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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406211295
Report Date: 11/18/2022
Date Signed: 11/18/2022 11:15:14 AM

Document Has Been Signed on 11/18/2022 11:15 AM - 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:GATES FCC AKA TOWN & COUNTRY DAY PRESCHOOLFACILITY NUMBER:
406211295
ADMINISTRATOR:AMY SUZANNE GATESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 541-8696
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
11/18/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Amy GatesTIME COMPLETED:
11:30 AM
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On 11/18/22, at 9:00 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 Amy Gates, Licensee of the FCCH and explained the purpose of the inspection. LPA, in the company of Licensee, toured the interior and exterior of the FCCH. The home’s living room, family room, backyard and hallway bathroom are used for child care services, while the home’s bedrooms and second bathroom are excluded from child care. The home's detached garage is an area used for supplemental child care, At the time of the inspection ten children are present along with an Assistant (Spouse- cleared and associated) providing care and supervision.

Required licensing forms and documents are posted on the walls of the FCCH. The home’s living room has a fireplace which is screened and filled with decorative wood. LPA observed smoke and carbon monoxide detectors in the FCCH. Each detector was tested (9:40 AM) and found to be operable. LPA observed a regulation fire extinguisher (2A10BC) in the FCCH which was last serviced on 11/18/22. 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/disaster drill occurring on 9/23/22. The FCCH maintains operable telephone services.

The home was orderly and void of hazards. LPA observed the bathroom used for child care to be clean and free of toxins. Licensee informed LPA no medication is on site, however if medication were present the medication would be stored in an elevated kitchen cabinet, inaccessible to children in care. LPA observed cleaning compounds stored on an elevated shelf in a kitchen cabinet and in the FCCH's garage, inaccessible to children in care. Likewise, LPA observed sharps stored in an elevated shelf in the kitchen area. .Toys, furniture and equipment observed in the FCCH are age appropriate.

The backyard has varied footing and is enclosed by wooden fencing. The fence's gates are secure .
(CONT. 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)
Page: 1 of 2
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: GATES FCC AKA TOWN & COUNTRY DAY PRESCHOOL
FACILITY NUMBER: 406211295
VISIT DATE: 11/18/2022
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Toys and play equipment observed in backyard area are age appropriate and in satisfactory condition. The Licensee is reminded to replace toys and play equipment when such items begin to degrade. No bodies of water are observed on site.

Children records were reviewed. The children's records are complete and current with emergency contact information and immunization records, among other things. The Licensee informed LPA Licensee does not care for children under the age of 24 months. The Licensee’s records are also current and complete with Pediatric CPR and First Aid certifications expiring on 6/20/23, and Mandated Reporter Training expiring 1/17/24. Licensee was reminded of the intervals the aforementioned needed to be renewed. The Licensee stated no firearms or ammunition is 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 Amy Gates.

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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