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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215471
Report Date: 10/31/2024
Date Signed: 10/31/2024 12:04:49 PM

Document Has Been Signed on 10/31/2024 12:04 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:COTTRELL FAMILY CHILD CAREFACILITY NUMBER:
566215471
ADMINISTRATOR/
DIRECTOR:		MARIA SUSANA COTTRELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 428-7909
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
10/31/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Susana CottrellTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On 10/31/24, at 9:40 am, Licensing Program Analyst (LPA) Shane Loftus conducted an unannounced Required 3-year inspection of the Family Child Care Home (FCCH). LPA met with Licensee, Susana Cottrell, and explained the purpose of the inspection. LPA in the company of licensee, toured the interior and exterior of the FCCH. The FCCH uses the converted patio, attached infant room, one bathroom, and the backyard for child care. The remainder of the house is off limits to children, secured by a child safety gate. Licensee, Assistant (Jennifer Cifuentes), and 9 children were present at the time of inspection.

The FCCH has a regulation 2A10 BC fire extinguisher that was serviced on 12/8/23. LPA reminded licensee the fire extinguisher needs to be either serviced or newly purchased annually. LPA tested the smoke alarm at 10:00 am and the carbon monoxide detector at 10:05 am, both were found to be operational. The bathroom used for child care is clean and orderly. Cleaning supplies are stored beneath the kitchen sink (secured with child lock) and in the garage, which is off limits to children. Sharps are stored in a kitchen drawer which is secured with a child safety lock. Medications are stored in an elevated hallway cabinet, which is out of the reach of children. The FCCH has a fireplace which is covered by a glass screen. The FCCH has ventilation for childcare services.

The outdoor area has plenty of shade for the children in care. The back yard is secured by wooden fencing, entry/exit points are secured. The backyard has two storage sheds which are locked while children are in care. Toys and equipment observed in the FCCH are age appropriate. There are no bodies of water on the property. There are no firearms and ammunition on the property.

The FCCH has the appropriate documentation posted in the home. A sampling of the children's records was reviewed and found to be current including Emergency Contact Information and Immunization Records.

Continued on 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE: DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2024
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: COTTRELL FAMILY CHILD CARE
FACILITY NUMBER: 566215471
VISIT DATE: 10/31/2024
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The Licensee’s and Assistant’s records were reviewed and found to be current with Mandated Reporter training being completed on 4/27/24, and CPR/First Aid training being completed on 4/30/24. LPA reminded licensee that Mandated Reporter AB1207 and CPR/First Aid must be updated every two years. LPA notes the last disaster and fire drill was conducted on 9/18/24. LPA 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.

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-and-resources/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 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 this regulation is violated.

Continued on 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
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: COTTRELL FAMILY CHILD CARE
FACILITY NUMBER: 566215471
VISIT DATE: 10/31/2024
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During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Licensee, Susana Cottrell.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
LIC809 (FAS) - (06/04)
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