406217352-3-27-2025-17-CC-JMEZ-DF6RRU-20250327131543

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406217352
Report Date: 03/27/2025
Date Signed: 03/27/2025 01:16:03 PM

Document Has Been Signed on 03/27/2025 01:16 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:	HILL FAMILY CHILD CARE		FACILITY NUMBER:	406217352
ADMINISTRATOR/ DIRECTOR:	PORCHE HILL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 712-6505
CITY:	PASO ROBLES	STATE: CA	ZIP CODE:	93446
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 5	DATE:	03/27/2025
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:44 AM
MET WITH:	Porche Hill		TIME VISIT/ INSPECTION COMPLETED:	01:30 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	This is a change of location, previous facility number 406217352. On 3/27/2025, at 10:44A.M., Licensing Program Analyst (LPA) Joaquin Mendez conducted an announced Pre-license Inspection of the abovementioned residence and met with Applicant Porche Hill. LPA informed Applicant of the nature and purpose of the inspection. Applicant informed LPA of the intention to maintain operating hours for the Family Child Care Home (FCCH) from 4:30 AM to 10:30 PM, Monday through Thursday. Friday will have operational hours from 5:30 AM to 2:00 AM the following day (Saturday). Additionally, Saturday will have operational hours from 4:30 PM until 11:00 PM the following day (Sunday). The Applicant also Informed LPA of the intention to provide care for children 0 to 13 years of age. Applicant was informed changes in licensing hours and/or the ages of children supervised and cared for can be altered upon notifying CCLD of the given modifications and/or changes. LPA notes three (3) children in care at the time of the inspection. LPA notes one of the children is the applicant's cousin. Three (3) adults reside in the home and three (3) adults have CRC. LPA, in the company of Applicant, toured the interior and exterior of the residence in its entirety. The residence is a one-story house consisting of three bedrooms and two bathrooms. The home's living room (converted day care room), dining area, hallway bathroom, backyard, and front driveway will be utilized for childcare. The remainder of the home is excluded from childcare services: garage, all three bedrooms, master bathroom, and kitchen. All accessible and inaccessible areas were toured thoroughly. LPA observed the living room (converted day care room) to have proper spacing and ventilation for children in care. Importantly to note, the hallway area is made inaccessible via a child safety gate. This child safety gate Continue on LIC809C pg2

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Joaquin Mendez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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: HILL FAMILY CHILD CARE	FACILITY NUMBER: 406217352
	VISIT DATE: 03/27/2025

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will be opened for children to only allow access to the bathroom. The bedrooms will be locked during day care hours.
· LPA observed a regulation fire extinguisher (2A10BC) in the area for childcare which was serviced on 9/03/2024. LPA reminded Applicant of the responsibility to service or purchase a regulation fire extinguisher annually.
· The smoke detector was tested at 11:43 AM and a carbon monoxide detector was rested at 11:44 AM and found to be operable.
· LPA observed cribs and playpens for infant’s sleeping needs.
· LPA observed the residence to be clean and orderly.
· The restroom to be used for children in care is observed to be clean and free of toxins. The bathroom has cabinets that contain common and non-hazardous bathroom items.
· Sharps are in elevated cabinet in the kitchen making them inaccessible to children in care.
· Personal medication is stored in the Applicant's bedroom. None of the Applicant's current roster of children currently require medication, however, should this be the case the Applicant informed LPA that this would be stored in an elevated kitchen cabinet.
· LPA observed all cleaning compounds in the home stored on top of the refrigerator. LPA reminded the applicant the importance of securing chemicals from children in care.
· Water will be supplied by individual cups and the applicant will provide water bottles as needed.
· The home’s garage is partly converted into a bedroom for the adult son (Kazi Hill). The garage is locked and inaccessible during operational hours.

There will be outdoor access for children in care. The driveway in the front of the home will be used as well as the back yard by FCCH. However, for the time being the backyard is inaccessible due to excessive bark wood fragments from two trees being cut down recently in the dirt area of the back yard. The loose bark could pose hazardous for small children. The applicant states the bark will be removed or a fence will be built separating the barked area from the concreted area for the safety of the children. Applicant stated back yard will be cleared of the bark by the end of business day April 7, 2025. Applicant informed LPA the plan is Continue on LIC809C pg3

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Joaquin Mendez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025

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: HILL FAMILY CHILD CARE	FACILITY NUMBER: 406217352
	VISIT DATE: 03/27/2025

NARRATIVE

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for the dirt to be leveled and for artificial turf to be installed. The backyard area will not be used until this these things are completed, and the Department is notified.

LPA observed the back yard to be enclosed by wooden fencing with an emergency exit gate if needed. The footing in the area is concrete and dirt. The concrete area is the area that will be used for daycare once fence is built. Or if bark is removed, the whole backyard area will be used during daycare hours.
· In the back yard are various toys and equipment for the enjoyment of children of various ages. Additionally, LPA reminded Applicant to replace play equipment and toys when such items began to degrade or are not in good repair.
· The front driveway will be used occasionally for chalk drawing and other arts and crafts activities. Applicant informed LPA that their car will be moved down the driveway to afford space for said activities and to create a barrier.
· No bodies of water were observed on site.

LPA's record review revealed Applicant's documents noted below.

· LPA record review revealed Applicant completed Preventative Health training.
· Applicant completed Mandated Reporter training on 4/4/24.
· Pediatric CPR/First Aid (EMSA approved) on 2/16/25. LPA reminded Applicant of the obligation to maintain current training and certifications.

LPA notes no firearms or ammunition are stored on site.

Applicant Porche Hill 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.

Continue on LIC809C pg4

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Joaquin Mendez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025

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: HILL FAMILY CHILD CARE	FACILITY NUMBER: 406217352
	VISIT DATE: 03/27/2025

NARRATIVE

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Because the Applicant rents the residence, a proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the Applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149). The Licensee does have liability insurance for the home.

Applicant Porche Hill states she will wait for facility to open to decide on the needs for offer Incidental Medical Services (IMS). Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 2202-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 (TW} and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at http://www.ada.gov/childqanda.htm

LPA reviewed with Applicant the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

No prohibited equipment will be allowed or used in the home. No baby bouncers, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility.

LPA discussed the safe sleep regulations with Applicant 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 Applicant 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.

On this date, 3/27/25, 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
Continue on LIC809C pg5

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Joaquin Mendez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025

LIC809 (FAS) - (06/04)

Page: 5 of 6

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: HILL FAMILY CHILD CARE	FACILITY NUMBER: 406217352
	VISIT DATE: 03/27/2025

NARRATIVE

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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.

Applicant Porche Hill was informed of the MyChildCarePlan.com site, a consumer education
website that helps families obtain childcare by connecting them to childcare providers and
Resource and Referral Agencies (R&Rs) throughout California.

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

No deficiencies were sited during today’s visit. LPA reminded the applicant that until the license is approved care for children must cease and desist.

The home does meet Title 22 Division 12 requirements of a large FCCH license. However, the license is pending the correction of a fence to be built in the backyard. Photos of the completed built fence will be sent to LPA Mendez. Applicant states fence will be built by the end of business day today 3/27/2025.

A notice of site visit was given to applicant Porche Hill, 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 Applicant Porche Hill.

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Joaquin Mendez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025

LIC809 (FAS) - (06/04)

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