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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215982
Report Date: 10/06/2022
Date Signed: 10/06/2022 12:12:28 PM


Document Has Been Signed on 10/06/2022 12:12 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:BARCELLONA FCC AKA ALPHABET SOUP DAYCAREFACILITY NUMBER:
406215982
ADMINISTRATOR:JOANN BARCELLONAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 473-2203
CITY:GROVER BEACHSTATE: CAZIP CODE:
93433
CAPACITY:14CENSUS: 11DATE:
10/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:46 AM
MET WITH:Joann BarcellonaTIME COMPLETED:
12:46 PM
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On 10/6/22, at 10:46 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced One Year Required inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Joann Barcellona, Licensee of the FCCH and explained the nature of the inspection. LPA, in the company of the Licensee, toured the interior and exterior of the FCCH. The FCCH’s living room, dining room, backyard and hallway restroom are used for childcare services, while remainder of the home is excluded (i.e. kitchen, bathrooms, bedrooms, laundry room and garage). At the time of the inspection, eleven child are present, along with one assistant (cleared and associated).

The home is clean and orderly. Medication in the FCCH is stored in the home's master bathroom, while cleaning compounds are stored under the kitchen sink and in the home's garage. Both areas are excluded and inaccessible to children in care. Toys, furniture and equipment observed in the home are age appropriate. Required licensing forms and notices are predominantly posted on the wall of the home. The home’s living room has a fireplace which is screened by glass. LPA observed smoke and carbon monoxide detectors in the FCCH. Each detector was tested (11:10 AM and 11:12 AM ) and found to be operable. Likewise, the home has a regulation fire extinguisher which was service on 11/6/21 (expiration 11/6/22). LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill log and notes the most recent fire/disaster drill occurring on 8/21/22. The FCCH maintains an operable telephone services.

The backyard has varied footing and is enclosed by a wooden fence. The fence’s entry/exit gates are secure. The backyard is partitioned and separated by chain linked gate along the side yards. Toys and play equipment observed in backyard are age appropriate. No bodies of water are observed on site.

A sampling of the children records were reviewed. The records are current, complete and contained emergency contact information as well as children's immunizations. The Licensee's records are reviewed.
(CONT. LIC 809-C)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/06/2022
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: BARCELLONA FCC AKA ALPHABET SOUP DAYCARE
FACILITY NUMBER: 406215982
VISIT DATE: 10/06/2022
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 Licensee record is current and complete with Pediatric CPR and First Aid certifications expiring on 2/18/23. Likewise, the Licensee’s AB 1207 Mandated Reporter Training certification is also.current, No firearms or ammunition on 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.

A Notice of Site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Joann Barcellona..

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC809 (FAS) - (06/04)
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