406215517-8-16-2019-17-CC-GRES-BF4THF-20190816144440

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215517
Report Date: 08/16/2019
Date Signed: 08/16/2019 02:45:42 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:	COLLINS FCC AKA ABC CHILDCARE		FACILITY NUMBER:	406215517
ADMINISTRATOR:	MELINDA COLLINS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 547-4557
CITY:	ARROYO GRANDE	STATE: CA	ZIP CODE:	93420
CAPACITY:	14	CENSUS: 0	DATE:	08/16/2019
TYPE OF VISIT:	Office	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Melinda Collins		TIME COMPLETED:	12:30 PM

NARRATIVE

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Licensing Program Manager(LPM) Maria Mueller and Licensing Program Analysts (LPAs) Gigi Reyes, Eric Lin, Elvyn Baddley and Christian Patterson met with Licensee, Ms. Melinda Collins to discuss the Type A violations cited under California Code of Regulation Title 22 Division 12 and Health and Safety Code.

May 30, 2019, Plan of Correction (POC Inspection)

102370(d)(1) Criminal Record Clearance. When LPA arrived at day care, new assistant, Cherri Bohard was present during the inspection. Based on LPA’s review of facility personnel report, Ms. Cherri Bohard has no criminal record clearance. Licensee and Ms. Bohard stated that Ms. Bohard started working on the visit date, May 30, 2019.

102416.5(d)(2)(a) Staffing Ratio and Capacity. Based on LPA’s review of children’s record and interview with licensee, day care children present on May 30, 2019 consists of 3 infants and 11 older children over the age of 2. Day care has no kindergartener nor a 6 year old day care child.

May 17, 2019 Annual/Random Inspection

102416.5(e) Staffing Ratio and Capacity. During the inspection LPA observed 10 children without assistant. Licensee stated her assistant went to lunch.

102417(g)(4) Operations of a Family Child Care Home. LPA observed pesticides, bleach and cleaning compound were stored in an unlocked kitchen cabinet. Licensee stated there was a magnetic lock and it broke. Continued on 809 C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019

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: COLLINS FCC AKA ABC CHILDCARE	FACILITY NUMBER: 406215517
	VISIT DATE: 08/16/2019

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November 08, 2017 - Unlicensed Care
102357(a) /1596.80 - Operation without a License/Unlicensed Care. Complaint allegation that licensee is currently operating under pending status was substantiated. On 11/08/2017, then applicant Ms. Collins and assistant were caring for total of 13 children, 12 of them from 10 different families.

In response to these discussions, licensee has agreed to the following.

· Licensee shall ensure children are provided with safe and healthful environment.
· Licensee shall ensure that Personal Rights of children will not be violated at any time when children are in care.
· Licensee shall ensure that children will be supervised at all times.
· Licensee shall adhere to the California Code of Regulations, Title 22, Division 12 at all times.
· Licensee shall obtain training on appropriate care and supervision of children through CAPSLO
· Licensee shall attend a classroom Family Child Care Orientation.
· Licensee shall take training on Environmental Safety : www.smarthorizons.org/childcare
·Licensee to take an online training on Family Child Care as a Profession: www.caearlychildhoodonline.org
· Increased unannounced visits to monitor compliance for two years to be conducted by CCLD.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019

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: COLLINS FCC AKA ABC CHILDCARE	FACILITY NUMBER: 406215517
	VISIT DATE: 08/16/2019

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Licensee was informed that training videos are available on the Community Care Licensing website at www.ccld.ca.gov. Licensee was provided with SIDS information/resources.
· ·Personal Rights
· ·Care and Supervision

Licensee was provided with the website for training courses that might be beneficial (copy of available courses was provided to Licensee).

http://www.smarthorizons.org/childcare/purchase/courses/California

Licensee shall submit to CCLD in a form of writing what she learned from the training, a written plan indicating how Licensee will comply with the above items and Certificates of Training attended by October 15, 2019.

Upon receipt of this report, provide copies of this licensing report to each parent/guardian of enrolled children and to parents/guardians of newly enrolled children during the next 12 months. Acknowledgement of Receipt LIC 9224 form shall be used for this purpose. LIC 9224 after completed shall be maintained in each child's file. (LIC 9224 was provided to the Licensee.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019

LIC809 (FAS) - (06/04)

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