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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426204072
Report Date: 08/19/2021
Date Signed: 08/19/2021 02:32:23 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:FIERCE-SHERMAN FAMILY CHILD CAREFACILITY NUMBER:
426204072
ADMINISTRATOR:FIERCE, JULIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 737-1178
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:14CENSUS: 3DATE:
08/19/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Julie Fierce-ShermanTIME COMPLETED:
02:40 PM
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On August 19, 2021 @ 1:25 PM, Licensing Program Analyst (LPA) S. Mendoza-Ceja conducted an unannounced Required 1 year inspection. LPA met with Licensee Julie Fierce-Sherman. Prior to entry into the home, LPA conducted a risk assessment for COVID-19 and Licensee requested LPA wash their hands and did a temperature check. The home was toured inside and outside. LPA observed the home to be appropriately furnished with toys for children. The backyard is completely fenced. Upon arrival, LPA observed licensee providing care to 3 children who were napping during the inspection. The off-limit areas are inaccessible to day care children. The required fire extinguisher 2A10BC serviced on 06/14/2021. There are more than one dual carbon monoxide/ smoke detectors in the home. LPA discussed firearms and ammunition. Licensee Julie Fierce-Sherman stated there are no guns and ammunition in the home. Licensee stated there are no bodies of water on the premises. LPA did not observe any bodies of water on the premises. Licensee Julie Fierce-Sherman has current Adult, Child, and Infant CPR and First Aid is current (expires 05/23/2022). Licensee completed AB1207 Child Abuse Mandated Reporter Training on 06/29/2021 (expires 06/29/2023). LPA reviewed the updated the Regulations 102425 in regards to infant care with Licensee, including Individual Infant Sleeping Plan (LIC9227), Sleeping Chart and provided copies for her review. LPA also reviewed children's records for emergency contact information.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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

No deficiencies were observed during the inspection. An exit interview was conducted with the Licensee Julie Fierce-Sherman. A copy of this report was provided to the Licensee. The Notice of Site Visit shall be posted for 30 days.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021
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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