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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406207514
Report Date: 07/20/2021
Date Signed: 07/20/2021 03:01:04 PM

Document Has Been Signed on 07/20/2021 03:01 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:STIREMAN FCC AKA LITTLE BLOSSOMS CHILD CAREFACILITY NUMBER:
406207514
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
07/20/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Beth StiremanTIME COMPLETED:
03:15 PM
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On 7/20/21, at 1:45 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Beth Stireman, Licensee of the FCCH, and explained the purpose of the inspection. LPA, in the company of the Licensee, toured the interior and exterior of the FCCH. The FCCH's family room, backyard and attached restroom are used for child care services, while the home's master bedroom and guest restroom are excluded from child care. At the time of the inspection, five children are in care. LPA notes all children are napping during the inspection.

The FCCH was clean, orderly and void of hazardous items. Toys, furniture and equipment observed in the home are age appropriate. LPA observed smoke and carbon monoxide detectors in the FCCH. LPA did not test the detector as all of the children in care are napping. .The FCCH has a regulation fire extinguisher which was service on 7/23/20. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. Medication in the FCCH is stored in a medicate cabinet in the home's master bedroom which is an excluded area of the FCCH and inaccessible to children. Likewise, cleaning compounds are stored in the home's garage which was locked and inaccessible to children in care. The FCCH maintains operable telephone services.

The FCCH's backyard is enclosed by cinder block and wood fencing. LPA observed the back yard entry/exit gate to be secured. Toys and play equipment observed in backyard are age appropriate and in satisfactory condition. LPA observed no bodies of water on site.

A sampling of the children records were reviewed. The records were current and complete. LPA reviewed the facility's roster which contained the names and contact information for all of the children on site. LPA also reviewed the facility's fire drill and noted the last fire drill was completed on 7/6/21. The Licensee
(CONT. 802-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2021
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: STIREMAN FCC AKA LITTLE BLOSSOMS CHILD CARE
FACILITY NUMBER: 406207514
VISIT DATE: 07/20/2021
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 records are also current and complete with Pediatric CPR and First Aid certifications expiring on 12/10/21, and Mandated Reporter Training expiring 6/12/21. Licensee was reminded of the intervals the the training needed to be renewed/updated. LPA observed required licensing forms and documents on the wall of the FCCH's playroom.

The Licensee stated neither firearms nor ammunition are on stored on site.

The Licensee is not providing 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: www.ada.gov/childqanda.htm

LPA discussed COVID 19 guidance and best practices with the Licensee. Licensee and LPA also discussed the process of approving an exclude bedroom in the FCCH for child care. Licensee was reminded that it is Licensee's responsibility to know the regulations for a FCCH which can be accessed on-line at www.ccld.ca.gov.

In areas evaluated, there were no deficiencies cited at this time.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2021
LIC809 (FAS) - (06/04)
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