566203751-10-13-2021-17-CC-ARIS-C7RU7G-20211013151956

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566203751
Report Date: 10/13/2021
Date Signed: 10/13/2021 03:20:06 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:	DOWNARD FAMILY CHILD CARE		FACILITY NUMBER:	566203751
ADMINISTRATOR:	MARY DOWNARD		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 647-4521
CITY:	VENTURA	STATE: CA	ZIP CODE:	93004
CAPACITY:	14	CENSUS: 4	DATE:	10/13/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:55 PM
MET WITH:	Mary Downward		TIME COMPLETED:	03:27 PM

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On October 13, 2021 at 1:55 PM Licensing Program Analyst (LPA) Austin Rios conducted an unannounced annual inspection. LPA conducted Covid-19 screening questions prior to entering the home. LPA met with licensee Mary Downward and discussed the nature and purpose of the inspection. Together both licensee and LPA conducted a tour of the home inside and outside. There was four children in care at the time of the inspection.

The home is a single story residence. The licensee uses the family room, kitchen, one bedroom, one restroom, and backyard for the day-care. LPA observed all bedroom doors were locked making it inaccessible to children in care. LPA observed a hot tub in the backyard with with locks on each side and secure. LPA does have firearms and ammunition in the home. LPA observed firearms locked in a safe in master room closet and ammunition stored separately. LPA did not observe toxins/hazards accessible to children in care. In the family room, LPA observed a fireplace with a screen in front of it preventing children from having access. There are age appropriate toys and furniture readily accessible to children. The backyard is fully enclosed with a fenced wall. Licensee has age appropriate toys and play structures in the backyard in good condition and free of hazards. LPA observed there was ample amount of shade available for children.

The home has a working smoke and carbon monoxide detector. A 2A10BC fire extinguisher was observed in the family room with a purchase date of 5-26-2021. Licensee has a valid Pediatric CPR/First Aid certificate with an expiration date of 9/20/2023. Licensee has AB 1207 Mandated Reporter Training Certificate on file expiring on 10/13/2023.

Continued on 809-C

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin Rios	TELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021

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: DOWNARD FAMILY CHILD CARE	FACILITY NUMBER: 566203751
	VISIT DATE: 10/13/2021

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All required forms are prominently posted for parent's or authorized representatives to view at the entrance of the facility. A roster of children in care was observed current and complete. A sampling of children's records were reviewed and found complete. LPA observed Identification and Emergency Notification forms (LIC 700). Licensee has three dogs and all vaccines are current.

LPA spoke with licensee regarding safe sleep regulations and observed current safe sleep requirements are being met.

Incidental Medical Services (IMS) was discussed. Licensee states currently no children with IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin Rios	TELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021

LIC809 (FAS) - (06/04)

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