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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216086
Report Date: 09/23/2024
Date Signed: 09/23/2024 12:08:32 PM

Document Has Been Signed on 09/23/2024 12:08 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:PERSONS FCC AKA ALPHABET ACADEMY CHILDCAREFACILITY NUMBER:
406216086
ADMINISTRATOR/
DIRECTOR:		KATRINA LI PERSONSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 400-1472
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
09/23/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Katrina and Jack personsTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On September 23, 2024, at 9:34 AM, Licensing Program Analyst (LPA) Joaquin Mendez conducted an Annual/Random inspection. LPA met with licensees’ Katrina and Jack Persons and advised them the purpose of the inspection. Licensee provided LPA a tour of the home inside and out. There were seven (7) children in care at the time of the inspection, 2 of the children in care are infants.

LPA observed required licensing documents mounted on the wall in the entry of the home. The licensee is currently using the den, living room, one bathroom, and backyard for children in care. Licensee has gates preventing children from having access to the kitchen and the rest of the house.
· LPA did not observe any toxin/hazards accessible to children in care.
· LPA observed a 2A10BC fire extinguisher with a purchase date of 5/16/24 mounted on the wall at the entry way of the home readily accessible. Licensee was advised to ensure the fire extinguisher is serviced or a new one in purchased every year.
· LPA observed a fireplace in the second living room with a glass screen preventing children from having access.
· Sharps and knives are stored in a locked cabinet secured in the kitchen with a locked gate preventing access to children in care.
· Medications are stored in an elevated cabinet in the kitchen.
· The facility has working smoke and carbon monoxide combination detectors which were tested at 9:51 am.
· LPA observed age-appropriate toys and furniture readily accessible to children in care.
· The backyard is enclosed by a wood fence.
· LPA observed age-appropriate toys and structures in the backyard readily accessible to children in care.
· Licensee advised there are firearms in the home. The firearms are properly stored and secured in a locked safe in the garage preventing children from having access. LPA was advised by the Licensee there is no
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SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: PERSONS FCC AKA ALPHABET ACADEMY CHILDCARE
FACILITY NUMBER: 406216086
VISIT DATE: 09/23/2024
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ammunition for the firearms in the home. See LIC812 for reference.

LPA observed the facility roster identified that it was current. A sampling of children records were reviewed and found to be current. LPA reviewed licensees’ record’s and were found complete with all necessary documents needed.

· Licensee's Pediatric CPR/First-Aid certificate is current and valid until 3/21/2026.

· Licensee's Mandated Reporter certificate is current and valid until 5/7/2025.

· The last fire drill was completed on 7/15/2024. Licensee is reminded to ensure the fire/emergency drills are logged and completed once every six (6) months.

Licensees’ Katrina and Jack Persons were reminded that all adults 18 and over living or working in the home, 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 Childcare 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.



Licensees’ states they do 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.

LPA discussed the safe sleep regulations with Licensees and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an 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
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SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: PERSONS FCC AKA ALPHABET ACADEMY CHILDCARE
FACILITY NUMBER: 406216086
VISIT DATE: 09/23/2024
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recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

During the exit interview, the licensees’ Katrina and Jack Persons, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile on 9/20/2024 in FAS.

Licensee was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

There were no deficiencies cited at this time.

Exit interview conducted and report was reviewed with the licensees’ Katrina and Jack Persons.

A notice of site visit was given to licensees’ Katrina and Jack Persons and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024
LIC809 (FAS) - (06/04)
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