406216701-8-30-2023-17-CC-EBAY-CV7P3A-20230830105712

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406216701
Report Date: 08/30/2023
Date Signed: 08/30/2023 11:01:37 AM

Document Has Been Signed on 08/30/2023 11:01 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	BOSWELL FCC AKA GROWTHSPURTS CHILD DEVELOPMENT		FACILITY NUMBER:	406216701
ADMINISTRATOR:	BREANE BOSWELL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 602-8607
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93401
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	08/30/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Breane Boswell		TIME COMPLETED:	11:15 AM

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	Previous Facility Number: 406215312 On 8/30/23, at 9:00 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an announced Prelicense Inspection of the abovementioned home and met with Licensee Breana Boswell. The inspection also serves as a change of capacity and a change of location. As noted the previous facility number is 406215312. LPA informed Licensee of the nature and purpose of the inspection. Licensee informed LPA of the intention to maintain operating hours of a Family Child Care Home (FCCH) from 8:00 AM--1:00 PM, Monday- Friday. Licensee also intends to care for children 0 years of age to 8 years of age. Licensee was informed changes in licensing hours or the ages of children supervised and cared for can be altered upon notifying CCLD of the modification or change. LPA notes, no children are in care at the time of the inspection. LPA, in the company of Licensee, toured the interior and exterior of the home in its entirety. The home is a three bedroom and two bathroom single story dwelling. The home's living room, dining room, kitchen, guest bedroom, hallway bathroom and backyard will be used for child care services, while the remainder of the home is excluded. LPA observed the home to be clean and orderly. The home has spacing and ventilation for children in care. The home's fireplace is screened by glass and metal mesh. The home has central heating with vents on the ceiling. The bathroom to be used by children in care is observed to be clean and free of toxins. Cleaning compounds and sharps are observed secured in kitchen drawers and cabinets. Medications are stored in an excluded area of the home. LPA observed a fire extinguisher (2A10BC) in the home which was serviced on 6/23/23. LPA reminded Licensee of the responsibility to service or purchase a regulation fire extinguisher annually. The home has a number of combination smoke/carbon monoxide detectors. A combination smoke/carbon monoxide detector was tested in the hallway at 9:45 AM and found to be operable. The backyard is enclosed by wooden fencing and the entry/exit gates are secured. Footing in the area is (CONT. LIC 812-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023

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: BOSWELL FCC AKA GROWTHSPURTS CHILD DEVELOPMENT	FACILITY NUMBER: 406216701
	VISIT DATE: 08/30/2023

NARRATIVE

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is varied. The is backyard has a shed. The shed contain arts and crafts for child in care. Licensee is reminded to provide direct supervision of children when children are involved in outdoor activities away from the FCCH. LPA observed no bodies of water on site.

LPA's record review revealed Licensee's Mandated Reporter training was completed on 1/8/23 (expiration 1/8/25), and Pediatric CPR/First Aid (EMSA approved) was completed on 4/4/23 (expiration 4/4/25). Licensee completed Preventative Health Training on 10/16/16. LPA reminded Licensee of obligation to maintain current training and certifications. Because the Licensee rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC 9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149). Licensee does have liability insurance. Licensee informed LPA the home has ammunition and a firearm on site. LPA observed storage and notes the aforementioned is stored separately and inaccessible to children in care.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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-andresources/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 of infant devices or their purchased equipment.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information (CONT. LIC 809-C, Page 3)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023

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: BOSWELL FCC AKA GROWTHSPURTS CHILD DEVELOPMENT	FACILITY NUMBER: 406216701
	VISIT DATE: 08/30/2023

NARRATIVE

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website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

On this date, 8/23/23, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility address. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Licensee was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given to Licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the Licensee Breana Boswell. A fire clearance was received by CCLD on 8/28/23 granting a capacity of 14. As such, the home meets Title 22 Division 12 requirements of a Large FCCH License. Effective date of license will be noted as the present, 8/30/23..

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023

LIC809 (FAS) - (06/04)

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