426215243-5-12-2023-17-CC-EBAY-CRRSJM-20230512135522

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215243
Report Date: 05/12/2023
Date Signed: 05/12/2023 01:55:30 PM

Document Has Been Signed on 05/12/2023 01:55 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:	TENESACA FCC AKA UP IN THE TREE PRESCHOOL		FACILITY NUMBER:	426215243
ADMINISTRATOR:	EVELYN TENASACA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 882-9138
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93101
CAPACITY:	14	CENSUS: 6	DATE:	05/12/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Evelyn Ruiz		TIME COMPLETED:	02:00 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 5/12/23, at 12:30 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted a One Year Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Evelyn Ruiz, Licensee of the FCCH and explained the purpose of the inspection. LPA, in the company of the Licensee, toured the interior of the FCCH. The home’s living room and restroom are used for child care, while the home’s bedrooms and patio are excluded. At the time of the inspection six Children (one biological) are present along with an Assistant. LPA observed required licensing forms and documents post on the wall in FCCH near the entry door. No fireplace is on site LPA observed combination smoke and carbon monoxide detectors throughout the FCCH. A detector in the living room was tested at 1:00 PM and found to be operable. LPA observed a regulation fire extinguisher in the FCCH which was serviced on 1/24/23. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill log. The most recent fire drill occurred on 2/10/23. LPA observed the FCCH to be orderly. The bathroom used by children in care is clean and free of toxins. LPA observed medication and sharps in FCCH's kitchen which is excluded from care. Cleaning compounds are located in the FCCH's laundry room which is also excluded from care. It should be noted LPA observed a child safety gate at the entry of the kitchen. Toys, furniture and equipment in the FCCH are age appropriate. The FCCH does not have an outdoor play area. LIcensee informed LPA Licensee regularly takes children in care to neighboring parks for outdoor activities. LPA reminded LIcensee to ensure children are in direct supervision when they are traveling outside of the home and the play structures accessed by children are age appropriate. No bodies of water are observed on site. LPA reviewed a sampling of the children records. All records reviewed are current and complete. A current roster of children and immunization records are reviewed among other things. LPA also reviewed (CONT. LIC. 809-C)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023

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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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: TENESACA FCC AKA UP IN THE TREE PRESCHOOL	FACILITY NUMBER: 426215243
	VISIT DATE: 05/12/2023

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documentation noting the children's sleep checks conducted in 15 minute intervals. The Licensee's records are current and complete with Pediatric CPR and First Aid certification expiring in 11/14/23 (EMSA approved) and Mandated Reporter training expiring on 7/22/23. Licensee informed LPA no firearms or ammunition are stored on site.

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

Exit interview conducted and report was reviewed with the Licensee Evelyn Ruiz.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023

LIC809 (FAS) - (06/04)

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