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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215881
Report Date: 03/22/2023
Date Signed: 03/27/2023 01:56:01 PM

Document Has Been Signed on 03/27/2023 01:56 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: 8CENSUS: 5DATE:
03/22/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Anahi Everhart and Patrick EverhartTIME COMPLETED:
12:00 PM
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Report Amended (3/27/23)

On 3/22/23, at 10:00 AM, Licensing Program Analyst (LPA) Elvin Baddley made an unannounced inspection to conduct a One Year Required Inspection for the abovementioned Family Child Care Home (FCCH). It should be noted today's inspection will also address a facility change of capacity from and Small FCCH (8) to a Large FCCH (12). LPA met with Anahi Everhart and Patrick Everhart, the Licensees of the FCCH and explained the purpose of the inspection. There are five children on site at the time of the inspection.

LPA, in the company of Licensee toured the interior and exterior of the FCCH and notes the FCCH is a 3 bedroom, 2 bath single story dwelling. The home’s living room, kitchen, guest bedrooms (2- converted) and backyard will be used for child care, while the home’s master bedrooms and garage will be excluded from child care.

LPA observed the home to be clean and orderly. The home has a cork board affixed to family room which displays the required licensing forms and documents. The FCCH's fireplace is screened with a mesh metal covering and inaccessible to children. The bathroom used for children in care is observed to be clean and free of toxins. Medication in the home is secured in an elevated cabinet in the kitchen, while detergents and cleaning compounds are stored in a secure cabinet under the sink. LPA observed sharps on an elevated cabinet shelf in the kitchen, which is beyond the reach of children in care. The FCCH has a combination carbon monoxide/ smoke detector which was tested at 10:15 AM and found to be operable. LPA observed a fire extinguisher on site which was serviced on 2/8/23. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The FCCH maintains working telephone services. The interior of the home has age appropriate toys, play equipment sleeping accommodation for children in care.
(CONT. LIC 809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2023
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: 03/22/2023
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The backyard area is enclosed by wooden fencing and the footing in the area is varied. LPA observed age appropriate toys and play equipment in the area. LPA notes the entry/exit point is secured. LPA observed no bodies of water on site.

LPA reviewed children's records. The records are current, complete and possessed emergency contact information as well as documentation memorializing child sleep checks in intervals of 15 minutes. A review of the FCCH's fire drill log show drills are current with the last occurring on 3/7/23. The Licensee's records are also current and complete with pediatric CPR and First Aid certifications expiring on 8/14/23. The Licensee's Mandated Reporter training certification expires on 11/15/23. Licensee is reminded to renew certifications and training prior to expirations. The 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 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.

The FCCH is granted a facility capacity change from 8 (Small) to 14 (Large). A Notice of Site visit was given and must remain posted for 30 days.Exit interview conducted and report was reviewed with the Licensees Anahi Everhart and Patrick Everhart.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
LIC809 (FAS) - (06/04)
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