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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215858
Report Date: 08/10/2021
Date Signed: 08/10/2021 03:28:59 PM

Document Has Been Signed on 08/10/2021 03:28 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:BOGLE FCC AKA ANITA'S DAY CAREFACILITY NUMBER:
406215858
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
08/10/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Anita BogleTIME COMPLETED:
03:35 PM
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On 8/10/21 at 2:20 PM, Licensing Program Analyst (LPA) Francisca Velazquez and Licensing Program Manager (LPM) Maria Mueller conducted an unannounced Required Inspection of the facility. Prior to entering the facility, LPA conducted pre-screening COVID-19 questionnaire and based on Licensee’s responses it was determined that the facility is safe and free from any COVID-19 exposures. LPA meet with Anita Bogle, Licensee of the facility and explained the purpose of the inspection. LPA in the company of the Licensee, toured the interior and exterior of the home. This is a three (3) bedroom, two (2) bathroom home. Licensee stated that day-care room and bathroom are accessible to the children in care. During the time of the inspection, Licensee was caring for three (3) children, two (2) are grandchildren of the Licensee.

LPA observed required forms posted in the wall as you enter the facility. LPA observed a smoke and carbon monoxide detector in the hallway of the facility. Detectors were not tested by Licensee due to children napping during time of inspection. Licensee stated that carbon monoxide and smoke detector were tested about two (2) weeks ago. LPA observed flashing green light indicating detectors were working appropriately. The home has a regulation fire extinguisher which was serviced on 2/2/21. LPA reminded Licensee that fire extinguisher needs to be either service or purchase annually. The home maintains working telephone services. LPA observed a fireplace in the living room that is covered and inaccessible to children in care.

LPA observed all cleaning supplies and toxins are stored in a high shelf in the laundry room that are inaccessible to children in care. LPA observed that Licensee stores sharps in a high cabinet in the kitchen that are inaccessible to children in care. The facility is orderly, clean and has ventilation for child care services. The restroom used for children was found to be clean and orderly with hand washing posters available for children. Medication in the facility is stored on an elevated shelf in a kitchen cabinet and is inaccessible to children. Toys and equipment observed in the facility are age appropriate.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2021
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: BOGLE FCC AKA ANITA'S DAY CARE
FACILITY NUMBER: 406215858
VISIT DATE: 08/10/2021
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Licensee stated that children do not have access to the yard at the moment. Licensee stated that facility’s yard is being constructed. Once all work is complete, Licensee will submit updated facility sketch so that the backyard can be accessible to children in care. No bodies of water were observed on site. Licensee stated there are no guns or ammunition in the facility.

A sampling of the children's record were reviewed and found to have current and up to date with emergency information cards. The Licensee's records indicate Mandated Reporter training certificate expired 10/29/20. Licensee was provided with website to complete AB1207. Licensee’s CPR and First Aid certifications expires on 10/19/21. LPA review emergency drill log and observed the last emergency drill was conducted and documented on 6/16/21. LPA reminded Licensee that emergency drills are required every six (6) months and need to be documented.



The Licensee is not providing 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: www.ada.gov/childqanda.htm

LPAs discussed COVID 19 guidance and best practices with the Licensee. Licensee was reminded that it is Licensee's responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov. LPA and Licensee discussed safe sleep regulations. LPA provided a copy of new Safe Sleep Regulations and LIC 9227 Individual Infant Sleep Plan for Licensee to review. Licensee currently has two (2) infant age children enrolled for services.

In areas evaluated, there were no deficiencies cited during today's visit.

LPA provided Licensee with Notice of Site visit (LIC 9213) which was posted by the Licensee.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2021
LIC809 (FAS) - (06/04)
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