426214281-2-21-2020-17-CC-EBAY-BLZW5H-20200221155910

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426214281
Report Date: 02/21/2020
Date Signed: 02/21/2020 03:59:16 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:	LESVENAN FCC AKA CADENCE FOR KIDS		FACILITY NUMBER:	426214281
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	02/21/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Maryvonne Lesvenan		TIME COMPLETED:	03:45 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 February 21, 2020, at 1:45 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Annual/Random inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Maryvonne Lesvenan, 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 home’s living room, family room, hallway bathroom, front porch and back porch are used for child care, while the home’s second story is excluded from child care and barricaded by a child safety gate. At the time of the inspection, four children are present. LPA observed required licensing forms and documents posted on FCCH's family room wall. The FCCH's living room has a fireplace which is screened by glass and inaccessible to children. LPA observed operable smoke and carbon monoxide detectors in the FCCH. LPA observed a regulation fire extinguisher in the FCCH which was service on January 31, 2020. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill documentation which noted the last drill occurring on November 22, 2019. The home was clean, orderly and void of hazards. The bathroom used for care was clean and free of toxins. Toys, furniture and equipment observed in the FCCH are age appropriate. LPA observed medication and cleaning compounds stored on an elevated shelf in a laundry room cabinet. the aforementioned is beyond the reach of children. The front and back porch are enclosed by wooden and wrought iron fencing. LPA observed the fencing's entry/exit gates are secured. Toys and play equipment observed in the areas are age appropriate and in satisfactory condition. The housing complex where the FCCH is located has a community pool which is surrounded by fencing and inaccessible to children in care [and other individuals without an issued key].. CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

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: LESVENAN FCC AKA CADENCE FOR KIDS	FACILITY NUMBER: 426214281
	VISIT DATE: 02/21/2020

NARRATIVE

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A sampling of the children records were reviewed by the LPA. The records reviewed were current and complete. Each record reviewed contained updated immunization information as well as signed Notifications of Parent’s Rights forms. A current roster of children was reviewed by the LPA. The children noted in the roster were present and on site. LPA reviewed Licensee's records which are current and complete. LPA observed a Pediatric CPR and First Aid certificate which expires on April 23, 2020. LPA observed a Mandated Reporter training certificate which expires on February 25, 2020.

Licensee stated no firearms or ammunition are stored on site.

The Licensee is not providing Incidental Medical Services (IMS). Policy was discussed. 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: www.ada.gov/childqanda.htm

LPA reviewed and provided Licensee with a copy of “Child Care Providers Guide to Safe Sleep." LPA also reviewed and provided “Effects of Lead Exposure” to the Licensee to be distributed to the parents of children in care. Licensee was reminded of the responsibility to know the regulations for FCCH which can be accessed on-line at www.ccld.ca.gov.

In areas evaluated, no deficiencies observed.
LPA observed Licensee post the Notice of Site visit (LIC 9213).

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

LIC809 (FAS) - (06/04)

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