566210239-12-8-2022-17-CC-SMAZ-CLWW2T-20221208155452

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566210239
Report Date: 12/08/2022
Date Signed: 12/08/2022 03:55:02 PM

Document Has Been Signed on 12/08/2022 03:55 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:	WATSON FAMILY CHILD CARE		FACILITY NUMBER:	566210239
ADMINISTRATOR:	KRISTIN WATSON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 985-2770
CITY:	OXNARD	STATE: CA	ZIP CODE:	93035
CAPACITY:	14	CENSUS: 6	DATE:	12/08/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Kristin Watson		TIME COMPLETED:	04:15 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 December 8, 2022 at 1:50 PM Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced required- 1 year inspection. LPA met with assistant Ashleigh Smith. Ashleigh states licensee is out picking up school-aged children from school. LPA advised Ashleigh the reason for the inspection. LPA and assistant toured the home inside and outside. The day care home uses two rooms, living room, bathroom, kitchen and backyard for childcare. At the time of the inspection there was 1 adult and 6 children. During the tour, LPA observed a carbon monoxide detector located in the hallway, LPA did not test the detector due to sleeping children. LPA observed a regulation fire extinguisher located in the kitchen with a service date of 9/26/2022. Licensee was reminded to either service or purchase a regulation fire extinguisher every year. LPA was provided with verification of disaster and fire drills, with the last one being conducted on 9/1/22. LPA observed the kitchen knives to be located in a top cabinet out of reach for the children in care. LPA did not observe any hazardous/ toxic items. The fire place located in the living room was observed to be fully gated and inaccessible to children in care. The home has sufficient age-appropriate toys inside and outside. The back yard is fully fenced. Licensee arrived during record review. LPA reviewed a sampling of children's files which were not all complete. Three out of 4 children's files were missing immunization's. One infant's file reviewed was observed to be missing the Individual Infant Sleeping Plan LIC 9227 and sleep log with 15-minute checks. Licensee states she thought the 15-minute check log was for infants 0-12 months. LPA also reviewed staff files, during record review, LPA found licensee and assistant's expired mandated reporter certificate. LPA observed licensee's certificate expired on 11/2/20 and assistants certificate expired 11/8/20. LPA asked licensee if she has updated mandated reporter certificate nor a renewed first aid/CPR certification, licensee states not yet. Continued on 809-C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022

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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Document Has Been Signed on 12/08/2022 03:55 PM - It Cannot Be Edited

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: WATSON FAMILY CHILD CARE	FACILITY NUMBER: 566210239
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/08/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, and record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/26/2022
	Plan of Correction
1 2 3 4	Licensee will provide proof of certification to LPA by POC due date.

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/26/2022
	Plan of Correction
1 2 3 4	Licensee is to complete the Pediatric First Aid CPR certification and provide proof to LPA by plan of correction due date.

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: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022

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: WATSON FAMILY CHILD CARE	FACILITY NUMBER: 566210239
	VISIT DATE: 12/08/2022

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Home 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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

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. 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 additional resource. LPA also informed licensee [facility representative] 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.
LPA provided licensee with Safe Sleep PIN 20-24-CCP and Safe Sleep FAQ along with LIC9227. LPA observed licensee to have copies of blank safe sleep 15-minute log sheets.
Two type B deficiencies are cited during today's visit.

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

Exit interview conducted and report was reviewed with the licensee Kristin Watson.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022

LIC809 (FAS) - (06/04)

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