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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216985
Report Date: 05/09/2024
Date Signed: 05/09/2024 03:16:29 PM

Document Has Been Signed on 05/09/2024 03:16 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:HOWISON FAMILY CHILD CAREFACILITY NUMBER:
566216985
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
05/09/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:55 PM
MET WITH:Sarah HowisonTIME VISIT/
INSPECTION COMPLETED:
03:25 PM
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On 5/9/2024 Licensing Program Analysts (LPAs) German Negrete and Sylvia Ceja conducted an announced Pre-licensing inspection and met with applicant Sarah Howison. LPAs informed Applicant the nature and purpose of the inspection. LPAs and applicant toured the inside and outside of the home. There were two children in care at the time of the inspection. The Applicant is currently partaking in exempt care. There is one adult living in the home with fingerprint clearance.

Applicant requested a small family childcare license. The home is a two-story home which consists of two bedrooms, three bathrooms, living room/dining room, kitchen, garage and outdoor patio area that is fenced. The areas used for day-care are as followed: living room/dinning room, downstairs bathroom. The off-limits areas consist of bedrooms #1 & #2, two upstairs bathrooms, garage. LPAs observed gates making the upstairs bedrooms #1 & #2 and kitchen, garage areas inaccessible to day-care children. The downstairs bathroom to be used for children in care was observed to be clean and free of toxins. LPAs observed home to have age-appropriate chairs, tables, equipment, toys and other materials for childcare activities. Continued on 809-C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2024
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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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: HOWISON FAMILY CHILD CARE
FACILITY NUMBER: 566216985
VISIT DATE: 05/09/2024
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LPAs observed the home is clean and orderly. In addition, there is plenty of ventilation for the children in care. LPAs did not observe any toxins accessible to children in care. The kitchen knives are inaccessible due to a child safety barrier making these items inaccessible to children in care. No hazardous items were observed to be accessible to children in the home. Medication is stored in the upstairs bathroom #2. Cleaning compounds were observed in the garage making these items inaccessible to children in care. There are no bodies of water on the property. Applicant stated no guns or ammunition is the home.

LPAs observed a fire extinguisher (1A10BC) in the home which was purchased. LPAs reminded Applicant of the responsibility to service or purchase a regulation fire extinguisher annually and to to purchase a Fire extinguisher that is at least a 2A10BC. LPAs did not observe a carbon monoxide detector in the home. Smoke detector was observed in the home and tested on 5/9/2024 at 2:05PM

LPAs record review revealed Applicant's is current with immunization required by SB792. Mandated Reporter training was completed and valid until 05/09/2026. Pediatric CPR/First Aid (EMSA approved) training was completed 05/06/2024 and expires 05/06/2026. Applicant completed Preventative Health Training on 05/09/2024, and the CCLD Orientation on 05/01/2024. LPAs reminded Applicant of obligation to maintain current training and certifications. The applicant rents and provided control of property/lease. Control of property was reviewed by the department . Continued on 809-C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2024
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: HOWISON FAMILY CHILD CARE
FACILITY NUMBER: 566216985
VISIT DATE: 05/09/2024
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Applicant was informed baby walkers, jumpers, bouncers, saucer chairs, or any similar article are not permitted on the premises during day care hours.

Applicant 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- 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 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA reviewed and provided copies to applicant of forms listed in 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. Continues on LIC809-C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2024
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: HOWISON FAMILY CHILD CARE
FACILITY NUMBER: 566216985
VISIT DATE: 05/09/2024
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Applicant was informed of the MyChildCarePlan.org site, 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.

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 platforms. 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.

The home does not meets the requirements of a Small Family Child Care accordance with tittle 22 regulations.

The following need to be corrected :

1. A proper size fire extinguisher that is at least a 2A10BC needs to be in the home.

2. The patio needs to be cleaned and the unstable cabinet needs to be removed. Applicant will submit images of the patio when the tasks are complete.

3. Carbon monoxide detector needs to be installed and applicant will submit pictures of the installation as well as a statement via email confirming the carbon monoxide detector functions properly.

Exit interview conducted and inspection report was reviewed with the applicant.

A notice of site visit was given to applicant and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2024
LIC809 (FAS) - (06/04)
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