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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215678
Report Date: 05/23/2023
Date Signed: 05/23/2023 03:02:38 PM


Document Has Been Signed on 05/23/2023 03:02 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:PENNER FCC AKA THE GROWING GARDENFACILITY NUMBER:
406215678
ADMINISTRATOR:JENNA ROSE PENNERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 610-3308
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY:14CENSUS: 5DATE:
05/23/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Jenna PennerTIME COMPLETED:
03:15 PM
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On 5/23/23, at 12:45 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required 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, in the company of Licensee, toured the interior and exterior of the FCCH. The home’s living room, hall restroom, guest rooms, and front and back 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 five children (one biological) are present.

Required forms are posted on a bulletin board in the FCCH's living room, near the entry door. LPA observed operable smoke and carbon monoxide detectors in the FCCH. The aforementioned were not tested as all children in care are napping. The FCCH has a regulation fire extinguisher (2A10BC) which was purchased on 11/7/22. 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. LPA observed a child safety gate at the entry of the kitchen which serves as a barricade to the excluded area. The bathroom use for care is clean and free of toxins. 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, while sharps are in the kitchen which is excluded from care. The interior of the FCCH has age appropriate toys and furnishing.

The FCCH's front and back yards are enclosed by wooden fencing. The footing in the area is varied. The entry/exits gates are observed secure. LPA observed a hot tub in the backyard, The hot tub is covered and secured. LPA notes age appropriate toys and furnishing are observed in the front and back yard areas.

LPA reviewed staff and children's records. License's records are current and complete with a Pediatric
(CONT. LIC 809-C, Page 2)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 05/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/23/2023
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 2


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: 05/23/2023
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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 as well as emergency contact information, amongst other things. The Licensee does not care for infants, thus no sleep logs or sleep plans were reviewed. Licensee stated firearms and ammunition are on site. LPA observed firearms and ammunition is stored separately and inaccessible to children in care. LPA notes the last fire drill at the facility occurred on 3/5/22. The FCCH has a dog on site. LPA reviewed vaccinations records which are current.

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 for additional resource. LPA 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.

A Notice of Site visit was given and must remain posted for 30 days.

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

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

DATE: 05/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2023
LIC809 (FAS) - (06/04)
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