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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216366
Report Date: 07/29/2024
Date Signed: 07/29/2024 12:42:38 PM

Document Has Been Signed on 07/29/2024 12:42 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:LARSON FCC AKA STEPPINGSTONE DAYCAREFACILITY NUMBER:
426216366
ADMINISTRATOR/
DIRECTOR:		CHEYENNE WILEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 896-6685
CITY:ORCUTTSTATE: CAZIP CODE:
93455
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
07/29/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Cheyenne LarsonTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On July 29, 2024, at 9:45 AM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Annual inspection of the above Family Child Care Home (FCCH). LPA met with Licensee, Cheyenne Larson and the two assistants; LPA discussed the purpose of the inspection. FCCH operates from Monday to Friday, 8:00 AM to 5:00 PM, Licensee cares for children ages 0 to 13 years of age.

During the inspection, LPA and Licensee toured the inside and outside of the home. Upon arrival, LPA observed 8 children playing in the backyard, 2 infants held by licensee and assistant. Inside the home, LPA observed that the basement, which was licensed for use as day care area, was closed. Licensee explained that the basement had been closed since 12/2023 due to termite infestation. The licensee stated that a termite company was hired to address the issue. The pest control measures included the tenting and installing bait stations every 15 feet throughout the home to trap the termites for the duration of the year. FCCH continues to use the living room, dining, kitchen, family room (day care activity room).
Licensee stated that there are no gun and ammunition in the home. LPA advised Licensee to submit an updated facility sketch omitting the basement as a day care area.

Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2024
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: LARSON FCC AKA STEPPINGSTONE DAYCARE
FACILITY NUMBER: 426216366
VISIT DATE: 07/29/2024
NARRATIVE
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Bathroom for children’s use is free of toxins. Smoke and carbon monoxide detectors were observed, the regulation fire extinguisher was purchased on 1/22/2024. Age-appropriate toys, book, cots, play pens and equipment were observed inside the home. LPA reviewed the facility file and found that the Pediatric CPR and First Aid certificate expires on 1/11/2025 while Mandated Reporter Training expires on 1/6/2026. All staff have current CPR and AB1207 certificates. LPA reminded Licensee and assistants of their responsibility to renew the required training. Children’s records were reviewed and found complete.

Licensee checks and logs sleeping infant every 15 minutes. The Individual Safe Sleep Plan was filled out for infants 0-12 months old. FCCH conducts and logs the fire and disaster drills every 4 months, last drill was conducted on 7/8/2024.

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.

Continued on LIC 809C

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

DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2024
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: LARSON FCC AKA STEPPINGSTONE DAYCARE
FACILITY NUMBER: 426216366
VISIT DATE: 07/29/2024
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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, 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.

LPA 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, Cheyenne Larson 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.

Continued on LIC 809C

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

DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2024
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: LARSON FCC AKA STEPPINGSTONE DAYCARE
FACILITY NUMBER: 426216366
VISIT DATE: 07/29/2024
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During the exit interview, the LICENSEE, Cheyenne Larson confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.


During today’s inspection no deficiency was cited.

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, Cheyenne Larson

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

DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2024
LIC809 (FAS) - (06/04)
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