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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215325
Report Date: 09/23/2024
Date Signed: 09/23/2024 11:22:37 AM


Document Has Been Signed on 09/23/2024 11:22 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:BRUNSELL FCC AKA RISING STARS DAYCAREFACILITY NUMBER:
566215325
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
09/23/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Elizabeth BrunsellTIME COMPLETED:
11:35 AM
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On 9/23/24, at 9:45am, Licensing Program Analysts (LPAs) Shane Loftus and Veronica Diaz conducted an unannounced Annual/Random Inspection of the facility. LPAs met with Elizabeth Brunsell and explained the purpose of the inspection. LPAs in the company of licensee, toured the interior and exterior of the Family Child Care Home (FCCH). The FCCH is composed of three bedrooms, two bathrooms, living room, kitchen, and backyard. The living room, kitchen, bathroom, two bedrooms and backyard are used for child care. There were two children in care at the time of inspection.

The 2A10 BC fire extinguisher was purchased on 4/30/24. LPAs reminded licensee the fire extinguisher needs to be either serviced or newly purchased annually. There is a dual carbon monoxide and smoke detector which was tested at 10:10 am and found to be functional. LPAs observed cleaning supplies and toxins stored below the sink and are secured by a child lock. There are also cleaning compounds stored in the garage, which is off limits to children. Sharps are stored in a drawer in the kitchen, there is no child safety lock to make them inaccessible to children. Licensee did move sharps to an elevated cabinet during the inspection. During inspection of children’s bathroom, LPAs observed a razor on the sink. Bathroom door is shut during day care and secured with child safety lock. LPAs discussed the importance of keeping sharp objects in a secure place that is inaccessible to children in care. The facility is orderly and has ventilation for childcare services. LPAs observed two play pens that meet the safety requirements in the bedroom of the FCCH. 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. The FCCH has a fireplace that is covered with mesh fencing. Toys and equipment observed in the FCCH are age appropriate. Licensee stated there are no guns or ammunition in the home.

The licensee has required licensing forms posted prominently inside FCCH. A sampling of the

(Continued on 809-C)

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0400
LICENSING EVALUATOR NAME: Shane LoftusTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:
DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/23/2024
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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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: BRUNSELL FCC AKA RISING STARS DAYCARE
FACILITY NUMBER: 566215325
VISIT DATE: 09/23/2024
NARRATIVE
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children's records was reviewed and complete at the time of the inspection. The licensee's records indicate Mandated Reporter training certificate expires on 2/8/26. LPAs reminded licensee that AB1207 must be updated every two years. Licensee’s CPR and First Aid certifications expires on 5/6/26. LPAs reviewed emergency drill log and observed the last emergency drill was conducted and documented 8/8/24. LPAs reminded licensee that emergency drills are required every six months and need to be documented.

Licensee does not 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.

LPAs 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-and-resources/safe-sleep as an additional resource. LPAs 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 on their purchased equipment.

Licensee was informed of the MyChildCarePlan.org website; 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.

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 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

(Continued on 809-C)

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0400
LICENSING EVALUATOR NAME: Shane LoftusTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024
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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: BRUNSELL FCC AKA RISING STARS DAYCARE
FACILITY NUMBER: 566215325
VISIT DATE: 09/23/2024
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this regulation is violated.

During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPAs completed the RSO profile in FAS on 9/23/24.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Today, deficiency cited under Title 22 Division 12, Appeal rights provided to licensee. LPA provided the Licensee a Notice of Site Visit (LIC 9213) visit which was posted in the LPA's presence. Exit interview conducted and report was reviewed with the licensee Elizabeth Brunsell.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0400
LICENSING EVALUATOR NAME: Shane LoftusTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4
Document Has Been Signed on 09/23/2024 11:22 AM - It Cannot Be Edited

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: BRUNSELL FCC AKA RISING STARS DAYCARE

FACILITY NUMBER: 566215325

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/23/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that knives were stored in kitchen drawer not secured child safety locks, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/07/2024
Plan of Correction
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Licensee will send CCLD (shane.loftus@dss.ca.gov) picture of child safety locks installed for knife drawer, or stored in an area inaccessible to children in care.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0400
LICENSING EVALUATOR NAME: Shane LoftusTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:
DATE: 09/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/23/2024
LIC809 (FAS) - (06/04)
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