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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406207514
Report Date: 06/03/2022
Date Signed: 06/03/2022 12:45:44 PM

Document Has Been Signed on 06/03/2022 12:45 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: 8CENSUS: 4DATE:
06/03/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Beth StiremanTIME COMPLETED:
01:00 PM
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On 6/3/22, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Case Management -COVID-19 inspection and met with Beth Stireman, Licensee of the Family Child Care Home (FCCH). LPA informed of the purpose for the inspection and completed a COVID-19 pre-screening questions prior to the commencement of the inspection. Licensee provided LPA a facility tour, inside and outside. LPA notes 4 children are in care at the time of the inspection.

This inspection is a follow-up on COVID-19 outbreaks reported by the Licensee to CCLD on 5/19/22. CCLD provided a Tele Rapid Assistance Support Team (RAST) inspection on 9/1/21, where LPA (Baddley) provided COVID-19 resources, current Childcare Industry Guidance, and a COVID-19 self-assessment guide to the facility.

LPA observed Licensee wearing masks upon arrival to the facility. Licensee takes temperatures of individuals entering the FCCH and ensures children in care and individuals in the FCCH wash their hands. LPA also observed hand sanitizing containers readily available.

Within the FCCH, cleaning solutions and compounds which are easily accessible to staff members yet beyond the reach of children in care. LIcensee attempts to create space between the children as best possible and ample time is spent in the outside area to mitigate the likelihood of COVID exposures.

LPA discussed facility’s written plan for when a staff member or child tests positive for COVID-19 and developing a written communication plan with parents/guardians to share information and guidelines in their preferred language. LPA discussed COVID-19 Vaccines, Testing, Face coverings, Essential Protective Equipment and Supplies, Physical Distancing, Ventilation, Isolation for Illness, Cleaning and Disinfection, Hand washing, Food Service and Meal Times, How to Respond to Exposures or Outbreaks, and Resilience
(CONT. 809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2022
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: STIREMAN FCC AKA LITTLE BLOSSOMS CHILD CARE
FACILITY NUMBER: 406207514
VISIT DATE: 06/03/2022
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tips during the Pandemic.

LPA noted FCCH maintains a current COVID-19 Child Care Program Self-Assessment Guide/Mitigation plan. which has been provided by the Department. LPA also provided the following resources:
- Official Public Health and Child Care Guidance for COVID-19.
- COVID-19 Child Care Resources:
https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/child-care-licensing/covid-19-child-care-resources

There were no deficiencies cited during today's inspection.

A Notice of Site visit was given and must remain posted for 30 days. Failure to comply with posting requirements may result in an immediate civil penalty of $100.


Exit interview conducted and report was reviewed with Licensee Beth Stireman
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022
LIC809 (FAS) - (06/04)
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