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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215881
Report Date: 08/13/2021
Date Signed: 08/13/2021 03:31:31 PM

Document Has Been Signed on 08/13/2021 03:31 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:EVERHART FCC AKA EVERHART DAYCAREFACILITY NUMBER:
406215881
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
08/13/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Anahi EverhartTIME COMPLETED:
03:45 PM
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On 8/13/21, 2:00 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Anahi Everhart, Licensee of the FCCH and explained the purpose of the inspection. The FCCH's living room, office, guest bedroom and backyard are used for child care, while the home’s master bedrooms and garage are excluded from child care. LPA observed four children on site at the time of the inspection, along with an Assistant/spouse (cleared and associated).

The FCCH is clean, orderly and has ventilation to afford for child care. No hazardous items are observed on site. LPA observed a fireplace in the FCCH which is screened with a mesh metal covering and inaccessible to children. The bathroom used for children care is observed to be clean and free of toxins. Medication in the home is secured in an elevated cabinet in the kitchen. Detergents and cleaning compounds are stored in a child locked cabinet under the sink. Additionally, sharps are secured on an elevated cabinet shelf in the kitchen. LPA observed carbon monoxide and smoke alarm detectors in the home’s main hallway. Each was tested (2:10 PM and 2:12 PM) and found to be operable. A regulation fire extinguisher is on site which was purchased on 5/15/21. LPA reminded Licensee to purchase or service a regulation fire extinguisher annually. LPA observed age appropriate toys and equipment in the FCCH's interior.

The backyard's play area is comprised of a grass lawn and concrete slab. The backyard is completely fenced with wooden slates. The backyard entry/exit gate is secure. The outdoor play area is also free of hazards and has age appropriate toys and equipment. LPA observed no bodies of water on site.

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. LPA reviewed Sleep Plans of children (0-12 months) as well as logs of children's sleep documented in 15 minutes 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 8/13/21.
(CONT.809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2021
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: EVERHART FCC AKA EVERHART DAYCARE
FACILITY NUMBER: 406215881
VISIT DATE: 08/13/2021
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LPA notes LIcensee provided LPA with a notice of a scheduled Pediatric CPR and First Aid training set for 8/14/21. The LIcensee's Mandated Reporter training expiring on 11/12/21.

Licensee informed LPA no firearm or ammunition is 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 is 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: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
LIC809 (FAS) - (06/04)
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