426215447-6-17-2021-17-CC-CPAN-C43V5U-20210617160831

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215447
Report Date: 06/17/2021
Date Signed: 06/17/2021 04:08:40 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:	LAUDERDALE FAMILY CHILD CARE		FACILITY NUMBER:	426215447
ADMINISTRATOR:	ANDREA LAUDERDALE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 588-7601
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93110
CAPACITY:	14	CENSUS: 10	DATE:	06/17/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	03:20 PM
MET WITH:	Andrea Lauderdale		TIME COMPLETED:	04:15 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 06/17/21 at 3:20pm, Licensing Program Analyst (LPA) Christian Patterson made an unannounced inspection to the home for the purpose of conducting a REQUIRED 1-YEAR inspection. LPA met with Licensee Andrea Lauderdale and explained the purpose of the inspection. There were 10 children present. A tour of the home was made both inside and outside. Licensee uses living room, kitchen, and one bathroom for the day care. Three bedrooms and storage shed are made inaccessible with locks. The regulation fire extinguisher was serviced on 07/08/20. Licensee is reminded to either service or purchase a regulation fire extinguisher every year. The smoke and carbon monoxide detector were observed to be functional. Licensee uses the backyard which is completely enclosed with a fence. LPA observed a hot tub in the backyard which is made inaccessible with a locked four-point cover. Licensee stated that the hot tub was currently empty. Licensee stated that there are no firearms/ammunition in the facility. LPA observed that there are age appropriate toys and equipment both inside and outside. LPA reviewed a sampling of children's records. Immunization records were complete for all adults in the facility. Licensee's First Aid/CPR certificates are valid until 09/16/22. Licensee has completed AB 1207 Mandated Reporter Training which is valid until 09/21. A fire/disaster drill was completed on 06/17/21. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian Patterson	TELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021

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: LAUDERDALE FAMILY CHILD CARE	FACILITY NUMBER: 426215447
	VISIT DATE: 06/17/2021

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Licensee is reminded that they are responsible for knowing the regulations for a Family Child Care Home and that Licensing information can be accessed online at www.ccld.ca.gov. LPA reviewed the handouts "Safe Sleep in Child Care, A Child Care Provider's Guide to Safe Sleep, and the Effects of Lead Exposure".

There were no deficiencies cited today. The LIC 9213 (Notice of Site Visit) was posted in LPA's presence.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian Patterson	TELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021

LIC809 (FAS) - (06/04)

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