406215391-5-26-2022-17-CC-EBAY-CEST5W-20220526142614

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215391
Report Date: 05/26/2022
Date Signed: 05/26/2022 02:26:23 PM

Document Has Been Signed on 05/26/2022 02:26 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:	FERREYRA FCC AKA BAMBI DAY CARE		FACILITY NUMBER:	406215391
ADMINISTRATOR:	ALMA RUTH FERREYRA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 503-0768
CITY:	ARROYO GRANDE	STATE: CA	ZIP CODE:	93420
CAPACITY:	14	CENSUS: 6	DATE:	05/26/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Alma Ferreyra		TIME COMPLETED:	02:30 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 5/26/22, at 12::00 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted a One Year Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Alma Ferreyra, 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, hallway bathroom and backyard are used for child care, while the remainder of the home is excluded. At the time of the inspection six children are present (one napping) along with an Assistant (cleared and associated) LPA observed the FCCH to be clean and orderly. The bathroom which is used for care is clean and free of toxins. Cleaning compounds in the FCCH are stored underneath a kitchen cabinet which is secured. Medications are observed on elevated shelves in the kitchen cabinet which is beyond the reach of children in care. Toys, furniture and equipment in the FCCH are age appropriate. Likewise, play yards/cribs in the home are empty and free of items. LPA observed required licensing forms and documents post on the wall in FCCH near the door entry. LPA observed no fireplace on site. LPA observed a smoke and a carbon monoxide detector in the FCCH. Each detector was tested (1:41 PM and 1:42 PM) and found to be operable. LPA observed a regulation fire extinguisher in the FCCH's which was purchased on 7/18/21. 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 4/2/22. The FCCH's backyard is enclosed by wooden fencing. The fence’s entry/exit gate is secure. The footing in the backyard area is made up of grass and a concrete slab. Toys and play equipment observed in backyard are age appropriate and in satisfactory condition. LPA observed no bodies of water on site. LPA reviewed children's records. All records reviewed are current and complete. A current roster of children (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: 05/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2022

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: FERREYRA FCC AKA BAMBI DAY CARE	FACILITY NUMBER: 406215391
	VISIT DATE: 05/26/2022

NARRATIVE

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was reviewed by the LPA as was documentation noting sleep check of children 0-24 months 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 7/23/23 (EMSA approved) and Mandated Reporter training completed on 7/19/21. Licensee is reminded to keep certifications current and renew 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 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 webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an

for additional resource. LPA also informed Licensee Alma Ferreyra 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 Alma Ferreyra .

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2022

LIC809 (FAS) - (06/04)

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