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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215542
Report Date: 08/14/2024
Date Signed: 08/14/2024 01:53:38 PM


Document Has Been Signed on 08/14/2024 01:53 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:SIZEMORE FCC AKA LEARNING LADDER CHILDCAREFACILITY NUMBER:
406215542
ADMINISTRATOR:KEISHA SIZEMOREFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 674-7621
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY:14CENSUS: 11DATE:
08/14/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Keisha SizemoreTIME COMPLETED:
02:00 PM
NARRATIVE
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On 8/14/14, at 11:45 AM, Licensing Program Analysts (LPAs) Elvin Baddley and Shane Loftus conducted an unannounced Annual/Random inspection of the abovementioned Family Child Care Home (FCCH).
The LPAs, in the company of Licensee, toured the interior and exterior of the FCCH. The Licensee uses a private side entrance, two bedroom, hall bathroom and a side yard for child care services, while reminder of the home is excluded. LPAs note 11 children on site, along with an Assistant (cleared and associated) providing care and supervision.

The FCCH was observed to be clean and orderly. The FCCH has ventilation to afford for the children’s comfort. Medication, cleaning compounds and sharps are located in the excluded area of the home and inaccessible to children in care. Required forms are predominantly posted on the wall near the entry of the FCCH. A fireplace is located in the excluded area of the home which is inaccessible to children in care. The FCCH's bathroom used for child care services is observed to be clean and free of toxins. LPA observed combination smoke and carbon monoxide detectors throughout the FCCH. The combination detectors were not tested as children in care are in the process of sleeping. Licensee informed LPAs the combination smoke and carbon monoxide batteries are current. The FCCH has a regulation fire extinguisher on site which was service on 10/30/23. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The FCCH maintains working telephone services. At 12:00 PM, LPAs observed C1 sleeping in a crib next to a blanket. LPAs reminded Licensee, the crib should be free of loose articles and objects.

As noted, outdoor child care service activities occur the FCCH's side yard. The side yard is enclosed by a combination of wooden and wired fencing. The footing in the area is varied. LPAs observed the side yard fence’s entry/exit gates to be secure. Toys and play equipment observed in side yard are age appropriate and in satisfactory condition. Licensee is reminded to replace toys and play equipment which start to degrade or are not in good repair. LPAs informed Licensee to ensure children in care are directly supervised when engaged in outdoor activities. The FCCH has a pool on the property. Children do not have access to the pool. The fencing around the pool is in line with regulations. LPAs note the pool is also covered.
(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: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2024
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 4


Document Has Been Signed on 08/14/2024 01:53 PM - It Cannot Be Edited

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: SIZEMORE FCC AKA LEARNING LADDER CHILDCARE
FACILITY NUMBER: 406215542

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(b)
Infant Safe Sleep
(b) Cribs or play yards shall be free from all loose articles and objects.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the Licensee did not comply with the section cited above in that C1 was observed sleeping in a crib along side a blanket, which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/28/2024
Plan of Correction
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Licensee to provided CCLD (elvin.baddley@dss.ca.gov) an outline explaining how the crib will be kept free from all loose articles and objects. The outline is to be submitted no later than the closed of business (5:00 PM) on 8/28/24.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 08/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4


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: SIZEMORE FCC AKA LEARNING LADDER CHILDCARE
FACILITY NUMBER: 406215542
VISIT DATE: 08/14/2024
NARRATIVE
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LPAs reviewed children's records. The records are current, complete and possessed emergency contact information and immunization records, among other required licensing documents and forms. A review of the FCCH's fire drill log reveals fire drills are current with the last fire drill on site occurred on 6/18/24. The Licensee's records are also current and complete with Pediatric CPR and First Aid certifications (EMSA approved) expiring on 7/20/25. The Licensee's Mandated Reporter training certification expires on 4/27/26. Licensee is reminded to renew certifications and training prior to expirations. The Licensee informed LPAs no firearms or ammunition are stored on site.

The Licensee does not provide Incidental Medical Services (IMS). 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) or (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.



LPAs 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 additional resource. LPAs 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.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.
(CONT. 809-C, Page 3)

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS on 8/14/24.


(CONT. 809-C, Page 3)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: SIZEMORE FCC AKA LEARNING LADDER CHILDCARE
FACILITY NUMBER: 406215542
VISIT DATE: 08/14/2024
NARRATIVE
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A Type B Deficiency is being cited based on LPAs' observation/interviews/record reviews pursuant to Title 22 of the CA Code of Regulations and HSC 102425(b)(refer to LIC 809-D). Licensee was provided a copy of their Appeal Rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee Keisha Sizemore.

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

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4