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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216272
Report Date: 07/28/2022
Date Signed: 07/28/2022 11:27:18 AM

Document Has Been Signed on 07/28/2022 11:27 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:HILDEBRAND FCC AKA THE BARNYARD PRESCHOOLFACILITY NUMBER:
406216272
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
07/28/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Stacie HildebrandTIME COMPLETED:
11:38 AM
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On July 28, 2022 at 9:25 AM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an announced Prelicensing inspection. LPA met with applicant Stacie Hildebrand and advised her the purpose of the inspection. Applicant provided LPA a tour of the home inside and out. There was no children in care at the time of the inspection.

Applicant has a one story home. There are three (3) bedrooms. The three (3) bedrooms will be off-limits. Applicant will be using the living room, dining room, sun room, kitchen, studio, and backyard for children in care. Children will primarily be provided care in the studio. Parents will have their own access on the side gate. LPA observed a fire place in the living room with a metal screen preventing children from having access. LPA did not observe any toxins/hazardous items accessible to children. Applicant stores their cleaners in the cabinet under the sink properly secured. A regulation 2A10BC fire extinguisher purchased on 8/27/21 was in the cabinet easily accessible. Applicant is reminded to service or purchase the fire extinguisher yearly. There are age appropriate toys and day-care equipment in the home. The back yard has age appropriate toys and day-care equipment. The backyard is enclosed with a wooden fence. LPA observed sufficient shade for children to have access to. LPA spoke with applicant about supervision and accountability. LPA advised applicant must provide visual supervision while the children are playing outside in the backyard.

Preventative Health & Safety and Nutrition Training completed on 4/21/22. Applicant First Aid/CPR certificates is valid until 3/26/24. Applicant AB 1207 Mandated Reporter Training Certificate expires 2/28/24. Applicant stated they do not have firearms and ammunition in the home. Currently the applicant does not have liability insurance and will be looking into possibly getting some. LPA informed applicant that she will need parents to sign a waiver for the liability insurance should she not get the liability insurance.

Continued on 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: HILDEBRAND FCC AKA THE BARNYARD PRESCHOOL
FACILITY NUMBER: 406216272
VISIT DATE: 07/28/2022
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Applicant provided mortgage statement to verify control of property. LPA discussed and verify SB 792 (Child Care Employee and Volunteer: Immunization and Tuberculosis Requirements). Applicant was informed walkers, bouncers and any similar object that restricts children's movement is prohibited from licensed facilities.

LPA reviewed, discussed and gave applicant updated samples of state required forms to be kept in the children's file, required forms to be posted and forms that needs to be maintained at the Family Child Care Home (FCCH). Applicant was made aware that it is her responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.cdss.ca.gov.

No deficiencies cited during today's inspection. License to operate a Small Family Child Care facility is effective today July 28, 2022.

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, 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.

LPA discussed the safe sleep regulations with applicant 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 [applicant, licensee, or facility representative] 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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information , see PIN 22-02-CCP. 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
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
LIC809 (FAS) - (06/04)
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