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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426214212
Report Date: 09/28/2021
Date Signed: 09/28/2021 01:23:58 PM

Document Has Been Signed on 09/28/2021 01:23 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:BREWER FCC AKA TLC CHILD CAREFACILITY NUMBER:
426214212
ADMINISTRATOR:BREWER, SARAHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 200-7499
CITY:SANTA BARBARASTATE: CAZIP CODE:
93103
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
09/28/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Sarah BrewerTIME COMPLETED:
01:30 PM
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On September 28, 2021, at 11:25 AM, Licensing Program Analyst (LPA) S. Mendoza-Ceja conducted an unannounced Required 1 Year Inspection. LPA met with Licensee Sarah Brewer. LPA conducted a risk assessment for COVID-19, prior to entry into the home. Licensee is providing care to 6 children. LPA observed 5 children on the yard having lunch, one child was napping inside the home. Licensee escorted LPA through the home. The home was observed to be clean, orderly, and appropriately furnished for young children. LPA observed the COVID-19 posters posted for review. Licensee stated the children have access to the living room, dinning area, and restroom including the backyard. Licensee stated the bedrooms and garage are off limits to day care children. LPA placed gate to the bedrooms making them inaccessible to day care children. There is no access to the garage from inside the home. Licensee stated she conducts temperature checks and risk assessment of the children upon arrival following the guidelines of COVID-19. There are two 2A10 BC fire extinguishers in the home which were serviced on 06/02/2021. Licensee is reminded the 2 A10 BC fire extinguisher need to be serviced or replaced yearly. There is a carbon monoxide detector and smoke detector in the home. LPA discussed firearms and ammunition, Licensee stated there are no guns and ammunition in the home or bodies of water on the premises. LPA did not observe any bodies of water on the premises. During the inspection, Licensee stated today there was a plumbing issue where the water backing up into the bathtub. LPA inspected the area and advised licensee to make the area off limits. Licensee stated the children in care are in diapers and are being potty trained and use a portable potty chair which she states she cleans after each use. The hand washing sink is available to children.

LPA reviewed five children files for emergency information. LPA reviewed and provided handouts for Regulation 102425 and discussed infant care with Licensee, including Individual Infant Sleeping Plan (LIC9227) and Sleeping Chart. LPA reviewed the Child Abuse Mandated Reporter Training for Sarah Brewer which was completed on 05/09/2018. Licensee stated Thadeous Brewer's Child Abuse Mandated Reporter Training is also be expired. Licensee is reminded the Child Abuse Mandated Reporter training is required to be updated every two years following the date on which he/or she completed the initial training. Licensee Sarah Brewer has current Child, Infant and Adult CPR and First Aid (expires 02/27/2023).
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2021
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: BREWER FCC AKA TLC CHILD CARE
FACILITY NUMBER: 426214212
VISIT DATE: 09/28/2021
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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: http://www.ada.gov/childqanda.htm.


The following Type B deficiency is cited according to CCR, Title 22, Division 12 in regards to the Child Abuse Mandated Reporter Training. Appeal Rights were reviewed. An exit interview was conducted with Licensee.

Failure to post the "Notice of Site Visit" for 30 days may result in a $100.00 civil penalty,
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/28/2021 01:23 PM - It Cannot Be Edited


Created By: Sylvia Mendoza-Ceja On 09/28/2021 at 12:58 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: BREWER FCC AKA TLC CHILD CARE
FACILITY NUMBER: 426214212

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/28/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/04/2021
Section Cited
HSC
1596.8662(b)(1)

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On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider...of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she
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Please submit verification to the Department for review by 10/04/2021
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completed the initial mandated reporter training.
This violation was evidenced by:
Review of records and interview which revealed Licensee's Sarah Brewer and Thadeuous Brewer's Child Abuse Mandated Reporter training was expired and was not renewed as required.
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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:Ana Tolentino
LICENSING EVALUATOR NAME:Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE:
DATE: 09/28/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/28/2021


LIC809 (FAS) - (06/04)
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