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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216701
Report Date: 04/09/2024
Date Signed: 04/09/2024 11:42:40 AM

Document Has Been Signed on 04/09/2024 11:42 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 DEVELOPMENTFACILITY NUMBER:
406216701
ADMINISTRATOR/
DIRECTOR:		BREANE BOSWELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 602-8607
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
04/09/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Breane BoswellTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
NARRATIVE
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On 4/9/24 at 10:45 AM, Licensing Program Analyst (LPA) Elvin Baddley made an unannounced Case Management inspection at the abovementioned Family Child Care Home (FCCH). LPA met with the Licensee Breana Boswell and explained the purpose of the inspection. It should be noted Licensee forwarded LPA an email on 3/27/24, indicating Licensee has removed a firearm and ammunition from the FCCH. Licensee forwarded LPA a Declaration form (LIC 855) reiterating a firearm and ammunition were removed from the FCCH and the aforementioned would no longer be stored in the FCCH.

LPA, in the company of the Licensee toured the interior and exterior of the FCCH. LPA notes 9 children are present along with an Assistant providing care and supervision.

LPA notes and confirms no firearm or weapons were located/stored in the FCCH.

No deficiencies were cited during this today's visit. LPA provided Licensee a Notice of Site Visit (LIC 9213) as well as Appeal Rights (LIC 9213). The Notice of Site Visit is to be posted.



SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2024
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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