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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216086
Report Date: 02/12/2021
Date Signed: 02/12/2021 12:49:30 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:PERSONS FCC AKA ALPHABET ACADEMY CHILDCAREFACILITY NUMBER:
406216086
ADMINISTRATOR:KATRINA LI PERSONSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 400-1472
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:14CENSUS: 0DATE:
02/12/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:03 AM
MET WITH:Katrina and Jack PersonsTIME COMPLETED:
12:50 PM
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On 2/12/2021 at 10:03am, Licensing Program Analyst (LPA) Melissa Stewart conducted an announced Pre-Licensing Tele-Inspection with Licensees, Katrina and Jack Persons. This is a change of location inspection; previous facility number 406215339. Due to COVID-19 and Department of Public Health guidelines of physical distancing, the inspection of the home (inside and outside) was conducted via Face Time. The inspection began outside at the front entrance of the home. LPA observed a table with hand sanitizer where daily health screenings will be conducted prior to children entering the home. A sign is posted at the door regarding limiting entry into the home due to COVID19. Licensee reported that all adults and children over the age of two who enter the home wear a face covering. Inside the home, on the right hand side, are individual cubbies for children's belongings. On the wall are postings regarding COVID19 and required licensing documents. LPA observed the 2 A10 BC Fire Extinguisher which was purchased on 1/27/2021. There are functioning combination smoke and carbon monoxide detectors inside the home. The Paso Robles Fire Department inspected the home and granted a fire clearance on 2/10/2021.

Child care services will be provided in the first two rooms to the right as you enter the home. In the first room, LPA observed child sized tables and chairs and a large plastic climbing structure with slide and rubber mat underneath the structure. Both rooms have tile floors. In the second room, LPA observed age appropriate shelves with toys, a large carpet and a changing table. Licensee stated that she has enough cots for each child and portable cribs for infants. There are safety gates located at all entryways into the two child care rooms. The bathroom to be used by children in care is located down the hall past the first bedroom and was observed to be clean and free of toxins. The remaining four bedrooms and two en suite bathrooms are off limits and will not be used for child care. Licensee stated that their own children will be permitted into their own bedrooms during day care hours. 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2021
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: PERSONS FCC AKA ALPHABET ACADEMY CHILDCARE
FACILITY NUMBER: 406216086
VISIT DATE: 02/12/2021
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In order to access the outdoor activity area in the backyard, children will walk through the living room which contains couches and past the kitchen. The kitchen is made inaccessible by a child safety gate. All hazardous items including knives and cleaning products are stored inaccessible to children in care. LPA observed that guns are stored per regulation in the home. Outdoors, LPA observed a swing set with three toddler swings, a large plastic climbing structure located on cement with no fall adsorbent cushioning, and two picnic tables with umbrellas. No bodies of water were observed. In order to access the emergency exit gate, children and adults will walk along the side of the home to exit the latched gate to the front yard.

Both Licensees and three assistants have current Pediatric CPR/first aid certifications which expire on 3/20/2022. Licensees and three assistants completed the Mandated Reporter Training for Child Care Providers online. Licensees were reminded that the training must be completed every two years. Licensees stated that they will renew their Mandated Reporter Training (expired 2/9/2021) on or before 2/28/2021. Control of property documents are on file. Licensee stated that they have liability insurance.



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

LPA advised Licensees that there are equipment safety standards for climbing equipment in order to ensure the safety of children and prevent head injury. LPA informed Licensees that she will email the information to Licensees and that a return call will be made in order to review the report. The face time call was concluded at 10:21am.


Continued on 812-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: PERSONS FCC AKA ALPHABET ACADEMY CHILDCARE
FACILITY NUMBER: 406216086
VISIT DATE: 02/12/2021
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LPA discussed the following information with Licensee:
  • Regularly review Consumer Product Safety Commission product recalls at www.cpsc.gov and read and abide by the manufacturer’s directions which specify the age recommendations for toys and furnishings used by children.
  • Infant Safe Sleep regulations are outlined in the Provider Information Notice (PIN) 20-24-CCP dated 9/15/2020
  • California Department of Public Health COVID-19 guidelines for child care programs


Licensee indicated that she is familiar with the required forms for a Family Child Care Home (LIC 311D) including the Effects of Lead Exposure brochure (PUB 515) which is to be distributed to all families at time of enrollment or upon re-enrollment. Licensee was advised that the Title 22, Division 12 regulations for Family Child Care Home can be accessed on-line at www.cdss.ca.gov. Licensee reported that she receives Provider Information Notices (PINs) from Community Care Licensing Division via email.

License is pending the following:
  1. Review of fall absorbent cushioning required for the model of climbing equipment located indoors and outdoors.
  2. Installation of the child safety locks on doors of off-limits rooms

Exit interview was conducted with Licensee, Katrina Persons via FaceTime video call at 12:07pm, during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to Licensee via email today. Licensee voiced understanding that in lieu of signature an email reply is required within 24 hours to confirm receipt of the report and appeal rights.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2021
LIC809 (FAS) - (06/04)
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