406216349-11-14-2024-17-CC-MSAN-DA3UH8-20241015153530

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406216349
Report Date: 10/15/2024
Date Signed: 11/14/2024 11:50:13 AM

Document Has Been Signed on 11/14/2024 11:50 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	COATES FAMILY CHILD CARE		FACILITY NUMBER:	406216349
ADMINISTRATOR/ DIRECTOR:	KACEE COATES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 835-1809
CITY:	PASO ROBLES	STATE: CA	ZIP CODE:	93446
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 4	DATE:	10/15/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:35 PM
MET WITH:	Kacee Coates		TIME VISIT/ INSPECTION COMPLETED:	03:40 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 10/15/24, at 1:40 PM, Licensing Program Analyst (LPA) Matthew Sapien conducted an unannounced Annual Random inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Kacee Coates, Licensee of the FCCH, and explained the nature and purpose of the inspection. The LPA, in the company of Licensee, toured the interior and exterior of the FCCH. The house is a 3-bedroom and 2-bathroom single story home. The home's entry room (converted play area), one guest bedroom (converted nap-room), hallway bathroom, and backyard are used for child care services, while the remainder of the home is excluded (one guest bedroom, master bedroom, master bathroom, garage, and front yard). At the time of the inspection, four children (including 2 infants) were present. Licensee completes Infant Sleep Charts for respective infants. LPA observed the FCCH to be orderly and clean. The hallway bathroom, utilized for childcare services, is clean and free of toxins. Cleaning compounds were observed in the kitchen area in a secure pantry inaccessible to children in care. Sharps were also observed in the kitchen area elevated and out of reach of children. Additionally, the LPA observed personal medication in an elevated area in the hallway closet. Licensee also informed LPA that there is a First Aid Kit present in the FCCH. LPA observed age-appropriate toys, books, furnishings, and other equipment throughout the interior (play area) of the FCCH. LPA observed appropriate licensing forms and documents posted prominently to a bulletin board at the entry of the FCCH. LPA observed smoke and carbon monoxide detectors throughout the FCCH. A carbon monoxide detector was tested at 1:50 PM and a smoke detector was tested at 1:53 PM. Both detectors were found to be operational. LPA also observed a regulation fire extinguisher in the FCCH, which was purchased on on 7/23/24. LPA reminded the Licensee to service or purchase a regulation fire extinguisher yearly. LPA reviewed the FCCH's fire/disaster drill log. The most recent fire drill occurred on 6/12/24. Licensee(CONT. 809-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: COATES FAMILY CHILD CARE	FACILITY NUMBER: 406216349
	VISIT DATE: 10/15/2024

NARRATIVE

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informed LPA that the FCCH conducts disaster and fire drills every month.

As mentioned previously, the backyard is accessible to children in care. The FCCH's backyard is enclosed by wooden fencing. There are a couple of areas in the backyard that are excluded. These areas are made secure by additional wooden fencing. The fence’s entry/exit gates are secure. Like the inside of the FCCH, the backyard has age-appropriate equipment, play structures, and other furnishings throughout the area that can afford for childcare services. The footing in the backyard area is made up of varying surfaces (natural grass and concrete pavement). The Licensee was reminded to replace toys and play equipment which start to degrade or are not in good repair. The Licensee relayed to LPA that children in care are directly supervised when engaged in outdoor activity. LPA observed a secure shed in the backyard that contains household items. LPA also observed and confirmed that there are no bodies of water on site.

The Licensee owns two larger dogs. The Licensee relayed to LPA that the dogs do have periodic interactions with children in care and that their vaccinations are up to date.

LPA reviewed children's records. The records are current, complete, and possessed emergency contact information and immunization records, among other relevant licensing documents and forms. The Licensee's records were also viewed. The Licensee’s Pediatric CPR and First Aid certifications (EMSA approved) expiring on 3/23/25 and their Mandated Reporter Training, expiring on 7/23/26, is current and complete as are other relevant licensing forms and documents. Licensee was reminded to renew certifications and training prior to expirations. The Licensee attested to the LPA that there are no firearms and ammunition stored on site.

The Licensee confirmed that the Licensee does not currently provide medication or Incidental Medical Services (IMS) to current children in care. 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

(CONT. 809-C, Page 3)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: COATES FAMILY CHILD CARE	FACILITY NUMBER: 406216349
	VISIT DATE: 10/15/2024

NARRATIVE

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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 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 when the LPA completed a RSO profile in FAS on 10/15/24.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and report was reviewed with the Licensee, Kacee Coates.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024

LIC809 (FAS) - (06/04)

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