<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 421708823
Report Date: 05/17/2023
Date Signed: 05/17/2023 12:39:18 PM


Document Has Been Signed on 05/17/2023 12:39 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:CHAPMAN FCC AKA DAWNS DAY CAREFACILITY NUMBER:
421708823
ADMINISTRATOR:DAWN CHAPMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 964-2861
CITY:SANTA BARBARASTATE: CAZIP CODE:
93111
CAPACITY:14CENSUS: 8DATE:
05/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:32 AM
MET WITH:Dawn ChapmanTIME COMPLETED:
12:38 PM
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 May 17th, 2023, at 10:34AM, Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced Annual/Random inspection. LPA met with licensee Dawn Chapman and advised her the purpose of the inspection. Licensee provided LPA a tour of the home inside and out. At the time of the inspection there eight (8) children, licensee and assistant (fingerprint cleared) present.

This is a one-story 3 (three) bedroom and three (3) bathroom home. Accessible to children is: playroom, dining room, kitchen, living room, one (1) bathroom, nap room and outdoor play area. LPA observed documents posted in a prominent location. LPA observed the facility to be clean and orderly. At the time of the inspection, kitchen did not pose a hazard to children and knives were observed to be rendered inaccessible. Children utilize one (1) bathroom and at the time of the inspection, bathroom did not contain cleaning supplies, combustibles or poisons that would pose a hazard to children. In the nap room, LPA observed two (2) cribs for children in care. Accessible living room has one (1) fireplace rendered inaccessible by a screen. Outdoor play yard contains age-appropriate toys, equipment, and at the time of the inspection, sandbox was free of debris or hazards. Swimming pool and pond are present, made inaccessible by gate over five feet high.

LPA observed a 2A10BC fire extinguisher with service date of August 23, 2022 mounted on the wall in the kitchen readily accessible. Licensee advised to ensure the fire extinguisher is serviced or a new one in purchased every year. The last emergency drill was conducted on January 22nd, 2023. Individual carbon monoxide and smoke alarms were tested at 10:52AM and at the time of the inspection, smoke alarm was functioning. No incidental medical services are being provided at this time, and licensee stated no firearms or ammunition are present on property.
LPA observed the facility roster was current. A sampling of children records was reviewed, LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements. Licensee’s Pediatric CPR/First-Aid certificate is current and valid until 8/20/2024.

CONTINUED ON LIC809C
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:
DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/17/2023
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 8


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: CHAPMAN FCC AKA DAWNS DAY CARE
FACILITY NUMBER: 421708823
VISIT DATE: 05/17/2023
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
26
27
28
29
30
31
32
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.

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 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 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.

No deficiencies were cited during today’s inspection.
Technical Assistance provided.

LPA provided licensee: Entrance Checklist and all applicable documents including: Individual Sleeping Plan (LIC9227), 15-minute Infant Log


THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Maryrose BreaultTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
LIC809 (FAS) - (06/04)
Page: 8 of 8