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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215376
Report Date: 07/05/2023
Date Signed: 07/05/2023 02:03:37 PM


Document Has Been Signed on 07/05/2023 02:03 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:AMES FAMILY CHILD CARE AKA THINKERY-OUTSIDE!FACILITY NUMBER:
406215376
ADMINISTRATOR:KAREN LYNN AMESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 239-9333
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY:14CENSUS: 5DATE:
07/05/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Karen AmesTIME COMPLETED:
02:15 PM
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On 7/5/23, at 12:15 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Karen Ames, 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 playroom (converted garage), garage restroom, home kitchen and outdoor yard are used for child care, while the remainder of the home is excluded. At the time of the inspection, LPA observed five children in care along with an Assistant (spouse, cleared and associated) providing supervision.

LPA observed the FCCH to be clean and orderly. The bathroom which is used for care is clean and free of toxins. LPA observed cleaning compounds in a secure closet in the playroom, while sharps are observed in a nearby secure cabinet. Each location is inaccessible to children in care. LPA notes medications in the FCCH is stored in an interior bathroom which is inaccessible to children in care. Toys, furniture and equipment in the FCCH are age appropriate.

LPA observed required licensing forms and documents posted on the wall in playroom. LPA observed a combination smoke/carbon monoxide detector affixed to the playroom ceiling. The detector was tested at 12:23 PM and found to be operable. LPA observed a regulation fire extinguisher in the FCCH which was serviced on 7/8/22. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill log with the most recent fire drill occurring on 4/20/23.

The FCCH's outdoor play area's footing is comprised of various surfaces Toys and play equipment observed in outdoor play area are age appropriate. The outdoor area is not enclosed by fencing. LPA reminded Licensee to maintain direct supervision of children when activities occur in the FCCH's outdoor area. LPA observed a water feature (fountain) on site with less than two inches of water. LIcensee is reminded to ensure the water level of the water feature remains at or below the level noted. LPA observed a child safety
(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: 07/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/05/2023
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: AMES FAMILY CHILD CARE AKA THINKERY-OUTSIDE!
FACILITY NUMBER: 406215376
VISIT DATE: 07/05/2023
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gate base of the outdoor stair well which serves are a barricade to the home's upper story.

LPA reviewed a sampling of the children records. All records reviewed are current and complete. Children's record's included emergency contact forms and immunization records 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 7/4/25 (EMSA approved) and Mandated Reporter training expiring on 7/21/24. Licensee is reminded to ensure training and certifications are renewed prior to expirations. Licensee informed LPA no firearms or ammunition are stored on site.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

During the exit interview, Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Exit interview conducted and report was reviewed with the Licensee Karen Ames.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2023
LIC809 (FAS) - (06/04)
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