566215382-7-10-2019-17-CC-JMHL-BDXU7U-20190710152033

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566215382
Report Date: 07/10/2019
Date Signed: 07/10/2019 03:20:40 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:	DUTTER FAMILY CHILD CARE		FACILITY NUMBER:	566215382
ADMINISTRATOR:	BRITTANY DUTTER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 794-1485
CITY:	OJAI	STATE: CA	ZIP CODE:	93023
CAPACITY:	14	CENSUS: 7	DATE:	07/10/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Brittany Dutter		TIME COMPLETED:	03:30 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	Licensing Program Analyst (LPA) Jill Laxo made an unannounced visit for the purpose of conducting an Annual Inspection. The purpose of the visit was discussed with licensee and assistant Janet Beilke. The home was toured inside. This is a four bedroom two story home with a safety gate separating the first floor from second. The upstairs is inaccessible to children in day care. The backyard is under construction and off limits to day care. Licensee will submit a revised sketch of outside area. There are two bathrooms, two rooms and a kitchen utilized by the day care. Bathrooms are sanitary and free of hazards. Kitchen knives, toxins and cleaning products are stored and inaccessible to children. The children have safe and comfortable accommodations, with age appropriate toys and equipment. Fireplace has solid glass screen. Licensee stated firearms are stored in locked safe, LPA observed safe is locked. No bodies of water were observed. Fire extinguisher is a 2A10BC, last serviced 05/13/2019. The home has a smoke and carbon monoxide combination hardwired detector. Licensee has all required forms posted. Children's files were reviewed and found complete. Licensee and assistant have current CPR/First Aid with expiration date of 03/01/2021. Licensee's proof of SB 792 Adult Immunization's verified and AB1207 Mandated Reporter Training certificate completed with an expiration date of 01/07/2021. Licensee conducted fire/disaster drills on 06/20/2019.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Jill M Hazelhofer-Laxo	TELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019

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: DUTTER FAMILY CHILD CARE	FACILITY NUMBER: 566215382
	VISIT DATE: 07/10/2019

NARRATIVE

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Incidental Medical Services (IMS) Licensee states she currently does not have any children with IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

A Guide to Safe Sleep and Effects of Lead Exposure brochures were provided.

No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Jill M Hazelhofer-Laxo	TELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019

LIC809 (FAS) - (06/04)

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