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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406211295
Report Date: 12/23/2024
Date Signed: 12/23/2024 03:18:48 PM

Document Has Been Signed on 12/23/2024 03:18 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:GATES FCC AKA TOWN & COUNTRY DAY PRESCHOOLFACILITY NUMBER:
406211295
ADMINISTRATOR/
DIRECTOR:
AMY SUZANNE GATESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 541-8696
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/23/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Amy GatesTIME VISIT/
INSPECTION COMPLETED:
03:25 PM
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On 12/23/24, at 1:45 PM, Licensing Program Analyst (LPA) Matthew Sapien conducted an unannounced random inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Amy Gates, Licensee of the FCCH, and explained the nature and purpose of the inspection. The LPA, in the company of Licensee, toured the interior and exterior of the FCCH. The FCCH is a 3-bedroom and 2 ½ bathroom single-story home. The FCCH utilizes a family room (converted preschool room), one hallway bathroom, front yard, and an outdoor play area. The remainder of the home is excluded from childcare services (3 bedrooms, 2 additional bathrooms, and garage). At the time of the inspection, no children were present. The Licensee's husband, two children, mother, and a home health worker were present during the visit (all family members are cleared and associated).

LPA observed the FCCH to be orderly and clean. The bathroom, utilized for childcare services, is clean, orderly, and free of toxins. Each bathroom cabinet is made secure by child safety latches. Sharps, cleaning compounds and personal medication were observed in elevated kitchen cabinets. No children currently require medication. The Licensee possesses a First Aid Kit for the FCCH.

LPA observed age-appropriate books, toys, and other furnishings throughout the interior of the FCCH (preschool room).

LPA observed appropriate licensing forms and documents posted prominently to a bulletin board in the preschool room of the FCCH. LPA observed smoke and carbon monoxide detectors in the hallway of the FCCH. At 2:05 PM, a smoke detector was tested, while at a 2:06 PM a carbon monoxide detector was tested. Both detectors were found to be operational.

LPA also observed a regulation fire extinguisher in the FCCH, which was last serviced on 12/4/24. LPA reminded the Licensee to service or purchase a regulation fire extinguisher annually. LPA reviewed the FCCH's fire/disaster drill log. The most recent fire drill occurred on 6/12/24. Licensee informed LPA that the FCCH conducts disaster drills every six months and will be doing another one once children come back from winter break. (CONT. 809-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE: DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/23/2024
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: GATES FCC AKA TOWN & COUNTRY DAY PRESCHOOL
FACILITY NUMBER: 406211295
VISIT DATE: 12/23/2024
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As previously stated, the front yard and backyard is accessible to children in care. The FCCH's outdoor areas are enclosed by secure wooden fencing throughout. The fence’s entry/exit points are secure. As is the case with the interior of the FCCH, the outdoor areas have age-appropriate play structures, toys, and other equipment throughout the area that can afford for robust childcare services. Licensee was reminded to replace toys and play equipment which start to degrade or are not in good repair. The footing of the exterior is made up of varying surfaces (natural grass, stone pavement, dirt, and rock). The Licensee attested to LPA that children are always supervised when engaged in outside activity. LPA confirmed that the Licensee does not have any bodies of water on site. LPA observed two bunnies and a few chickens, both of which are in secure structures. Licensee informed LPA that neither of these animals have interactions with children in care. Additionally, Licensee also informed LPA that there are 3 cats at the FCCH, all of whom are vaccinated. Unlike the chickens and bunnies, the cats have occasional interactions with children in care.

LPA reviewed children's records. The records are current, complete, and possessed emergency contact information and immunization records, among other relevant licensing documents. The Licensee's records were also reviewed. The Licensee’s CPR/First Aid Training (EMSA approved), expiring on 12/6/25, and their Mandated Reporter Training, expiring on 9/24/26, is current and complete as are other relevant licensing documents and forms. Licensee was reminded to renew certifications and trainings prior to expirations. The Licensee informed LPA that there are no firearms and ammunition present within the FCCH.

The Licensee does not currently provide Incidental Medical Services (IMS) or administer medication to children in care. 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 as an additional resource at:https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep



LPA also informed Licensee of the importance of checking for recalled infant devices on the United States (CONT. 809-C, Page 3)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: GATES FCC AKA TOWN & COUNTRY DAY PRESCHOOL
FACILITY NUMBER: 406211295
VISIT DATE: 12/23/2024
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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 LPA confirmed that there are no Registered Sex Offenders living in the facility when the LPA completed an RSO profile in FAS on today’s date, 12/23/24.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and the report was reviewed with the Licensee, Amy Gates.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2024
LIC809 (FAS) - (06/04)
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