426215576-12-30-2019-17-CC-EBAY-BKCQDK-20191230110451

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215576
Report Date: 12/30/2019
Date Signed: 12/30/2019 11:04:59 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:	WILEY FCC AKA STEPPINGSTONE DAYCARE		FACILITY NUMBER:	426215576
ADMINISTRATOR:	CHEYENNE MARIE WILEY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 896-6685
CITY:	ORCUTT	STATE: CA	ZIP CODE:	93455
CAPACITY:	14	CENSUS: 6	DATE:	12/30/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Cheyenne Wiley		TIME COMPLETED:	11:15 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 December 30, 2019, Licensing Program Analyst (LPA) Elvin Baddley conducted a unannounced Annual/Random inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Cheyenne Wiley, 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 converted art studio, backyard and hallway restroom are used for child care services, while the home’s bedrooms are excluded. At the time of the inspection six children are present. Required forms are posted on the wall of the FCCH's converted art studio. The home’s dining room has a fireplace which is screened by glass and inaccessible to children. LPA observed a combination smoke and carbon monoxide detector which was tested and found to be operable. Likewise, the home has a regulation fire extinguisher which was purchased on October 11, 2019. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill log and noted the most recent fire/disaster drill occurring on November 13, 2019. The home was orderly and void of hazards. Medication in the FCCH is stored in a kitchen cabinet on an elevated shelf outside the reach of children. LPA observed cleaning compounds the the FCCH's hallway closet on and elevated shelf. Toys, furniture and equipment observed in the FCCH are age appropriate. The backyard is enclosed by wooden fencing. The backyard also contains two locked sheds used for storage and a gardening area. LPA observed the sheds were locked. Duck (3) and chickens (8) are contained in locked and contained runs. The FCCH also has a dog which was in a kennel during the inspection. LPA reviewed the vaccinations which are current. Toys and play equipment observed in backyard are age appropriate and in satisfactory condition. No bodies of water were observed on site. 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: 12/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2019

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: WILEY FCC AKA STEPPINGSTONE DAYCARE	FACILITY NUMBER: 426215576
	VISIT DATE: 12/30/2019

NARRATIVE

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A sampling of the children records were reviewed. The records were current and complete. A current roster of children was reviewed by the LPA. The children noted in the roster were present and on site. The Licensee's records are also current and complete with Pediatric CPR and First Aid certifications expiring on February 28, 2021. LPA observed a Mandatory Reporter certificate with an expiration of November 3, 2019.

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 reviewed and provided “Effects of Lead Exposure” to be distributed to all families. Licensee reminded of 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.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2019

LIC809 (FAS) - (06/04)

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