<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216500
Report Date: 09/11/2024
Date Signed: 09/11/2024 03:33:39 PM

Document Has Been Signed on 09/11/2024 03:33 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:SJOGREN FCC AKA LITTLE WONDERS DAYCAREFACILITY NUMBER:
406216500
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
09/11/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Amorita SjogrenTIME VISIT/
INSPECTION COMPLETED:
03:45 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 9/11/24, at 2:00 pm, Licensing Program Analysts (LPAs) Shane Loftus and Elvin Baddley conducted an unannounced Annual/Random Inspection of the facility. LPA met with Amorita Sjorgen, Licensee of the facility, and explained the purpose of the inspection. LPAs in the company of the Licensee, toured the interior and exterior of the home. The residence is a four-bedroom, two-bathroom single story dwelling. The home's living room, dining room, hallway bathroom, office/guest bedroom and backyard are used for child care services, while the remainder of the home is excluded. During the time of the inspection, Licensee is caring for four children.

LPAs observed all cleaning supplies and toxins are stored below the sink, secured by a child lock, making them inaccessible to children in care. Sharps are stored in a drawer in the kitchen, secured with a child lock, which is inaccessible to children in care. The facility is orderly, clean and has ventilation for childcare services. The restroom used for children is in safe and sanitary condition. Toys and equipment observed in the FCCH are age appropriate.

LPAs observed required licensing forms posted on the wall near the entry door of the FCCH. LPAs observed a combination smoke/carbon monoxide detector in the FCCH. LPAs did not test the smoke/carbon detector due to children in care napping at the time of inspection. The FCCH has a regulation fire extinguisher which was purchased on 11/7/23. LPAs reminded Licensee the fire extinguisher needs to be either serviced or newly purchased annually. LPAs observed a fireplace in the living which is covered by a

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE: DATE: 09/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/11/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: SJOGREN FCC AKA LITTLE WONDERS DAYCARE
FACILITY NUMBER: 406216500
VISIT DATE: 09/11/2024
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
26
27
28
29
30
31
32
mesh fencing.

The FCCH’s backyard, used for outdoor activities, is enclosed by wooden fencing, the entry/exit gates are secure. The outdoor area has plenty of shade for the children in care, as well as age-appropriate play structures and toys. No bodies of water were observed on site.

A sampling of the children's records was reviewed. The records are current and contain the appropriate documents. The Licensee's records indicate Mandated Reporter training certificate expires 7/5/26. LPAs reminded Licensee that AB1207 must be updated every two years. Licensee’s CPR and First Aid certifications expires on 8/9/26. LPAs reviewed emergency drill log and observed the last emergency drill was conducted and documented 8/16/24. LPAs reminded Licensee that emergency drills are required every six months and need to be documented. LPAs observed a dog on site, vaccination records are current. Licensee stated there are no guns or ammunition in the facility.

Licensee stated she does provide Incidental Medical Services (IMS). Incidental Medical Services (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.

Licensee was reminded that all adults 18 and over living or working in the home, 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

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: SJOGREN FCC AKA LITTLE WONDERS DAYCARE
FACILITY NUMBER: 406216500
VISIT DATE: 09/11/2024
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
26
27
28
29
30
31
32
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 and LPA completed the RSO profile in FAS on 9/11/24.

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

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3