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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215738
Report Date: 04/27/2023
Date Signed: 12/26/2023 01:39:19 PM


Document Has Been Signed on 12/26/2023 01:39 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:TELL FCC AKA AVID ANGELS DAY CAREFACILITY NUMBER:
426215738
ADMINISTRATOR:KIANA NICOLE TELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 478-9869
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:14CENSUS: 4DATE:
04/27/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Kiana TellTIME COMPLETED:
04:15 PM
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On 04/27/2023 at 3:00 PM, Licensing Program Analysts (LPAs) Francisca Velazquez and Dixie Wright conducted an unannounced One Year Required Inspection of the Family Child Care Home (FCCH). LPAs met with Kiana Tell, licensee of the FCCH and explained the purpose of the inspection. LPAs, in the company of licensee toured the interior and exterior of the FCCH. LPAs notes four (4) children are present being cared by licensee and assistant. Per licensee, there are two (2) adults that live in the home and both adults are fingerprint cleared.

This is a single-story home with three (3) bedrooms, two (2) bathrooms, living room, kitchen, daycare room, garage, and outdoor yard. The daycare services occur in the daycare room, one (1) bathroom, one (1) bedroom and part of the outdoor yard. Meanwhile, living room, kitchen, garage, two (2) bedrooms, one (1) bathroom and part of the outdoor yard are inaccessible to children in care. Licensee reports children go through the living room and kitchen to get to the daycare room and are always accompanied by licensee or assistant. LPAs observed a baby gate making the kitchen inaccessible to children in care. In addition, LPAs observed all off-limits areas have door safety knobs, ensuring children do not have access.

LPAs observed the home to be clean and orderly. There is plenty of ventilation to afford the children comfort. LPAs observed sharps are stored in kitchen pantry that is locked and inaccessible. Medications for the family is stored in an elevated cabinet in the kitchen that is not accessible to children in care. LPAs observed cleaning compounds are stored in the children’s bathroom in elevated cabinets that are locked and in the kitchen pantry that is also locked and inaccessible to children in care. LPAs notes all these areas are inaccessible to children in care. The restroom that is used for childcare services is clean and free of toxins. In the FCCH, LPAs observed toys, furniture, and equipment are in good conditions and are age appropriate for the children in care.

Required forms are predominantly posted on the wall of the daycare room. CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:
DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/27/2023
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: TELL FCC AKA AVID ANGELS DAY CARE
FACILITY NUMBER: 426215738
VISIT DATE: 04/27/2023
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LPAs observed a smoke and carbon monoxide detectors in the FCCH that were tested at 3:17 PM and were operable during this inspection. LPAs observed the home has a regulation fire extinguisher that was purchased on 04/06/2023. LPAs reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The home maintains working telephone services. Licensee informed LPAs no guns or ammo are stored in the home.

LPAs observed the outdoor yard to be completely fenced. LPAs observed the exit doors to be secured. LPAs observed daycare children only have access to part of the yard. Outdoor yard is dividing by means of a gate.. LPAs observed the yard to have plenty of shading for children in care. Filtered drinking water is provided by means of individual cups. Toys, furniture, and equipment observed in the outdoor yard are age appropriate and in good conditions. No bodies of water are observed. LPAs observed two canines in the part of the outdoor yard that is inaccessible to children in care. LPAs notes both canines are up to date and current with immunizations.

LPAs reviewed Licensee and children's records. The children’s records were complete and found to contain emergency contact information as well as immunization records. There are no infant age children enrolled at the time however licensee is aware of safe sleep regulations. In addition, all children present during today’s inspection are documented in the facility roster. LPAs reviewed Licensee’s Pediatric First -aid certificate that is valid until 11/18/2023 and Licensee's Mandated Reporter training certification is valid until 02/07/2024. Assistant records were reviewed and found to be current with Pediatric First -aid certificate that is valid until 03/20/2024 and Mandated Reporter training certification is valid until 01/12/2024. The last emergency drill was conducted and documented on 02/10/2023.

Incidental 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. CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023
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: TELL FCC AKA AVID ANGELS DAY CARE
FACILITY NUMBER: 426215738
VISIT DATE: 04/27/2023
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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 an for additional resource. LPA 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.

No deficiencies cited during today’s inspection.

A Notice of Site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, Kiana Tell.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023
LIC809 (FAS) - (06/04)
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