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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216634
Report Date: 08/06/2024
Date Signed: 08/06/2024 02:03:21 PM

Document Has Been Signed on 08/06/2024 02:03 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:ECKMAN FAMILY CHILDCAREFACILITY NUMBER:
406216634
ADMINISTRATOR/
DIRECTOR:		KATIE ECKMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 264-5687
CITY:SAN MIGUELSTATE: CAZIP CODE:
93451
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
08/06/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Katie EckmanTIME VISIT/
INSPECTION COMPLETED:
02:10 PM
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On 8/6/2024 at 11:45 AM, Licensing Program Analysts (LPAs) Gigi Reyes and Shane Loftus conducted an unannounced Annual inspection at the above Family Child Care Home (FCCH). LPAs met with Licensee, Katie Eckman. LPA discussed the purpose of the inspection. FCCH operates Monday to Friday, 7:00 AM to 4:30 PM. Licensee cares for children 0-12 years old.

During the inspection, LPAs and Licensee toured the inside and outside of the home. LPAs did not observe any children in care. Licensee stated that the 2 families she is caring for are on vacation.

The home is a three bedroom dwelling with one bathroom. FCCH uses the living room, bathroom and fenced front yard for day care. Visual and physical supervision are required while children are in the play yard. All 3 bedrooms, kitchen and backyard are off limits. LPAs observed that licensee has birds, chicken and 2 dogs. Bathroom for children’s use is free of toxins. Smoke and carbon monoxide detectors were observed, the regulation fire extinguisher was serviced on 6/20/2023. Age-appropriate toys, book, cots, and equipment were observed inside the home. LPAs observed toys and play equipment in the front yard.

Continued on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: ECKMAN FAMILY CHILDCARE
FACILITY NUMBER: 406216634
VISIT DATE: 08/06/2024
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LPAs reviewed the facility file and found that the Pediatric CPR and First Aid certificate expires on 3/29/2026 while Mandated Reporter Training expires on 1/6/2026. LPAs reminded Licensee of their responsibility to renew the required training. Children’s records were reviewed and found that the Licensee checks the napping infant every 15 minute but did not continue documenting it for infant up to 24 month old. The Individual Safe Sleep Plan was filled out for infants 0-12 months old. LPAs reminded licensee that documenting of napping infant is for up to 24-month-old infant. Licensee stated that FCCH conducts and documents fire and disaster drill every 6 months, last drill was conducted in February 13, 2024.

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, was 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.

Continued on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
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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: ECKMAN FAMILY CHILDCARE
FACILITY NUMBER: 406216634
VISIT DATE: 08/06/2024
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LPAs discussed the safe sleep regulations with licensee, Cheyenne 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.

LPAs also informed licensee, 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.

The FCCH is not providing Incidental Medical Services (IMS). 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee, Katie Eckman was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE, Katie Eckman confirmed that there are no Registered Sex Offenders living in the facility and LPAs completed the RSO profile in FAS.

During today’s inspection, deficiency was cited, and Technical Violation and Assistance were issued. A notice of site visit was given to Licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.


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

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
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Document Has Been Signed on 08/06/2024 02:03 PM - It Cannot Be Edited


Created By: Gigi Reyes On 08/06/2024 at 01:17 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ECKMAN FAMILY CHILDCARE
FACILITY NUMBER: 406216634

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation the licensee did not comply with the section cited above, FCCH fire extinguisher was last serviced on 6/20/2023 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/16/2024
Plan of Correction
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Licensee agreed to submit proof of purchase or service receipt of the 2 A10 BC fire extinguisher to CCL no later than 8/16/2024. During the insepction Licensee contacted Fire Safety company and scheduled to service the regulatoin fire extinguisehr today
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 08/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/06/2024


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