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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406214213
Report Date: 10/08/2024
Date Signed: 10/08/2024 04:05:19 PM

Document Has Been Signed on 10/08/2024 04:05 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:KOPPER FCC AKA PASO PLAYSCHOOLFACILITY NUMBER:
406214213
ADMINISTRATOR/
DIRECTOR:		KOPPER, PAULAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 441-5462
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
10/08/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Paula KopperTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On 10/08/24, at 1:45 PM, Licensing Program Analyst (LPA) Matthew Sapien conducted an unannounced Annual Random inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Paula Kopper, 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 house is a 4-bedroom and 3-bathroom two story home. An additional living room (converted daycare den), backyard, and downstairs bathroom are used for child care services, while the remainder of the home is excluded (laundry room, garage, main living room, kitchen, dining area, and all of upstairs including bedrooms and bathrooms). At the time of the inspection, three children were present, as well as the Licensee’s husband (cleared and on facility roster).

LPA observed the FCCH to be clean and orderly. The downstairs bathroom, utilized for care, is clean and free of toxins. LPA observed personal medication in elevated kitchen cabinets inaccessible to children in care. Sharps were also observed in the kitchen area on top of the refrigerator, which was elevated and out of reach of children. Moreover, cleaning compounds were observed in the laundry room of the FCCH in elevated cabinets.

LPA observed age-appropriate toys, furnishings, and equipment throughout the additional living room (day-care den) in the FCCH. The additional living room (day-care den) is enclosed by child safety gates. The Licensee owns two dogs (one small and one large) and they have occasional interactions with children in care. The Licensee confirmed that both dogs vaccinations are up to date.

LPA observed licensing forms and documents posted prominently to the parent board in the additional living room (day-care den). LPA also observed smoke and carbon monoxide detectors in the FCCH. The combination smoke and carbon monoxide detector was not tested due to children in care sleeping during the time of visit. LPA observed a regulation fire extinguisher in the FCCH which was purchased on 10/8/24. (CONT. 809-C, Page 2)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE: DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2024
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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Document Has Been Signed on 10/08/2024 04:05 PM - It Cannot Be Edited


Created By: Matthew Sapien On 10/08/2024 at 03:08 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: KOPPER FCC AKA PASO PLAYSCHOOL
FACILITY NUMBER: 406214213

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/08/2024
Section Cited

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This requirement is not met as evidenced by: (1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

Based on observation, record review, and verbal confirmation, the licensee did not comply with the section cited above in that their Mandated Reporter Training certificate expired, which poses a potential health, safety or personal rights risk to persons in care.
Type B
10/08/2024
Section Cited

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The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to:

(9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan.

(A)Each family child care home shall conduct fire drills and disaster drills at least once every six months.

1.The licensee shall document the drills, including the date and time of each drill. This documentation shall be kept at the family child care home.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Matthew Sapien
LICENSING EVALUATOR SIGNATURE:
DATE: 10/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/08/2024


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Document Has Been Signed on 10/08/2024 04:05 PM - It Cannot Be Edited


Created By: Matthew Sapien On 10/08/2024 at 03:17 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: KOPPER FCC AKA PASO PLAYSCHOOL
FACILITY NUMBER: 406214213

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
Plan of Correction
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Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Matthew Sapien
LICENSING EVALUATOR SIGNATURE:
DATE: 10/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/08/2024


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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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: KOPPER FCC AKA PASO PLAYSCHOOL
FACILITY NUMBER: 406214213
VISIT DATE: 10/08/2024
NARRATIVE
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LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the FCCH's fire/disaster drill log. The most recent disaster drill occurred on 1/9/23. Given the most recent disaster drill is out of date, a Type B Deficiency will be issued to the Licensee. The Licensee will have two weeks (10/22/24 by the close of business day at 5:00 PM) to submit a plan of correction to the LPA.

As noted, the backyard is accessible to children in care. The FCCH's backyard is enclosed by varied fencing. The fence’s entry/exit gates are secure. The footing in the backyard area is also made up of varying surfaces (dirt and rock). (CONT. 809-C, Page 2)

Importantly to note, childcare services are only made available to children in one portion of the backyard. This area is enclosed by secured gates. Like the interior of the FCCH, toys, structures, and play equipment observed in backyard are age appropriate and in satisfactory condition. Licensee is reminded to replace toys and play equipment which start to degrade or are not in good repair. LPA informed Licensee to ensure children in care are directly supervised when engaged in outdoor activities. LPA observed one body of water on site and Licensee confirmed to LPA that children do not have access to the pool area.



LPA reviewed children's records. The records are current, complete, and possessed emergency contact information and immunization records, among other relevant licensing documents and forms. The Licensee's records were also viewed. The Licensee’s Pediatric CPR and First Aid certifications (EMSA approved) expiring on 11/28/25, is current and complete. On the contrary, the Licensee's Mandated Reporter training certification expired on 9/10/23. Given this expiration, the Licensee will be given an additional Type B Deficiency. The Licensee will have two weeks (10/22/24 by the close of business day at 5:00 PM) to submit their plan of correction to the LPA. Licensee was reminded to renew certifications and training prior to expirations. The Licensee informed LPA that there are firearms and ammunition stored on site. Firearms and ammunition are kept upstairs in the master bedroom in a secured safe, which is inaccessible to children in care.

The Licensee does not currently provide Incidental Medical Services (IMS). 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. (CONT. 809-C, Page 3)

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

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
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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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: KOPPER FCC AKA PASO PLAYSCHOOL
FACILITY NUMBER: 406214213
VISIT DATE: 10/08/2024
NARRATIVE
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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 when the LPA completed a RSO profile in FAS on 10/8/24.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and report was reviewed with the Licensee, Paula Kopper.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC809 (FAS) - (06/04)
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