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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215752
Report Date: 10/04/2022
Date Signed: 10/04/2022 02:15:43 PM

Document Has Been Signed on 10/04/2022 02:15 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:DOWNTOWN BABY, LLCFACILITY NUMBER:
406215752
ADMINISTRATOR:SOPHIA CRISPFACILITY TYPE:
830
ADDRESS:1250 OSOS STREETTELEPHONE:
(805) 440-2709
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
10/04/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Julie ReidTIME COMPLETED:
01:14 PM
NARRATIVE
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On 10/4/22, at 11:00 AM, Licensing Program Analyst (LPA) Elvin Baddley made an unannounced inspection to conduct a Case Management Inspection- Deficiencies. LPA met with Program Administrator Julie Reid and explained the nature of the inspection. Program Administrator is the sole staff member on site and is providing care for four children at the time of the inspection. However, LPA notes Program Administrator is not criminal cleared and a review of CCLD's Guardian System shows Program Administrator's criminal clearance determination is , "In Process."

LPA discussed criminal clearance status with Program Administrator. Program Administrator informed LPA Program Administrator was unsure if the criminal clearance process was completed. Further, Program Administrator informed LPA, Program Administrator was only on site as a number of staff members were out
/unable to work and there were no additional staff members available to provide care and supervision for the Child Care Center's (CCC) children.

LPA reaffirmed all adults 18 and over, 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 CCC.

Today, a Type A deficiency is cited under Title 22 Division 12 Appeal rights given. Upon receipt of this report, licensee shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report LIC 809 and LIC 809 D.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Facility representative Julie Reid

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2022
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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Document Has Been Signed on 10/04/2022 02:15 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Elvin Baddley On 10/04/2022 at 12:39 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: DOWNTOWN BABY, LLC
FACILITY NUMBER: 406215752

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/04/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
10/05/2022
Section Cited
CCR
101170(e)

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(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:
This requirement is not met as evidenced by:Based on LPA's observation and record review Licensee did not comply with the section cited on 10/4/22, above as Program
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Director to ensure Program Administrator is criminally cleared and Program Administrator not to be on site until criminally cleared. Director to submit a written plan of correction to CCLD by the 10/5/22, noting how the center will prevent individuals from being on site who are not criminally cleared and associated.
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Administrator was at the CCC caring for children in care and are not criminally cleared which poses an immediate health, safety or personal rights risk to persons in care.
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Civil Penalty assessed (criminal record clearance ($100) and repeat offense ($1000).
Under Appeal
Type A
10/04/2022
Section Cited
CCR101195(b)1

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(b) Notwithstanding Section 101195(a) above, an immediate penalty of $100 per cited violation per day for a maximum of five (5) days shall be assessed if any individual required to be fingerprinted under Health and Safety Code Section 1596.871(b) has not obtained a California clearance or criminal record exemption, requested a transfer of
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Civil penalty of one hundred dollars ($100) per violation per day for a maximum of thirty (30) days assessed ($3000)
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a criminal record clearance...This requirement is not met as evidenced by: Based on LPA's observation/record review Licensee did not comply with section cited as this is the 2nd incident since 8/14/22, an individual with a criminal record clearance is working on site which poses an immediate health, safety or personal rights risk to persons in care.
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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:Elvin Baddley
LICENSING EVALUATOR SIGNATURE:
DATE: 10/04/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/04/2022


LIC809 (FAS) - (06/04)
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