566214429-5-11-2023-17-CC-LVIA-CRR333-20230511175253

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566214429
Report Date: 05/11/2023
Date Signed: 05/11/2023 05:52:59 PM

Document Has Been Signed on 05/11/2023 05:52 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:	MOTTARD FAMILY CHILD CARE		FACILITY NUMBER:	566214429
ADMINISTRATOR:	STEPHANIE MOTTARD		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 388-7659
CITY:	CAMARILLO	STATE: CA	ZIP CODE:	93010
CAPACITY:	14	CENSUS: 7	DATE:	05/11/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:40 PM
MET WITH:	Stephanie Mottard		TIME COMPLETED:	04:45 PM

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On May 11, 2023 2:40 PM, Licensing Program Analyst (LPA) Laura Villanueva made an unannounced visit to conduct a Required - 1 Year Inspection. LPA met with licensee, Stephanie Mottard and explained the purpose of the inspection. Prior to entering the facility, LPA conducted a COVID-19 risk assessment. All answers indicated no exposure to COVID-19. LPA and Licensee toured the interior and exterior of the home. Licensee and assistant were caring for 7 children at the time of the inspection.

The home is a 3-bedroom, 1-office, 2-bath 1-story home. The licensee uses the playroom, 1-bedroom, living room, dining area, kitchen, 1-bathroom and the backyard for childcare. The master bedroom, bathroom, and garage are off limits and are inaccessible to children in care. LPA observed a barricaded fireplace in the living room making it inaccessible to children in care. LPA observed age appropriate toys, teaching materials, and furnishings available for children in care in good condition and free of hazards. Licensee has a secured fence in the backyard and age appropriate toys for children in care. All adults in the home are fingerprint cleared. A regulation 2A10BC fire extinguisher was observed in a high cabinet in the laundry room with a service date of 02/02/2023. Licensee is reminded to service or purchase the fire extinguisher yearly. Licensee states that there are firearms and ammunition in the home. They are securely stored within regulations.

LPA observed the home to be orderly. A locked spa was observed in the backyard inaccessible to children. No toxins or hazards are accessible to children in care. Detergents and cleaning compounds are stored in a top cabinet in the kitchen and laundry room. The bathroom to be used for children in care was observed to be clean and sanitary. LPA observed a carbon monoxide detector in the dining area and smoke alarm in the hallway. .

CONTINUED ON 809-C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura Villanueva	TELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2023

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: MOTTARD FAMILY CHILD CARE	FACILITY NUMBER: 566214429
	VISIT DATE: 05/11/2023

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Licensee's Pediatric First Aid/CPR certificate is valid until 10/02/2023. AB 1207 Mandated Reporter Training certificate is valid until 02/17/2024. Licensee last completed an emergency disaster drill on 4/14/2023. All required forms including Notification of Parent's Rights are prominently posted for parent's or authorized representatives to view. A roster of children in care was observed current and complete. All children records were reviewed, and LPA observed Identification and Emergency Notification forms (LIC 700) and a copy of immunization records on file.

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/inspection-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 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.

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

No deficiencies cited during this visit. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed in with the licensee, Stephanie Mottard.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura Villanueva	TELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2023

LIC809 (FAS) - (06/04)

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