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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215386
Report Date: 09/20/2021
Date Signed: 09/20/2021 03:47:36 PM

Document Has Been Signed on 09/20/2021 03:47 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:PARSONS FCC AKA KELLYS PERFORMING ARTS DAY CAREFACILITY NUMBER:
406215386
ADMINISTRATOR:KELLY ANNE PARSONSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 356-1420
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/20/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Kelly PasrsonsTIME COMPLETED:
03:30 PM
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On 9/20/21, at 2:00 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted a Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Kelly Parsons, 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, hallway bathroom, guest bedrooms and backyard are used for child care, while the home’s master bedroom is excluded. At the time of the inspection no children are present.

LPA observed required licensing forms and documents post on the wall in FCCH's near the entry. LPA observed a decorative fireplace in the living room which is screened by a glass. LPA observed a smoke and a carbon monoxide detector in the FCCH's hallway. Each detector was tested (3:00 PM and 3:02 PM) and found to be operable. LPA observed a regulation fire extinguisher in the FCCH's which was serviced on 5/25/21. 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 9/2/21.

LPA observed the FCCH to be clean and orderly. The bathroom which is used for care is clean and free of toxins. Cleaning compounds in the FCCH are in the FCCH's garage which is inaccessible to children. Likewise, medication and sharps are on elevated shelves in the kitchen cabinet which is beyond the reach of children in care. Toys, furniture and equipment in the FCCH are age appropriate.

The FCCH's backyard is enclosed by wooden and chain link fencing. The fence’s entry/exit gates are secure. The footing in the backyard area is made up of grass and a concrete slab. Toys and play equipment observed in backyard are age appropriate and in satisfactory condition. LPA observed an inactive jacuzzi in the back yard which empty, covered and locked. LPA also observed a locked shed in the back yard which
(CONT. 809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 09/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/20/2021
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: PARSONS FCC AKA KELLYS PERFORMING ARTS DAY CARE
FACILITY NUMBER: 406215386
VISIT DATE: 09/20/2021
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contains household goods and supplies.

LPA reviewed a sampling of the children's records. All records reviewed are current and complete. A current roster of children was reviewed by the LPA as was documentation noting sleep check of children 0-24 months in 15 minute intervals. LPA also reviewed the Licensee's records. The Licensee's records are current and complete with Pediatric CPR and First Aid certifications expiring in 10/8/21 (EMSA approved) and Mandated Reporter training expiring on 9/20/23. Two dog are on site. LPA reviewed the records for each dog and found the vaccinations to be current.

Licensee informed LPA no firearms or ammunition are stored on site.

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: 09/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2021
LIC809 (FAS) - (06/04)
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