426214393-11-15-2024-17-CC-EGEE-DB2W59-20241115155847

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426214393
Report Date: 11/15/2024
Date Signed: 11/15/2024 03:59:21 PM

Document Has Been Signed on 11/15/2024 03:59 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	WILSON FAMILY CHILD CARE		FACILITY NUMBER:	426214393
ADMINISTRATOR/ DIRECTOR:	LUCIA J. WILSON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 717-9529
CITY:	LOMPOC	STATE: CA	ZIP CODE:	93436
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 4	DATE:	11/15/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:32 AM
MET WITH:	Lucia Wilson		TIME VISIT/ INSPECTION COMPLETED:	03:30 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 11/15/24, at 11:30 AM, Licensing Program Analyst (LPA) Elizabeth George conducted an unannounced annual /random Inspection at the above-mentioned family child care home (FCCH). LPA met with Licensee Lucia Wilson and explained the purpose of the inspection. LPA, in the company of the Licensee, toured the interior and exterior of the FCCH. At the time of the inspection 4 children were present. Licensee states hours of operation are Monday - Sunday, 6:30 AM - 6:30 AM. This is a one story home with four bedrooms, two bathrooms, two living rooms, dining room, kitchen, backyard, garage, studio and she shed. Licensee stated that children have access to the living rooms, bathroom, dining room, kitchen and backyard. One bedroom is used for overnight care. While the three bedrooms, studio, she shed and garage are completely inaccessible to children in care. The home was orderly and clean with proper ventilation for all children in care. The bathroom used for care is clean. LPA observed mouthwash and toothpaste in an unlocked bathroom cabinet. Licensee removed items and placed in an inaccessible area right away. LPA observed a fireplace in the living room that is covered and made inaccessible to children. LPA observed that sharps and knives are stored on kitchen counter out of reach of children. Medications are stored in an elevated kitchen cabinet out of reach of children. LPA observed cleaning compounds on counter out of reach of children. LPA observed additional cleaning compounds stored in garage that is excluded from care. Toys, furniture and equipment in the facility are age appropriate. LPA observed required licensing forms and documents posted by the entrance of the facility. LPA observed a smoke detector that was tested and found operable at 11:30 AM. Carbon monoxide detector did not have batteries, licensee replaced batteries in detector, it was tested and found operable at 12:51 PM. LPA observed a regulation fire extinguisher that was last serviced 9/19/23. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. Licensee did not have a current fire drill available for review. Continued on 809-C

Ana Tolentino	TELEPHONE: (805) 562-0347
Elizabeth George	TELEPHONE: 805-562-0400
	DATE: 11/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024

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 11/15/2024 03:59 PM - 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: WILSON FAMILY CHILD CARE	FACILITY NUMBER: 426214393
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

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 poisons and toxins were within childrens reach in both the bathroom and the backyard which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 11/15/2024
	Plan of Correction
1 2 3 4	Licensee removed hygiene items from bathroom and placed into inaccessible room. Licensee removed round up and fuel from backyard and placed into locked garage during inspection.

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.

Ana Tolentino	TELEPHONE: (805) 562-0347
Elizabeth George	TELEPHONE: 805-562-0400
	DATE: 11/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/15/2024 03:59 PM - 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: WILSON FAMILY CHILD CARE	FACILITY NUMBER: 426214393
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

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 and interview, the licensee did not comply with the section cited above in that the fire extinguisher was due for service or replacement by 9/19/24 which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/15/2024
	Plan of Correction
1 2 3 4	Licensee will pruchase or service fire extinguisher and email proof to elizabeth.george@dss.ca.gov

Section Cited

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 observation, interview, and record review, the licensee did not comply with the section cited above in sections (A) licensee could not provide documentaion of fire drills being conducted every 6 months which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/29/2024
	Plan of Correction
1 2 3 4	Licensee will submit written plans on how she will conduct fire drills every 6 months as required. Licensee shall conduct a drill and submit proof by email to elizabeth.george@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.

Ana Tolentino	TELEPHONE: (805) 562-0347
Elizabeth George	TELEPHONE: 805-562-0400
	DATE: 11/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/15/2024 03:59 PM - 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: WILSON FAMILY CHILD CARE	FACILITY NUMBER: 426214393
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

Infant Safe Sleep

The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above in licensee does not conduct 15 minute checks which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/29/2024
	Plan of Correction
1 2 3 4	Licensee will review safe sleep regulations for infants. Licensee will submit document stating that the regulations have been reviewed.

Section Cited

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above in not having current mandated reporter certification which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/29/2024
	Plan of Correction
1 2 3 4	Licensee to aquire proper certification. Email certificate to elizabeth.george@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.

Ana Tolentino	TELEPHONE: (805) 562-0347
Elizabeth George	TELEPHONE: 805-562-0400
	DATE: 11/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/15/2024 03:59 PM - 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: WILSON FAMILY CHILD CARE	FACILITY NUMBER: 426214393
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above in not having the Pediatric CPR/First Aid which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/29/2024
	Plan of Correction
1 2 3 4	Licensee to acquire the proper CPR/First Aid and email the certificate to elizabeth.george@dss.ca.gov

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.

Ana Tolentino	TELEPHONE: (805) 562-0347
Elizabeth George	TELEPHONE: 805-562-0400
	DATE: 11/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: WILSON FAMILY CHILD CARE	FACILITY NUMBER: 426214393
	VISIT DATE: 11/15/2024

NARRATIVE

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LPA observed the backyard to be completely fenced. The FCCH was observed to have plenty of shade for the children in care. Toys and play equipment observed in backyard are age appropriate and in good conditions. LPA observed roundup and fuel within children's reach. Licensee removed toxins and placed in locked garage. LPA observed a bonfire pit with ashes and wood still inside. LPA advised licensee to have this cleaned out and removed from area accessible to children. LPA observed no bodies of water on site.

Licensee informed LPA no firearms or ammunition are in the home.

A sample of children’s records was reviewed. All files reviewed were complete. Licensee did not have a file for her grandson who is in her care full time. LPA advised licensee that every child under the age of 10 in her care needs to have a file with required signed documents. Current roster of children was reviewed by the LPA during inspection. All children present during the inspection are noted on the roster. Licensee CPR/ First Aid certifications are Basic Life Support NOT pediatric which is dated 9/16/23. LPA advised licensee on CPR/ First Aid regulations. Mandated Reported expired on 7/13/24. LPA advised licensee Mandated reported must be completed every two years. Licensee currently only has 8 children in her care therefore has no staff employed. LPA advised licensee that if staff were to be hired she would need to have complete staff records. LPA provided licensee paperwork required for staff files. Licensee stated that she does not have infant sleeping logs for two infants in her care. LPA advised her of the regulations and provided training on the use of the infant sleep logs.

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.
Continued on 809-C

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Elizabeth George	TELEPHONE: 805-562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 11/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: WILSON FAMILY CHILD CARE	FACILITY NUMBER: 426214393
	VISIT DATE: 11/15/2024

NARRATIVE

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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/.

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 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, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

During today's inspection, deficiencies were cited under Title 22 Division 12 and Health and Safety Code

LPA George informed Licensee Lucia Wilson that this report dated 11/15/24 documents one Type A citation which shall be posted for 30 consecutive days as there is/ are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA George informed Licensee to provide a copy of this licensing report dated 11/15/24 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Appeals rights were provided. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Lucia Wilson.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Elizabeth George	TELEPHONE: 805-562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 11/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024

LIC809 (FAS) - (06/04)

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