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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216272
Report Date: 07/14/2023
Date Signed: 07/14/2023 02:43:54 PM

Document Has Been Signed on 07/14/2023 02:43 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
CENTRAL COAST-CHILD, 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: 5DATE:
07/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:57 PM
MET WITH:Stacie Hildebrand and Jordan FarrellTIME COMPLETED:
03:00 PM
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On 07/14/23, at 12:57 PM, Licensing Program Analyst (LPA) Dixie Wright conducted an unannounced Required Annual inspection of this Family Child Care Home (FCCH). LPA met with Jordan Farrell, Assistant, and toured the interior and exterior of the FCCH. Assistant called the Licensee, Stacie Hildebrand, and Licensee arrived later during the visit. The main Day Care room is accessed through a side gate on the side of the house and is separate from the main home. The main Day care room has a bathroom and small kitchen area. There is a back room in the main home that is used as the nap room. The rest of the main home is excluded; LPA observed five children on site, all over two years old, and one assistant, (cleared and associated). LPA observed required licensing forms and documents posted on the wall near the entryway. The smoke detector and carbon monoxide detector are in the main day care room, smoke alarm tested at 1:21 PM and functioning, Carbon Monoxide tested at 1:36 PM and functioning. The FCCH has a regulation fire extinguisher, purchased on 03/08/2023. Licensee is aware to either service or purchase a regulation fire extinguisher annually. Last fire drill was done 06/01/2023. Facility hours are 7:30 AM to 4:30 PM Mon-Fri.

LPA observed age appropriate toys, furniture and equipment in the FCCH's interior. LPA observed the restroom used by children to be clean and free of toxins. Medications/vitamins, sharps and cleaning supplies are stored in the main house, not accessible to children.

The backyard is used for outdoor activities and is enclosed by wooden fencing. The footing is concrete and grass. Toys and play equipment observed on site are age appropriate. The fence’s entry/exit gate is secure. There is ample shade. There are no bodies of water observed on property.

Children's records were reviewed. The records are current, complete and possessed emergency contact information as well as immunization records. (CONT. LIC 809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Dixie Marie Wright
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2023
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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: HILDEBRAND FCC AKA THE BARNYARD PRESCHOOL
FACILITY NUMBER: 406216272
VISIT DATE: 07/14/2023
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Facility roster for children in care is current. The Licensee and Assistant's records were also reviewed. Assistant's Pediatric CPR and First Aid expires 02/25/2025 and Mandated Reporter training expires 03/22/2025. Licensee's Pediatric CPR and First Aid expires 03/04/2024 and Mandated reporter training expires 02/28.2024. Licensee stated no firearms or ammunition is stored on site.

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.

Licensee and Assistant were 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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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 are available at: https://www.ada.gov/resources/child-care-centers/. CONT on 809-C....
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Dixie Marie Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023
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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: HILDEBRAND FCC AKA THE BARNYARD PRESCHOOL
FACILITY NUMBER: 406216272
VISIT DATE: 07/14/2023
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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.

During the exit interview, Licensee Stacie Hildebrand confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights given.

Exit interview conducted and report was reviewed with the licensee Licensee Stacie Hildebrand.

No deficiencies noted at this visit.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Dixie Marie Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023
LIC809 (FAS) - (06/04)
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