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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406210293
Report Date: 07/26/2021
Date Signed: 07/26/2021 01:38:18 PM

Document Has Been Signed on 07/26/2021 01:38 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:BETANCOURT FCC AKA LITTLE BEARS DAYCAREFACILITY NUMBER:
406210293
ADMINISTRATOR:MARIA BETANCOURTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 602-1425
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
07/26/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Maria BetancourtTIME COMPLETED:
01:30 PM
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On 7/26/21, at 11:45 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted a Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Maria Betancourt, 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 home’s living room, kitchen, master bedroom, guestrooms (2), hallway bathroom and backyard are used for child care, while the home’s garage is excluded. At the time of the inspection 4 children are present, one of which is napping.

The home was orderly and the bathroom used for care was clean and free of toxins. LPA observed cleaning compounds in the home's garage, which is excluded from care and inaccessible to children. LPA observed household medications stored on an elevated shelf of a kitchen cabinet which is beyond the children in care. Toys, furniture and equipment in the FCCH are age appropriate.

LPA observed required licensing forms and documents post on the wall near the entry of the FCCH. LPA observed a fireplace in the living room which covered by a metal screen. A combination smoke/carbon monoxide detector is observed in the FCCH. The detector were not tested as one child in the FCCH is napping. LPA did observe a blinking light in the detector which suggested the detector's operational status. LPA observed a regulation fire extinguisher in the FCCH's which was serviced on 2/4/21. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill log. The most recent fire drill occurred on the 6/2/21.

The FCCH's backyard is enclosed by wooden fencing. The fence’s entry/exit gates are secure. Toys and play equipment observed in backyard are age appropriate. LPA observed a shed in the backyard area which contains yard equipment and tools. The shed was secure LPA observed no bodies of water on at the FCCH.

LPA reviewed a sampling of the children records. All records reviewed are current and complete. A current (CONT. 809-C).
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2021
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: BETANCOURT FCC AKA LITTLE BEARS DAYCARE
FACILITY NUMBER: 406210293
VISIT DATE: 07/26/2021
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roster of children was reviewed by the LPA. The children noted in the roster were present and on site. Licensee also had logs capturing children's sleep in 15 minute intervals. LPA reviewed the Licensee's records. The Licensee's records are current and complete with Pediatric CPR and First Aid certifications expiring in 4/25/23 (EMSA approved) and Mandated Reporter training expiring on 7/26/23.

The Licensee is not providing Incidental Medical Services (IMS). Policy was discussed. 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 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: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021
LIC809 (FAS) - (06/04)
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