426216406-9-20-2022-17-CC-GRES-CJFS9W-20220920134125

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426216406
Report Date: 09/20/2022
Date Signed: 09/20/2022 01:41:31 PM

Document Has Been Signed on 09/20/2022 01:41 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	BOWER FAMILY CHILD CARE		FACILITY NUMBER:	426216406
ADMINISTRATOR:	SHEILA BOWER, JOHN BOWER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	8057146513
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93455
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	09/20/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Sheila Bower		TIME COMPLETED:	01:40 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 September 20, 2022 at 11:40 AM Licensing Program Analyst (LPA) Gigi Reyes conducted an announced a pre-licensing inspection and met with Applicant, Ms. Sheila Bower. LPA asked pre-screening questions related to COVID-19, applicant's responses indicate there are no COVID-19 exposure on site. LPA discussed the purpose of the inspection. Co-applicant, Mr. John Bower arrived during the inspection. LPA accompanied by applicant, Ms. Bower toured the home inside and outside The home is a single story composed of 3 bedrooms, 2 baths, living room, dining, area kitchen, backyard, front yard and garage. Applicant stated the family room, kitchen, one bedroom, one bathroom, enclosed backyard will be used for day care. Off limit areas are one bedroom with lock on top of the door, living room and dining area with baby gates making them inaccessible and garage which remains locked during day care hours. The fire extinguisher was purchased on 9/20/2022, applicant was reminded that fire extinguisher should be serviced or to purchase a new one every year. There are a carbon monoxide and smoke detectors which were tested and found to be functional. Applicants completed the Family Child Care Home orientation on 6/21/2022 and 7/25/2022 . Preventative Health and Safety Training was completed on 7/29/2022. Pediatric 1st Aid/CPR certificate expires on 7/10/2024 and should be renewed every two years. LPA discussed the requirement for care providers/employees, including volunteers to obtain immunization against Influenza, Pertussis, Measles, including verification of TB. Applicant's immunization record is on file. Control of Property was reviewed. Continued on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022

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: BOWER FAMILY CHILD CARE	FACILITY NUMBER: 426216406
	VISIT DATE: 09/20/2022

NARRATIVE

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Applicants completed the Child Abuse Mandated Reporter Training on 7/13/2022 and was reminded that it should be renewed every two years. LPA discussed COVID-19 Mitigation Plan/ and have applicant completed the COVID-19 Self- Assessment Guide
Ms. Sheila Bower 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, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated,

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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)/ (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 applicant, and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/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 on their purchased equipment

Continued on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022

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: BOWER FAMILY CHILD CARE	FACILITY NUMBER: 426216406
	VISIT DATE: 09/20/2022

NARRATIVE

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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. Children's record keeping requirements were reviewed.

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. Applicant was reminded that it is the Provider's responsibility to know the regulation.

The fire safety inspection clearance was granted on 9/9/2022.

The home/applicant meets the requirements for a Large Family Child Care Home under California Code of Regulation, Title 22 Division 12. License was granted effective today, September 20, 2022.

Exit interview conducted and report was reviewed with the applicant, Ms. Sheila Bower

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022

LIC809 (FAS) - (06/04)

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