426215837-9-27-2021-17-CC-SMCA-C79RA7-20210927125040

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215837
Report Date: 09/27/2021
Date Signed: 09/27/2021 12:50:47 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:	HALE FAMILY CHILD CARE		FACILITY NUMBER:	426215837
ADMINISTRATOR:	MEGAN NICOLE HALE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 868-7309
CITY:	LOMPOC	STATE: CA	ZIP CODE:	93436
CAPACITY:	14	CENSUS: 10	DATE:	09/27/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Megan Hale		TIME COMPLETED:	12:55 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 September 27, 2021, at 10:50 AM, Licensing Program Analyst (LPA) S. Mendoza-Ceja conducted an unannounced Required 1 year inspection. LPA met with Licensee Megan Hale prior to entry to the home, LPA conducted a risk assessment for COVID-19. Licensee escorted LPA through the home. The Licensee Megan Hale and her assistant Carolina were providing care to 10 children. 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. The home was observed to be appropriately furnished for young children with toys, including the backyard. LPA did observe a bassinette in the home and advised licensee they are not approved for day care. Licensee removed the bassinette during the inspection. Licensee was providing care to two infants under 12 months in care today (assistant's infant). LPA observed two play yard and one crib available in the home. LPA observed the COVID-19 posters posted for review. Licensee stated she conducts temperature checks when the children arrive and has a no symptom policy to attend the day care following guidelines of COIVID-19. The off-limit areas of the home are the master bedroom adjacent restroom which have plastic door covers making them inaccessible to day care children. The garage is not accessible from inside the home. The required 2A10 BC fire extinguisher was purchased on 01/19/2021 (expires 01/19/2022). Licensee is reminded the 2 A10 BC fire extinguisher needs to be serviced or replaced yearly. There is carbon monoxide detector and smoke detector which were tested and operational. LPA discussed firearms and ammunition, Licensee Hale stated there are no guns and ammunition in the home or bodies of water on the premises. LPA did not observe any bodies of water on the premises. LPA also reviewed emergency contact information for children enrolled in the day care. Review of records and interview with Licensee Megan Hale revealed she has been documenting an infant sleep chart every 15 minute check for infants. Licensee has also completed Individual Infant Sleeping Plan (LIC9227) with the parents. LPA reviewed and provided handouts for Regulation 102425 and discussed infant care with Licensee, including Individual Infant Sleeping Plan (LIC9227) and Sleeping Chart. Licensee Megan Hale's AB1207 Child Abuse Mandated Reporter Training is certification training is due this month. Assistant Carolina is current with AB1207 Child Abuse Mandated Reporter Training certification expires 08/30/2023). Licensee Megan Hale has current Child, Infant and Adult CPR and First Aid (expires 07/13/2022).

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja	TELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021

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: HALE FAMILY CHILD CARE	FACILITY NUMBER: 426215837
	VISIT DATE: 09/27/2021

NARRATIVE

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Licensee was advised a Technical Violation will be documented in regards to Definition Regulation 102352(p)(2).

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.

An exit interview was conducted with Licensee.

Failure to post the "Notice of Site Visit" for 30 days may result in a $100.00 civil penalty,

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja	TELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021

LIC809 (FAS) - (06/04)

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