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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426207803
Report Date: 05/31/2023
Date Signed: 05/31/2023 12:06:51 PM


Document Has Been Signed on 05/31/2023 12:06 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:BRAMSEN FAMILY CHILD CAREFACILITY NUMBER:
426207803
ADMINISTRATOR:KAREN BRAMSENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 297-5096
CITY:SOLVANGSTATE: CAZIP CODE:
93463
CAPACITY:14CENSUS: 12DATE:
05/31/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Karen BramsenTIME COMPLETED:
12:15 PM
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On 5/31/23, at 9:45 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Karen Bramsen, Licensee of the FCCH and explained the purpose of the inspection. LPA, in the company of the Licensee, toured the interior and exterior of the FCCH. The FCCH's playroom, playroom bedroom, playroom restroom and backyard are used for child care. LPA notes the playroom is attached to the main residence which is exclude from care. At the time of the inspection LPA observed 12 children in care along with an Assistant (cleared and associated).

LPA observed required licensing forms and documents posted on the wall of the playroom in proximity of the entry door. The FCCH's has a fireplace in the main residence which is excluded from child care. LPA observed a combination smoke/carbon monoxide detector in the FCCH. The detector was tested at 10:22 AM and found to be operable. LPA observed a regulation fire extinguisher in the FCCH which was last serviced on 5/24/23. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually.

LPA observed the FCCH to be clean,orderly and void of hazardous items. The bathroom the children use for care is clean and free of toxins. Medication in the FCCH is stored in a secure cabinet underneath the sink. LPA also observed cleaning compounds in a locked cabinet the FCCH while sharps are observed on a elevated shelf, beyond the reach of children. Toys, furniture and equipment observed in the FCCH are age appropriate.

The backyard is just outside of the playroom's rear door. The backyard area is enclosed by a combination of wooden and wire fencing and the footing in the area is made up of various surfaces (i.e. grass, sand, etc.). The fence’s entry/exit gates are secure. LPA observed no bodies of water on site.

A sampling of the children's records were reviewed. The records are current, complete and possessed emergency contact information, immunization records and documentation of sleep checks, amongst
(CONT. 809-C, Page 2)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2023
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 2


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
VISIT DATE: 05/31/2023
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other required licensing documents. The Licensee's records were also reviewed and found to be current. Pediatric CPR and First Aid (EMSA approved) expiring on 3/18/25 and Mandated Reporter training certificate expiring on 3/9/24. Immunization Records for the Licensee are also current. LPA notes the last fire drill at the FCCH was conducted on 5/10/23. Licensee stated no firearm or ammunition is stored on site.

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 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 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 for 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.

A Notice of Site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Karen Bremsen.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023
LIC809 (FAS) - (06/04)
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