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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406207514
Report Date: 11/18/2022
Date Signed: 11/18/2022 01:28:59 PM

Document Has Been Signed on 11/18/2022 01:28 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:STIREMAN FCC AKA LITTLE BLOSSOMS CHILD CAREFACILITY NUMBER:
406207514
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
11/18/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Beth StiremanTIME COMPLETED:
01:45 PM
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On 11/18/22, at 11:45 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year 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 playroom, backyard and restroom are used for child care services, while the home's master bedroom and guest restroom are excluded from child care. It should be noted LPA observed a child safety gate at the entry to the playroom. At the time of the inspection, one child are in care.

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 which was tested at 1:10 PM and found to be operable. The FCCH has a regulation fire extinguisher (2A10BC) which were service on 7/23/22. 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 is locked and inaccessible to children in care. The FCCH maintains operable telephone services.LPA observed required licensing forms and documents on the wall of the FCCH's playroom.

The FCCH's backyard is enclosed by cinder block and wood fencing. The footing in the backyard is varied. LPA observed the backyard entry/exit gates to be secured. Toys and play equipment observed in backyard are age appropriate and in satisfactory condition. LPA reminded Licensee to replace toys and play equipment in the outdoor area when such items begin to degrade. LPA observed no bodies of water on site.

The children's records are reviewed. The records were current and complete with immunization records, sleep
(CONT. LIC 809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2022
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: 11/18/2022
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logs, emergency contact information, among other things. LPA also reviewed the facility's fire drill and noted the last fire drill was completed on 8/8/22. The Licensee records are also current and complete with Pediatric CPR and First Aid certifications expiring on 3/7/24, and Mandated Reporter Training expiring 6/12/23. Licensee was reminded of the intervals the trainings needed to be renewed/updated. The Licensee stated neither firearms nor ammunition are on stored on site.

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

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 for 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.

A Notice of Site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee Beth Stireman.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2022
LIC809 (FAS) - (06/04)
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