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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566213862
Report Date: 06/17/2021
Date Signed: 06/17/2021 11:38:51 AM

Document Has Been Signed on 06/17/2021 11:38 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:LOWE FCC AKA COLLEEN'S LITTLE RUGRATSFACILITY NUMBER:
566213862
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
06/17/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Colleen LoweTIME COMPLETED:
11:47 AM
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On 6/17/2021, Licensing Program Analysts (LPAs) Austin Rios and Francisco Pedroza met with Licensee Colleen Lowe and explained the purpose of the visit. LPA conducted a Pre-screening with licensee prior to entering the FCCH. All responses indicated non COVID-19 exposure. Licensee had four children in care at the time of the inspection. Together the LPAs and licensee toured the home inside and outside.

Licensee uses the family room, dining room, kitchen, three bedrooms, hall bathroom, and back yard for day-care. The garage is inaccessible to the children. On 6/3/2021 Ventura County Fire Department conducted an inspection. Fire-Clearance was granted on 6/3/20221. The 2A10BC regulation fire extinguisher was purchased on 5/30/2021. Toxins and hazards are inaccessible to the children. There are age appropriate toys and day-care equipment in the home. The fenced back yard has age appropriate toys and day-care equipment. LPA advised licensee must provide visual supervision while the children are playing both inside the home and outside in the backyard. Licensee stated that there are no firearms or ammunition in the facility. LPA did not observe any bodies of water in the home. First Aid/CPR certificates is valid until 2/2022. AB 1207 Mandated Reporter Training Certificate expires 4/14/2022.

LPA discussed and verified 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 are prohibited from licensed facilities.

LPA Rios reviewed COVID-19 guidelines/resources with Licensee. LPA also reminded Licensee of the new child care regulations for infants and to continue monitoring the CCLD website at www.ccld.ca.gov for updates.



Cont. on 809 C.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE: DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/17/2021
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: LOWE FCC AKA COLLEEN'S LITTLE RUGRATS
FACILITY NUMBER: 566213862
VISIT DATE: 06/17/2021
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Facility license will be a large family childcare effective today, June 17, 2021 for a capacity of 14 children.

A copy of this report was reviewed and provided to the licensee.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021
LIC809 (FAS) - (06/04)
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