426207818-3-7-2022-17-CC-FVEZ-CCARSZ-20220307121734

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426207818
Report Date: 03/07/2022
Date Signed: 03/07/2022 12:17:44 PM

Document Has Been Signed on 03/07/2022 12:17 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:	BRAGG FAMILY CHILD CARE		FACILITY NUMBER:	426207818
ADMINISTRATOR:	GABRIELA BRAGG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 346-6402
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	14	CENSUS: 6	DATE:	03/07/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Gabriela Bragg		TIME COMPLETED:	12:25 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 3/7/22, at 9:45 AM Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced Required inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Christopher Bragg, Assistant of the FCCH and explained the nature and purpose of the inspection. LPA notes six (6) children are on site being cared by Assistant, Christopher Bragg. Assistant reported that Licensee was out of the home but would be returning soon. LPA, in the company of the Assistant, toured the exterior and interior of the FCCH. The home’s garage, dining/kitchen area, restroom and one bedroom are used for child care services. The bedrooms and outdoor yard are completely inaccessible to the children in care. Assistant reported that children are taken to a near by park for outdoor play. The FCCH is clean, orderly and has ventilation to afford for the children’s comfort and safety. LPA observed medication in the FCCH is stored in an elevated cabinet in the kitchen. LPA observed sharps are stored in another elevated cabinet in the kitchen. The home's cleaning compounds are stored on an elevated shelf in the laundry room. Licensee's spouse reported having weed and insect killer stored in the outdoor shed. LPA observed sheds to be lock and Assistant reported that children do not use the outdoor yard. LPA observed all areas are inaccessible to children in care. Toys, furniture and equipment observed in the FCCH are age appropriate. Required forms are posted on the entrance of the FCCH living room wall. FCCH's family room has a fireplace which is screened and inaccessible to children. The FCCH has smoke and carbon monoxide detectors which were tested at 10:05 am and found to be operable. The FCCH has a regulation fire extinguisher which was purchased on 4/16/2021. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill documentation. The last drill was completed on 12/13/21. CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2022

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: BRAGG FAMILY CHILD CARE	FACILITY NUMBER: 426207818
	VISIT DATE: 03/07/2022

NARRATIVE

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The backyard is enclosed by fencing wooden fence. LPA observed no bodies of water on site. LPA observed two (2) locked sheds in the outdoor yard. Licensee confirmed that outdoor yard is not accessible to children in care.

A sampling of the children's records were reviewed. The records are current, complete and possessed emergency contact information. The Licensee's and Assistant's records were also reviewed and found to be current. Pediatric CPR and First (EMSA approved) for Licensee expires on 4/10/23 and Assistant's expires 4/10/23. Mandated Reporter certificate for Licensee expires on 5/26/22 and Assistant's expires 3/22/23.

The Licensee notes no firearms or ammunition are 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 an additional resource. LPA also informed licensee [facility representative] 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 Gabriela Bragg.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2022

LIC809 (FAS) - (06/04)

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