 AM
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On February 24, 2020, at 10:00 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted a Required Annual inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Melinda Guzman, 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, backyard and hallway bathroom are used for child care, while the home’s bedrooms, laundry room and garage are excluded from child care. At the time of the inspection 11 children are present and Assistant Tommy Martin is present.

LPA observed required licensing forms and documents post on the wall at the entry of the FCCH. LPA observed a fireplace in the living room which is screened with a decorative wooden covering and inaccessible to children. Smoke and carbon monoxide detectors are observed in the FCCH. Each detector was tested and found to be operable. LPA observed a regulation fire extinguisher near the backyard entry/exit door which was last serviced on January 14, 2020. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill log. The log documented fire/disaster drills in four month intervals, with the most recent fire/disaster drill occurring on December 11, 2019.

The home was orderly and the bathroom was clean and free of toxins.LPA observed both cleaning compounds and household medications stored on elevated shelves in kitchen cabinets. Both are inaccessible and out of the reach of children in care. Toys, furniture and equipment in the FCCH are observed to be age appropriate.

The FCCH's backyard is enclosed by wooden fencing. The fence’s entry/exit gates are secure. The backyard is divided into an area for children in care and adults residing in the home. These areas are separated with a wooden fence which was secure. Toys and play equipment observed in backyard are age appropriate and in satisfactory condition. No bodies of water were observed on site.
CONT. 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020
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: GUZMAN FCC AKA HAPPY FEET PRESCHOOL & NURSERY
FACILITY NUMBER: 406214374
VISIT DATE: 02/24/2020
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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. LPA also reviewed the Licensee's records. The Licensee's records are current and complete with Pediatric CPR and First Aid certifications expiring in May of 2021 (EMSA approved). Licensee's Mandated Reporter training expires on January 8, 2022.

Licensee informed LPA no firearms or ammunition are 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 reviewed and provided Licensee with a copy of “Child Care Providers Guide to Safe Sleep and the “Effects of Lead Exposure” leaflets to be distributed to the parents of children in care. Licensee was reminded of the responsibility to know the regulations for FCCH which can be accessed on-line at www.ccld.ca.gov.

In areas evaluated, no deficiencies observed.
LPA observed Licensee post the Notice of Site visit (LIC 9213).
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020
LIC809 (FAS) - (06/04)
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