426213745-6-7-2023-17-CC-EBAY-CSKPGM-20230607111833

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426213745
Report Date: 06/07/2023
Date Signed: 06/07/2023 11:19:48 AM

Document Has Been Signed on 06/07/2023 11:19 AM - 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:	MORALES FCC AKA LUCY'S FAMILY CHILD CARE		FACILITY NUMBER:	426213745
ADMINISTRATOR:	MORALES, LUCY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 736-3435
CITY:	LOMPOC	STATE: CA	ZIP CODE:	93436
CAPACITY:	14	CENSUS: 8	DATE:	06/07/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Lucy Morales		TIME COMPLETED:	11:30 AM

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 3/7/23, at 9:10 AM, Licensing Program Analysts (LPAs) Elvin Baddley and Dixie Wright conducted an unannounced One Year Required Inspection of the abovementioned Family Child Care Home (FCCH). LPAs met with Lucy Morales, Licensee of the FCCH and explained the purpose of the inspection. LPAs, in the company of the Licensee, toured the interior and exterior of the FCCH. The FCCH's converted dining room (playroom), kitchen, living room, hall bathroom, master bedroom, guest bedroom and backyard are used for child care services, while the remainder of the home is excluded from child care. At the time of the inspection LPAs observed eight children in care along with an Assistant (cleared and associated). The home is clean and orderly and the bathroom the children use for care is clean and free of toxins. Medication and cleaning compounds are stored in elevated locations in the kitchen. Each storage area is inaccessible to children in care.At 9:35 AM, LPAs observed kitchen knives in an unsecured drawer. LPAs reminder Licensee of the need to ensure sharps are inaccessible to children in care. Toys, furniture and equipment observed are age appropriate. Required licensing forms and documents are posted on the wall of the FCCH's converted dining room. The FCCH's living room has a fireplace which is screened by wire mesh. LPAs observed both smoke and carbon monoxide detectors in the FCCH. The detectors were tested (9:30 AM and 10:50 AM) and found to be operable. LPAs observed a regulation fire extinguisher in the FCCH which was last serviced on 9/1/22. LPAs reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The backyard is enclosed by a wooden fencing and cider block. The footing in the area is made up of various surfaces. The entry/exit gate to the backyard is secure. There is a shed in the area which contains household goods. The shed is secure. Toys and play equipment viewed on site are age appropriate. Licensee is reminded to replace play equipment which degrades or is not in good repair. No bodies of water are observed on site. A sampling of the children's records are reviewed. The records are current, complete and possessed (CONT. 809-C, Page 2)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023

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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Document Has Been Signed on 06/07/2023 11:19 AM - 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: MORALES FCC AKA LUCY'S FAMILY CHILD CARE	FACILITY NUMBER: 426213745
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(4)

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: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. 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 in that LPAs observed kitchen knives located in an insecure kitchen drawer within the reach of children in care which poses as a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/21/2023
	Plan of Correction
1 2 3 4	Licensee to provide a written plan of correction to CCLD (elvin.baddley@dss.ca.gov) noting the fashion which sharps will be inaccessible to children in care and secured. by 6/21/23.

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: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023

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: MORALES FCC AKA LUCY'S FAMILY CHILD CARE	FACILITY NUMBER: 426213745
	VISIT DATE: 06/07/2023

NARRATIVE

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emergency contact information, immunization records as well as documentation noting sleep checks in intervals of 15 minutes amongst other required documents. The Licensee's records were also reviewed and found to be current. Pediatric CPR and First (EMSA approved) expire on 3/15/25, and Mandated Reporter certificates expire on 9/28/23. 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. 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.

A Type B Deficiency is being cited based on LPAs' observation/interviews pursuant to Title 22 of the CA Code of Regulations (refer to LIC 809-D). Licensee was provided a copy of their Appeal Rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

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

Exit interview conducted and report was reviewed with the Licensee Lucy Morales.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023

LIC809 (FAS) - (06/04)

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