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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216134
Report Date: 08/07/2024
Date Signed: 08/07/2024 12:09:30 PM

Document Has Been Signed on 08/07/2024 12:09 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:GEORGE FCC AKA ROOTED PRESCHOOLFACILITY NUMBER:
406216134
ADMINISTRATOR/
DIRECTOR:
MCKYLA NOEL GEORGEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 459-5353
CITY:GROVER BEACHSTATE: CAZIP CODE:
93433
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
08/07/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:McKyla GeorgeTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On 8/7/24, at 9:50 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Annual/Random Inspection of the abovementioned Family Child Care Home (FCCH) and met with Licensee McKyla George. LPA explained the nature and purpose inspection. LPA, in the company of Licensee, toured the interior and exterior of the FCCH. The FCCH is a two bedroom, one bathroom single story dwelling. The FCCH's family room, bathroom and front yard are used for child care services, while the remainder of the FCCH is excluded from care. LPA notes a child safety gate/mesh is observed at the entry of the FCCH's kitchen and the bedrooms' doorknobs have child safety devices in place. LPA observed seven children in care during the time of the inspection, as well as an assistance (cleared and associated) providing care and supervision.

LPA observed the FCCH to be clean and orderly. The FCCH has ample space and ventilation for children in care. Age appropriate toys, play equipment and furniture is observed inside of the FCCH. The FCCH's bathroom used for children care is observed to be clean and free of toxins. Medication in the home is stored on an elevated shelf in a bathroom's medicine cabinet. LPA observed cleaning compounds stored atop the refrigerator and in a cabinet in the kitchen area which is inaccessible to children in care. LPA observed a required fire extinguisher (2A10BC) in the FCCH which was serviced on 6/17/24. LPA reminded Licensee of the responsibility to service or purchase a regulation fire extinguisher annually. The home has smoke and carbon monoxide detectors. The aforementioned were tested at 10:45 AM and found to be operable. The home has a wall heater which is screened and required licensing documents are posted in the FCCH's family room.

The FCCH's front yard is used for outdoor activities. The area is enclosed by a combination of wooden and chained linked fencing. The footing in the outdoor area is varied. LPA observed age appropriate toys, play equipment and furniture in the front yard area. LPA observed two shed in the frond yard area. Both sheds are secured. inaccessible to children and contain household supplies and goods. LPA observed a chicken
(CONT. 809-C, Page 2)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: GEORGE FCC AKA ROOTED PRESCHOOL
FACILITY NUMBER: 406216134
VISIT DATE: 08/07/2024
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coop in the area. Licensee informed LPA children do have interaction with the chickens in the coop. Licensee informed LPA hand washing is mandatory for children after interactions with the chickens. Licensee was reminded to replace toys, play equipment and furniture when such items begin to degrade and are not in good repair. LPA observed no bodies of water on site.

LPA's record review revealed Licensee completed Mandated Reporter training on 6/24/24, and Pediatric CPR /First Aid (EMSA approved) on 4/18/23. LPA reminded Applicant of obligation to maintain current training and certifications. LPA reviewed a sampling of children records. The records were complete. Records contained immunization records and emergency contact information, amongst other required licensing documents. LPA notes documentation for fire drill at the FCCH shows the last drill occurred on 3/27/24. The FCCH has a dog on site. LPA reviewed the vaccination documentation for the dog which are current. Licensee informed LPA no firearms or ammunition are stored on site.

The FCCH provides Incidental Medical Services (IMS). IMS policy was discussed. For IMS information see PIN 22-02CCP. 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) or (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.

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 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.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child
(CONT. 809-C, Page 3)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
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: GEORGE FCC AKA ROOTED PRESCHOOL
FACILITY NUMBER: 406216134
VISIT DATE: 08/07/2024
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Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS on 8/7/24.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, McKyla George.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC809 (FAS) - (06/04)
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