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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215800
Report Date: 05/05/2023
Date Signed: 05/05/2023 01:37:25 PM

Document Has Been Signed on 05/05/2023 01:37 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:BAKER FAMILY CHILD CAREFACILITY NUMBER:
426215800
ADMINISTRATOR:JAMEE BAKER/LEGALFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 937-1490
CITY:SANTA MARIASTATE: CAZIP CODE:
93455
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
05/05/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Jamee BakerTIME COMPLETED:
01:50 PM
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On May 5, 2023, at 11:50 AM, Licensing Program Analyst Gigi Reyes conducted an unannounced One (1) Year Required inspection at a Family Child Care Home (FCCH) owned and operated by Jamee Baker. LPA discussed the purpose of the inspection with the licensee. The inspection was conducted to evaluate the facility's compliance with the licensing regulations and Health and Safety Code. LPA asked pre screening questions related to COVID-19 Licensee stated there are no COVID-19 exposure on site.

During the inspection, LPA and Licensee toured the interior and exterior of the facility. LPA did not observe any children in care except for licensee's grand child. LPA observed that required licensing forms were posted in the wall in the day care area. Smoke and carbon monoxide detectors were tested and functional. The regulation fire extinguisher was serviced on 11/16/2022, but the licensee was reminded that it should be serviced every year or a new one should be purchased. The facility conducts and documents fire and disaster drill every 6 months, and the last drill was conducted on 3/23//2023. The bathroom is free of toxins. Cleaning compounds and knives are kept inaccessible to children in care. The backyard of the FCCH was enclosed with a wooden fence and equipped with age appropriate toys and equipment. No bodies of water were observed on site. The licensee stated that there were no guns or ammunition in the home.


Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2023
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: BAKER FAMILY CHILD CARE
FACILITY NUMBER: 426215800
VISIT DATE: 05/05/2023
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LPA reviewed the facility file and found that the Pediatric CPR and First Aid certificate expires on 2/2025. The licensee renewed the Mandated Reporter Training Certificate, which expires on 1/22/2025. LPA reminded the licensee that AB 1207 should be renewed every two years.

The FCCH has a current roster of children in care. Licensee physically checks and documents the condition of the sleeping infant every 15 minutes.

Licensee does not provide Incidental Medical Services (IMS). IMS policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Home 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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email to [email protected]. 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/process.


Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023
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: BAKER FAMILY CHILD CARE
FACILITY NUMBER: 426215800
VISIT DATE: 05/05/2023
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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 reminded that all adults 18 year old and over living or working in the home, 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.

Licensee disclosed her plans to retire and surrender the license in the near future.

During today's inspection, no deficiency was cited. Appeal Rights were given and discussed.
Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

Exit interview conducted and report was reviewed with the licensee, Jamee Baker.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023
LIC809 (FAS) - (06/04)
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