426207818-1-15-2025-17-CC-GGOZ-DCXRHC-20250115120206

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426207818
Report Date: 01/15/2025
Date Signed: 01/15/2025 12:02:20 PM

Document Has Been Signed on 01/15/2025 12:02 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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	BRAGG FAMILY CHILD CARE		FACILITY NUMBER:	426207818
ADMINISTRATOR/ DIRECTOR:	GABRIELA BRAGG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 346-6402
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 12	CENSUS: 1	DATE:	01/15/2025
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:44 AM
MET WITH:	Gabriela Bragg		TIME VISIT/ INSPECTION COMPLETED:	12:15 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 January 15, 2025 Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced Required - 3 Year inspection at the above-mentioned Family Child Care Home (FCCH). LPA met with licensee Gabriela Bragg and informed them the purpose of the inspection. At the time of inspection no children were present, however, 1 child arrived during the inspection. LPA in the company of the licensee toured the interior of the FCCH. LPA notes the home uses the garage, dining area, 1 bedroom, and 1 bathroom for child care purposes. LPA observed the garage to be used as a play room and to be free of hazards. LPA observed the play room to have sufficient ventilation for children and to have plenty of equipment for children. LPA observed the exit way to the door to the exterior of the home to be secured. LPA observed the play room to be secured with a child proof gate making the remainder of the home inaccessible. LPA observed the dining area to be clean and free of hazards. LPA observed sharps and medication to be stored in an elevated cabinet beyond the reach of children. LPA observed cleaning compounds to be stored on an elevated surface beyond the reach of children. LPA observed a fireplace in the living room that has a cover and is in an inaccessible area of the home. LPA observed the bedroom used for napping to be clean and free of hazards. LPA observed the bathroom used by children to be clean and free of hazards as well. Licensee informed LPA they do not use the yard for child care purposes but instead go to a near by park for outdoor activities. LPA observed required documents to be posted on the door near the entrance of the FCCH. A smoke and carbon monoxide detector was tested at 10:14 AM and found in working order. LPA observed the FCCH to have a regulation fire extinguisher however licensee did not have a receipt or service date.1 Type B deficiency was issued as a result. LPA reminded licensee to either service or purchase a regulation fire extinguisher annually. Licensee stated there are no fire arms in the FCCH. CONTINUED PAGE 2

Ana Tolentino	TELEPHONE: (805) 562-0347
Giovani Gonzalez	TELEPHONE: (805) 722-5132
	DATE: 01/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

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 4

Document Has Been Signed on 01/15/2025 12:02 PM - It Cannot Be Edited

Created By: Giovani Gonzalez On 01/15/2025 at 11:14 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: BRAGG FAMILY CHILD CARE	FACILITY NUMBER: 426207818
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/15/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(1)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) 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 Marshall. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation , the licensee did not comply with the section cited above in not being able to provide documentation of the fire extinguisher being serviced or purchased within the last year which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/22/2025
	Plan of Correction
1 2 3 4	Licensee will provide proof of service or purchase a new regulation fire extinguisher to LPA via email at giovani.gonzalez@dss.ca.gov.

Type B

Section Cited

CCR

102417(g)(9)(A)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review , the licensee did not comply with the section cited above in not having conducted a fire drill since 12/18/23. which poses potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/22/2025
	Plan of Correction
1 2 3 4	Licensee will conduct an emergency drill and provide proof of completion to LPA via email at giovani.gonzalez@dss.ca.gov.

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:

Giovani Gonzalez

TELEPHONE: (805) 722-5132

LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: BRAGG FAMILY CHILD CARE	FACILITY NUMBER: 426207818
	VISIT DATE: 01/15/2025

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

LPA reviewed children's records which were found to be current and complete. LPA reminded Licensee that it is their responsibility to ensure that children's records are complete. LPA observed licensee's Mandated Reporter Training to be current (completed 4/13/2023). Further, licensee's CPR/First Aid was completed on 5/13/2023. LPA reminded licensee that it is their responsibility to ensure all training and certifications are current. The last emergency drill was conducted on 12/18/2023. 1 Type be deficiency was issued as a result.
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.

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 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.

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/.
CONTINUED PAGE 3

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Giovani Gonzalez	TELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: BRAGG FAMILY CHILD CARE	FACILITY NUMBER: 426207818
	VISIT DATE: 01/15/2025

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

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.

During the exit interview, the licensee Gabriela Bragg , confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

2 Type deficiencies was issued during today's inspection. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Gabriela Bragg.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Giovani Gonzalez	TELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

LIC809 (FAS) - (06/04)

Page: 4 of 4