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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406210293
Report Date: 05/06/2024
Date Signed: 05/06/2024 04:54:12 PM

Document Has Been Signed on 05/06/2024 04:54 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/
DIRECTOR:		MARIA BETANCOURTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 602-1425
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
05/06/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Maria BetancourtTIME VISIT/
INSPECTION COMPLETED:
05:10 PM
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On 5/6/24, at 2:45 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an Annual/Random 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 remainder of the home is excluded. At the time of the inspection, LPA observed 2 children (infants) in care.

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 was tested at 4:05 PM and found to be operable. LPA observed a regulation fire extinguisher in the FCCH's which was serviced on 7/18/23 (expiration 7/18/24). 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 5/6/24.

LPA observed the FCCH to be clean and 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, as well as sharps, stored on an elevated shelf of a kitchen cabinet which is beyond the children in care.

The FCCH's backyard is enclosed by wooden fencing. The footing in the area consist of artificial grass and cement. 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. LPA notes the shed was closed and secured. LPA observed no bodies of water at the FCCH. LPA observed a dog on site. The dog's vaccination records are reviewed by LPA and found to be current.
(CONT. 809, Page 2)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 05/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2024
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: 05/06/2024
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LPA reviewed children records. All records reviewed are current, complete and contained immunization records and emergency contact forms, among other required licensing documents. LPA reviewed the Licensee's records. The Licensee's records are current, complete and contained and Pediatric CPR, First Aid and Mandated Reporter training certifications.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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) or (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.

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 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.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS on 4/5/24.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee Maria Betancourt.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2024
LIC809 (FAS) - (06/04)
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