406215678-11-1-2021-17-CC-EBAY-C8CQPH-20211101122046

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215678
Report Date: 11/01/2021
Date Signed: 11/01/2021 12:21:13 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:	PENNER FCC AKA THE GROWING GARDEN		FACILITY NUMBER:	406215678
ADMINISTRATOR:	JENNA ROSE PENNER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 610-3308
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93405
CAPACITY:	14	CENSUS: 2	DATE:	11/01/2021
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Jenna Penner		TIME COMPLETED:	11:45 AM

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 11/1/21, at 8:45 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Annual/Random inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Jenna Penner, Licensee of the FCCH, and explained the purpose of the inspection. LPA notes a Case Management inspection is also conducted as the Licensee extended the front and back yards for child care. LPA, in the company of the Licensee, toured the interior and exterior of the FCCH. The home’s living room, hall restroom, guest rooms, and yards are used for child care, while the home’s master bedroom, kitchen and laundry room are excluded from care. At the time of the inspection two children (biological) are present. LPA notes the FCCH will resume operational status after being inactive for year. The home was orderly and void of hazardous items. Medication is stored in a locked box in a bathroom cabinet which is inaccessible to children. LPA observed cleaning compounds in the FCCH's laundry room Toys and play equipment observed in home are age appropriate. Required forms are posted on a bulletin board in the FCCH's living room. LPA observed operable smoke and carbon monoxide detectors. Each detector was tested at 9:15 AM. The FCCH has a regulation fire extinguisher which was serviced on 10/25/21. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. FCCH's living room has a fireplace which is screened with a glass door, making it inaccessible to children. LPA observed a child safety gate at the entry of the kitchen with serves as a barricade to the excluded. The bathroom use for care is clean and free of toxins. The guest rooms have two cribs in each room. The room also have age appropriate toys and furnishing. The FCCH's yards, front and back, are enclosed by wooden fencing. The entry/exits gate were observed secure. LPA observed a hot tub in the backyard, The hot tub was covered and secured. LPA notes age appropriate toys and furnishing are observed in the areas. (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: 11/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2021

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: PENNER FCC AKA THE GROWING GARDEN	FACILITY NUMBER: 406215678
	VISIT DATE: 11/01/2021

NARRATIVE

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LPA reviewed staff and children's records. Licensee records are also current and complete with a Pediatric CPR and First Aid certification (EMSA) expiring on 9/29/23 and Mandated Reporter training expiring on 10/28/23.Children's records contain immunization records. Parents are due to sign emergency contact forms for children in care upon the beginning of operations on 11/2/21.

The Licensee stated firearms and ammunition are on site. LPA observed firearms and ammunition is stored separately and outside the reach of children.

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

Facility representative 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 Facility representative 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.

Exit interview conducted and report was reviewed with the Facility representative Jenna Penner.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2021

LIC809 (FAS) - (06/04)

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