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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566207538
Report Date: 08/26/2019
Date Signed: 08/26/2019 01:23:12 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:FAIRALL FAMILY CHILD CAREFACILITY NUMBER:
566207538
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
08/26/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Judith FairallTIME COMPLETED:
01:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Laura Villanueva made an unannounced visit to the home and met with Licensee, Judith Fairall for a Case Management-Licensee Initiated inspection for an increase in capacity. LPA toured the inside and the outside of the one story back house. No toxins or hazards are accessible to the children in care. The Licensee uses the living room, hall bathroom and front yard for the child care. The front yard is completely enclosed. There are guinea pigs, chickens, and a rabbit in hutches. Licensee wants to add dining room for child care at a later date. Fire clearance was granted 8/17/19. The fire extinguisher was purchased 1/20/19. The last fire drill was conducted on 4/1/19. Children's files were current with required documents. Licensee's CPR first Aid certificate expires 9/11/20. Mandated reporter training was completed on 11/25/18.

Licensee has no children on medication. 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

LPA provided Licensee with a poisonous plants poster, lead poisoning flyer, safe sleep pamphlet, capacity regulations information, and Summer 2019 Child Care Quarterly Update.

Licensee is granted a capacity increase from a small family child care home to a large family child care home. effective today for a large license. LPA reviewed capacity requirements and Assistant requirements with Licensee.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2019
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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