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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215837
Report Date: 10/02/2024
Date Signed: 10/02/2024 02:01:49 PM

Document Has Been Signed on 10/02/2024 02:01 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:HALE FAMILY CHILD CAREFACILITY NUMBER:
426215837
ADMINISTRATOR/
DIRECTOR:		MEGAN NICOLE HALEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 868-7309
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
10/02/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:11 AM
MET WITH:Megan HaleTIME VISIT/
INSPECTION COMPLETED:
02:20 PM
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On 10/2/24 at 11:10 AM Licensing Program Analysts (LPAs) Elizabeth George and Susana Martinez conducted an unannounced required- 3 year inspection at the above mentioned facility. LPA's met with Licensee Megan Hale and informed her the reason for the visit, Together in the company of the licensee LPAs toured the home. There were 5 children in care at the time of the inspection with Licensee and 1 assistant.

Licensee Megan Hale stated the child care is conducted in the living room, play room/adjacent restroom, dinning area and 2 bedrooms for napping. Licensee stated the master bedroom and adjacent restroom are off limits to day care children. The home was observed to be clean and orderly. LPA observed home to be appropriately furnished for young children with toys, including the backyard. LPA observed two play yards meeting regulations available in the home. LPA observed a fireplace screened and locked in the home. The garage is not accessible from inside the home. Backyard is fenced by 5 foot fencing, with a fence around 3 feet tall separating the dog run from accessible children's area as well as a fence the same height separating the side yard.

LPAs observed the carbon monoxide detector and smoke detector which were tested at 12:04 PM and operational. LPA discussed firearms and ammunition, Licensee Hale stated there are no guns and ammunition in the home. LPA did not observe any bodies of water on the premises. LPA reviewed 5 children's files, two out of the five files were missing immunization records. Review of records and interview with Licensee Megan Hale revealed she has been documenting an infant sleep chart every 15 minute check for infants. LPA reminded Licensee to complete an Individual Infant Sleeping Plan (LIC9227) for infants under 12 months in care.

LPA reviewed licensee Megan Hale's AB1207 Child Abuse Mandated Reporter Training which expires 10/16/25. Assistant Nancy is current with AB1207 Child Abuse Mandated Reporter Training certification. Licensee CPR/ First Aid is current and expires on 8/5/25.

(cont. on 809-C)
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE: DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: HALE FAMILY CHILD CARE
FACILITY NUMBER: 426215837
VISIT DATE: 10/02/2024
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There is no proof of purchase or service date on the 2A10 BC fire extinguisher in the home. LPA reminded licensee the 2A10BC fire extinguisher needs to be serviced or replaced yearly.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

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 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.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

(cont. on 809-C)
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024
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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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: HALE FAMILY CHILD CARE
FACILITY NUMBER: 426215837
VISIT DATE: 10/02/2024
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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the Licensee Megan Hale, confirmed that there are no Registered Sex Offenders living in the facility and LPA Martinez completed the RSO profile in FAS.

Two Type B deficiencies and one technical violation was issued during todays visit.

A notice of site visit was given and must remain posted for 30 days.

Appeals rights were provided.

Exit interview conducted and report was reviewed with the licensee Megan Hale.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/02/2024 02:01 PM - It Cannot Be Edited


Created By: Elizabeth George On 10/02/2024 at 01:31 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: HALE FAMILY CHILD CARE
FACILITY NUMBER: 426215837

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/02/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview with the licensee, licensee did not comply with the section cited above due to the fact that licensee could not provide proof of purchase or service date for the fire extinguisher which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/16/2024
Plan of Correction
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Licensee will submit proof of purchase or service date by 10/16/24 emailed to elizabeth.george@dss.ca.gov
Type B
Section Cited
CCR
102418(a)
Immunizations
(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on review of five childrens files and interview with licensee, the licensee did not comply with the section cited above in two out of five childrens files missing immunization records which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/16/2024
Plan of Correction
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Licensee will submit proof immunization records by 10/16/24. Emailed to elizabeth.george@dss.ca.gov.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ana Tolentino
LICENSING EVALUATOR NAME:Elizabeth George
LICENSING EVALUATOR SIGNATURE:
DATE: 10/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/02/2024


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