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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426207803
Report Date: 06/18/2019
Date Signed: 06/18/2019 03:31:36 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:BRAMSEN FAMILY CHILD CAREFACILITY NUMBER:
426207803
ADMINISTRATOR:KAREN BRAMSENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 688-4218
CITY:SOLVANGSTATE: CAZIP CODE:
93463
CAPACITY:14CENSUS: DATE:
06/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Karen BramsenTIME COMPLETED:
03:40 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Ruth Gull and Melissa Stewart conducted an unannounced annual inspection and met with Karen Bramsen, Licensee and explained the purpose of the visit. There were 8 children present, two of which are infants, with Licensee and her assistant. A tour of the day care area was made both inside and outside. The Licensee has a separate area for the daycare with a separate entrance from the home. The regulation fire extinguisher was serviced on 07/14/17. Licensee is reminded to either service or purchase a regulation fire extinguisher every year. The smoke detector and carbon monoxide detector were tested and observed to be functioning. Licensee has a separate fenced backyard for the day care. LPA observed that there are age appropriate toys and equipment both inside and outside. LPA reviewed a sampling of children's records. Licensee's and Assistant's First Aid/CPR certificates are valid through 03/09/2021. Licensee states that she does not have any guns/weapons on the property. Licensee is compliant with the Mandated Reporter training. No bodies of water were observed.

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
Licensee is reminded that she is responsible for knowing the regulations for a Family Child Care Home and that Licensing information can be accessed online at www.ccld.ca.gov. LPA reviewed and provided Licensee with Guide to Infant Safe Sleep and the Effects of Lead Exposure (to be distributed to all current and future parents).
Pursuant to Title 22 of the California Code of Regulations, the following Type B deficiencies were cited (refer to LIC 809-D). Appeal rights given and explained.
The LIC 9213 (Notice of Site visit) was posted during today's visit.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Ruth GullTELEPHONE: (805) 895-4073
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2019
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: BRAMSEN FAMILY CHILD CARE
FACILITY NUMBER: 426207803
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/18/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/21/2019
Section Cited
CCR
102417(g)(1)
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Operation of a Family Child Care Home- Fireplaces and open-face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshal.
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Licensee stated that she would have the fire extinguisher serviced on or before 6/21/19.
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This requirement was not met as evidenced by LPA observation of the tag which indicates that the fire extinguisher has not been serviced since 2017. LPA observed that the needle registered in the "green" and not in the "red."
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Type B
06/18/2019
Section Cited
CCR
102417(g)(10)
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Operation of a Family Child Care Home. A baby walker is not permitted on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c). A "baby walker" means any article described in paragraph (4) of subdivision (a) of Section 1500.86 of Part 1500 of Title 16 of the
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LPA's observed Licensee remove both items from the day care area. Licensee stated that she will not use these items in the day care. POC cleared during visit.
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Code of Federal Regulations.
This requirement was not met as evidenced by LPA observation of an unoccupied napping portable and bouncy seat in the indoor activity area.

This poses a potential healthy and safety risk to children in care.
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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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Ruth GullTELEPHONE: (805) 895-4073
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2019
LIC809 (FAS) - (06/04)
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