566215006-10-24-2022-17-CC-RCHZ-CKHQU2-20221024122803

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566215006
Report Date: 10/24/2022
Date Signed: 10/24/2022 12:28:17 PM

Document Has Been Signed on 10/24/2022 12:28 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:	PARKIN FAMILY CHILD CARE		FACILITY NUMBER:	566215006
ADMINISTRATOR:	KIMBERLY PARKIN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 766-6125
CITY:	VENTURA	STATE: CA	ZIP CODE:	93003
CAPACITY:	14	CENSUS: 13	DATE:	10/24/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Kimberly Parkin		TIME COMPLETED:	12:43 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 October 24, 2022 at 10:20 AM Licensing Program Analyst (LPA) Rona Chavez conducted an unannounced annual inspection. LPA met with licensee Kimberly Parkin and was provided a tour of the home inside and outside. There were 13 children in care at the time of the inspection with two (2) staff assisting. Day-care operates Monday - Friday 7:30-3:45. The day care is a 2 story home that uses uses 3 bedrooms upstairs. Downstairs the facility uses playroom, kitchen, dining room, living room, 1 bathroom and the back yard for the day-care. LPA observed all required forms are posted on the wall in the playroom. LPA did not observe toxins/hazards accessible to children in care. In the living room, LPA observed a fireplace with a glass screen and a gate at the top and bottom of the stairs preventing children from having access. There are age appropriate toys and furniture readily accessible to children. Licensee states that there are no firearms and ammunition in the home. The home has working smoke and carbon monoxide detectors. A 2A10BC fire extinguisher was observed in the playroom with a service date of 8/05/2022. The backyard is fully enclosed with a wood fence. LPA observed a pool in the back yard with a locked fence preventing children having access. Licensee has age appropriate toys and play structures in the backyard in good condition and free of hazards. Con't on 809-C

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Rona Chavez	TELEPHONE: (424) 299-1480
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2022

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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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: PARKIN FAMILY CHILD CARE	FACILITY NUMBER: 566215006
	VISIT DATE: 10/24/2022

NARRATIVE

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Licensee has a valid Pediatric CPR/First Aid certificate with an expiration date of 6/26/2024. Licensee and assistants have current AB1207 Mandated Reporter Training Certificate on file expiring on 06/20/2024. The last fire drill was conducted on 07/22/2022.

A roster of children in care was observed current and complete. A sampling of staff and children's records were reviewed and found complete. Licensee does not currently provide Incidental Medical Services (IMS) to children in care. LPA observed 15 minute check logs and licensee is currently following all Safe Sleep guidelines.

Incidental Medical Services (IMS) 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 IMA 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 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.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Rona Chavez	TELEPHONE: (424) 299-1480
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2022

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: PARKIN FAMILY CHILD CARE	FACILITY NUMBER: 566215006
	VISIT DATE: 10/24/2022

NARRATIVE

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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.

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.

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

Report reviewed and an exit interview was conducted with Licensee Kimberly Parkin.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Rona Chavez	TELEPHONE: (424) 299-1480
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2022

LIC809 (FAS) - (06/04)

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