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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215386
Report Date: 05/12/2022
Date Signed: 05/12/2022 04:13:49 PM

Document Has Been Signed on 05/12/2022 04:13 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: 14CENSUS: 7DATE:
05/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:44 AM
MET WITH: Kelly ParsonsTIME COMPLETED:
01:30 PM
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In 5/12/22, at 11:30 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted a One Year 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 seven children are present.

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.

LPA observed required licensing forms and documents post on the wall in FCCH's near the entry. LPA observed no fireplace on site. LPA observed a smoke and a carbon monoxide detector in the FCCH's hallway. Each detector was tested (1:00 PM and 12:59 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 4/6/22.

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 no bodies of water on site. LPA also observed a shed in the back yard which locked. The shed contains household goods and supplies.
(CONT. 809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2022
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: 05/12/2022
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LPA reviewed 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 10/4/23 (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.

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 Kelly Parson 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 Kelly Parsons.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
LIC809 (FAS) - (06/04)
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