426215013-3-13-2020-17-CC-EBAY-BMNMU9-20200313095446

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215013
Report Date: 03/13/2020
Date Signed: 03/13/2020 09:55:03 AM

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:	WARD FCC AKA LIL SAFARI CHILD CARE		FACILITY NUMBER:	426215013
ADMINISTRATOR:	ASHLEY WARD		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 354-3469
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY:	14	CENSUS: 6	DATE:	03/13/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Ashley Ward		TIME COMPLETED:	10:00 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 03/13/20, at 8:15 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Annual inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Ashley Ward, 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 FCCH’s dining room, family room, backyard and hallway bathroom are used for child care services, while the home’s upper story and garage are excluded from care. LPA observed a child safety gate at the bottom of the stairwell which prevents children's access to the upper level. At the time of the inspection six children are present. Required licensing forms and documents are posted at along the entry wall of FCCH. The FCCH’s family room has a fireplace which is barricade by a wooden shelving unit and inaccessible to children. The FCCH has a regulation fire extinguisher which was service on 11/07/19. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA observed a smoke and carbon monoxide detector in the FCCH which were tested at 8:25 AM and found to be operable. The home is orderly and the bathroom used for child care is clean and free of toxins. LPA observed medication and sharps in the FCCH stored on an elevated shelf in a kitchen cabinet. LPA also observed cleaning compounds stored in the FCCH's laundry room which is inaccessible to child in care. Toys, furniture and equipment observed in the FCCH's interior are age appropriate. The backyard is enclosed by wooden and cider block fencing. The area has a secure shed which houses outdoor furniture. Toys and play equipment observed in backyard are age appropriate. No bodies of water were observed on site. LPA reviewed children records. The records were current, complete and possessed emergency contact information as mandated by regulations. LPA reviewed the Licensee's records which are also current and 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: 03/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020

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 2

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: WARD FCC AKA LIL SAFARI CHILD CARE	FACILITY NUMBER: 426215013
	VISIT DATE: 03/13/2020

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

complete. CPR and First Aid certifications expiring on 04/22, while Mandated Reporter Training expires on 3/22 . The 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 copies of “Child Care Providers Guide to Safe Sleep. provided “Effects of Lead Exposure” to be distributed to all families. Licensee was reminded the responsibility to know the regulations for FCCH which can be accessed on-line at www.ccld.ca.gov.

In areas evaluated, there were no deficiencies cited at this time.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2