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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406214374
Report Date: 05/31/2023
Date Signed: 05/31/2023 04:22:37 PM


Document Has Been Signed on 05/31/2023 04:22 PM - 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:GUZMAN FCC AKA HAPPY FEET PRESCHOOL & NURSERYFACILITY NUMBER:
406214374
ADMINISTRATOR:MELINDA RUTH GUZMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 458-5955
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY:14CENSUS: 9DATE:
05/31/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Melinda GuzmanTIME COMPLETED:
04:30 PM
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On 5/31/23, at 2:00 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted a One Year Required 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, den, hallway bathroom and backyard 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 nine children in care along with Assistant (cleared and associated). LPA notes all the children an site are napping at the commencement of the inspection.

LPA observed required licensing forms and documents post on the wall at the FCCH. LPA observed a fireplace in the living room which is screened with a decorative wooden covering. LPA observed smoke and carbon monoxide detectors in the FCCH. The detectors were tested after all of the children in care awoke from napping. The detectors, tested at 3:43 PM, were all operable. LPA observed a regulation fire extinguisher in the kitchen area of the FCCH which was purchased on 5/31/23. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually.

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

The FCCH's backyard is enclosed by wooden fencing and the footing in the area is made up of various surfaces. The fence’s entry/exit gate is 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 is secure. Toys and play equipment observed in backyard are age appropriate. LPA observed no bodies of water on site.
(CONT. 809-C, Page 2)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2023
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 2


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: 05/31/2023
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LPA reviewed a sampling of the children records. All records reviewed are current and complete. The children record's contained emergency contact information, immunization as well as the documentation of sleep checks, amongst other required licensing documents. LPA also reviewed the Licensee's records. The Licensee's records are current and complete with Pediatric CPR and First Aid certifications expiring in 5/22/25 (EMSA approved) and Mandated Reporter training expiring on 3/8/24. LPA notes the most recent fire drill occurred at the FCCH on 4/28/23. Licensee notes no firearms or ammunition are 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 web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as for additional resource. LPA 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 Melinda Guzman.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023
LIC809 (FAS) - (06/04)
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