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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566214326
Report Date: 08/19/2019
Date Signed: 08/19/2019 12:32:42 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:MARSH FAMILY CHILD CAREFACILITY NUMBER:
566214326
ADMINISTRATOR:STEPHANIE MARSHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 815-7529
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY:14CENSUS: 7DATE:
08/19/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Stephanie MarshTIME COMPLETED:
12:45 PM
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Licensing program Analysts,(LPAs) Laura Villanueva and Betzayra Cervantes made a visit in order to conduct an Annual/Random review and met with the licensee, Stephanie Marsh. The purpose of the visit was discussed and a tour of the one-story home was conducted. Licensee had 7 children present with an assistant.

The home has a fireplace at the living room which was observed screened off and inaccessible to children. Licensee stated that there were no firearms in the home. Licensee uses the living room, dining area, bathroom, and the backyard for the day-care. LPA toured these areas and found them free of hazards. Licensee stated that 3 bedrooms were off-limit to day-care children. LPA found these rooms secured during the visit. The home maintains a current Fire extinguisher purchased on 4/15/19. The home also maintains a working smoke and carbon monoxide monitor that meet the statutory requirement. There was a current facility roster present. CPR/First for licensee was current with an expiration date of 4/6/21.

Licensee conducts emergency disaster drills. Last drill was conducted on 4/18/19.
Licensee is current with SB792(Mendoza). Children files reviewed had all required documents..

There are no children on medication currently.
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

Continued on 809-C

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2019
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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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: MARSH FAMILY CHILD CARE
FACILITY NUMBER: 566214326
VISIT DATE: 08/19/2019
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LPA provided information on Sudden Infant Death Syndrome (SIDS)Safe Sleep, Poisonous Plants Poster, Lead Poisoning Flyer, and Child Care Quarterly Updates Winter, Spring, and Summer 2019 to licensee.

Applicant was reminded that it is her responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov.

In the areas that were evaluated, no deficiencies cited under Title 22 Division 12.

Licensee will post the “Notice of Site Visit.”

FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2019
LIC809 (FAS) - (06/04)
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