426204072-9-18-2024-17-CC-EGEE-D98SA7-20240918134151

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426204072
Report Date: 09/18/2024
Date Signed: 09/18/2024 01:41:59 PM

Document Has Been Signed on 09/18/2024 01:41 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:	FIERCE-SHERMAN FAMILY CHILD CARE		FACILITY NUMBER:	426204072
ADMINISTRATOR:	FIERCE, JULIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 737-1178
CITY:	LOMPOC	STATE: CA	ZIP CODE:	93436
CAPACITY:	14	CENSUS: 5	DATE:	09/18/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	09:23 AM
MET WITH:	Julie Fierce		TIME COMPLETED:	01:56 PM

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On 9/18/24 @ 9:38AM Licensing Program Analysts (LPA's) Elizabeth George and Susana Martinez made an unannounced Required/Annual inspection. LPA met with Licensee Julie Fierce-Sherman and advised her of the purpose of the inspection. A prescreening was assessed and LPAs washed hands and participated in temperature check per licensee. At the time of the inspection there were 5 children present. Licensee's husband was present, and fingerprint cleared. FCCH operates from 7:00AM-5:00PM Monday – Friday.

LPA in the company of the licensee toured the interior and exterior of the home in its entirety. The residence is a three bedroom, two bathroom single story home with a converted garage. The home's living room, kitchen, back room, bathroom, converted garage(aka daycare room) and sectioned off yard in the backyard will be used for child care services. Backyard is sectioned off into four sections. Licensee utilizes 2nd yard for daycare, which was currently under construction. The three bedrooms, one bath and three remaining yards will be excluded.

LPA observed age appropriate toys and furnishings, orderly and with proper ventilation. A working smoke /carbon monoxide dual detector was tested by licensee at 9:47AM and found to be in compliance. Combustibles, cleaning compounds, sharps, tools, medicines, and poisons are inaccessible and out of children’s reach. First aid kits are available and out of children’s reach. LPA observed bathroom to be clean and orderly.

The outdoor play area has perimeter fencing, age appropriate toys, and ample shade. Licensee stated backyard was undergoing renovations outside of daycare hours. LPAs advised licensee prior to making changes on the home she needs to contact the department. PIN 23-20-CCP was provided. No bodies of water are present. Licensee Julie Fierce-Sherman stated there are no guns and ammunition in the home. Licensee Julie Fierce-Sherman has current Adult, Child, and Infant CPR and First Aid which expires 05/11/26 Licensee completed AB1207 Child Abuse Mandated Reporter Training which expires 8/22/2025. The required fire extinguisher 2A10BC was serviced on 06/18/2024. Fire and earthquake drills are being documented every six months. Last drill was conducted on 08/15/24.

(Cont. on 809-C)

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Elizabeth George	TELEPHONE: 805-562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

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: FIERCE-SHERMAN FAMILY CHILD CARE	FACILITY NUMBER: 426204072
	VISIT DATE: 09/18/2024

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LPAs reviewed five children files. All children files were current. Licensee stated that all children aged 5 and under nap in sleep sacks. LPAs advised licensee that infant under 24 months of age would require a waiver and would be needed for a case by case basis. Licensee is documenting 15 minute sleep checks as required.

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.

Licensee was 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 Child Care 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

LPAs 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 an additional resource. LPAs 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. Licensee does currently have infants in care.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

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

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Elizabeth George	TELEPHONE: 805-562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

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: FIERCE-SHERMAN FAMILY CHILD CARE	FACILITY NUMBER: 426204072
	VISIT DATE: 09/18/2024

NARRATIVE

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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-care-licensing/subscribe and select the Child Care option to receive email communication.

During the exit interview, the Licensee Julie Fierce-Sherman, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

During today's inspection one Type B citation was issued for Facility Administration - Type B: 102416.3(a)(6) and can be found on the attached 809-D. Two technical violations were issued. PIN 23-20-CCP, copy of Title 22 Section 102416.3 'Alterations to existing Building or Grounds', Title 22 section 102417 'Operation of Family Child Care Homes' and Safe Sleep FAQ's were provided to licensee.

Appeal rights were given to Licensee.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Julie Fierce-Sherman.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Elizabeth George	TELEPHONE: 805-562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/18/2024 01:41 PM - It Cannot Be Edited

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: FIERCE-SHERMAN FAMILY CHILD CARE	FACILITY NUMBER: 426204072
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416.3(a)(6)

Alterations to Existing Building or Grounds

(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above as the garage conversation and backyard renovation was not approved by the Departmant which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/02/2024
	Plan of Correction
1 2 3 4	Licensee is to read PIN 23-20-CCP regarding 'Required notification prior for making changes to child care facilities'. Licensee to submit a proposed plan of changes. Licensee is to submit approval from the city for the permitted garage conversion.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Elizabeth George	TELEPHONE: 805-562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

LIC809 (FAS) - (06/04)

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