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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215551
Report Date: 07/18/2022
Date Signed: 07/18/2022 03:33:16 PM


Document Has Been Signed on 07/18/2022 03:33 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:FISCHER FCC AKA SMALL MIRACLES CHILD CAREFACILITY NUMBER:
406215551
ADMINISTRATOR:JENNIFER FISCHERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 952-5351
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY:14CENSUS: 3DATE:
07/18/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:12 PM
MET WITH:Jennifer FischerTIME COMPLETED:
03:47 PM
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On July 18, 2022 at 2:19 PM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Annual/Random inspection. LPA met with Licensee Jennifer Fischer and advised her the purpose of the inspection. Licensee provided LPA a tour of the facility inside and out. There was three (3) children in care at the time of the inspection.

The facility has their own front door access for parents to pick-up and drop-off. The facility uses two (2) rooms, one (1) restroom, and the backyard for children in care. Licensee uses one (1) main room for care and another for sleeping. LPA did not observe any hazards/toxins accessible to children in care. The room temperature was suitable for children in care. Licensee stores the disinfectants high on the shelf out of reach from the children. Each child has their own personal cubby to store their items. LPA observed the licensee has toys, blocks, activities, books and furniture readily accessible. A 2A10BC fire extinguisher was observed mounted with at purchase date of 8/29/21. Licensee advised to ensure they service or purchase a new fire extinguisher annually. The smoke and carbon monoxide detectors were not tested during the inspection because the children was sleeping at the time. The backyard is enclosed with a concrete wall. The children play area is fenced off from the rest of the yard preventing children from having access. Licensee has age appropriate toys and play structures readily accessible for children in care when they are outside playing.

LPA reviewed a sampling of children and staff records. The children and staff records were found to be current and complete. Facility staff met the requirements for Mandated Reporter and CPR/First-Aid. The last fire drill was completed on June 3, 2022. Licensee is following current Covid guidelines. Licensee was provided a Carbon monoxide resource.

No deficiencies were cited during today's inspection.

Continued on 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2022
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: FISCHER FCC AKA SMALL MIRACLES CHILD CARE
FACILITY NUMBER: 406215551
VISIT DATE: 07/18/2022
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Home 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

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 additional resource. LPA also informed licensee [facility representative] 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
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2022
LIC809 (FAS) - (06/04)
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