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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406209618
Report Date: 09/28/2026
Date Signed: 09/28/2026 10:58:23 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 09/28/2026 10:58 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:KELMIS FCC AKA LITTLE PRESCHOOL ON PRAIRIEFACILITY NUMBER:
406209618
ADMINISTRATOR/
DIRECTOR:		MARIE KELMISFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 835-3542
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
09/28/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Marie KelmisTIME VISIT/
INSPECTION COMPLETED:
11:40 AM
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On 9/28/26, at 9:40 AM, Licensing Program Analyst (LPA) Matthew Sapien conducted an unannounced annual random inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Marie Kelmis, the Licensee of the FCCH, and explained the purpose of the inspection. The LPA, in the company of Licensee, toured the FCCH throughout its entirety. The home contains 3 bedrooms and 2 bathrooms and is single story. The areas that are accessible for day care children are the following: family room (primary playroom), one guest bedroom (changing area), one bathroom, and backyard (two sizable play areas and one outdoor classroom). The remainder of the home is excluded from childcare services. Inaccessible areas and rooms are made secure by locks and gates. At the time of the inspection, LPA observed 9 children present, three of whom were infants. In addition to the Licensee, LPA also observed the Licensee's husband present helping with the care and supervision of children (cleared and associated through Guardian).

LPA observed the FCCH to be clean and in order. The bathroom, utilized for childcare, was found to be clean and free of toxic items. LPA observed the bathroom cabinets to possess child safety locks. Shelving in the bathroom contained some lighter cleaning supplies. More cleaning supplies were observed in a locked cabinet beneath the kitchen sink. Personal medications are stored among elevated kitchen cabinets and within an elevated lock box in the changing room. Sharps are placed within elevated kitchen cabinets.

LPA observed age-appropriate toys, furnishings, and equipment throughout the interior of the day care. LPA observed no fireplaces within the household. LPA did observed 2 cats present on the property. Licensee informed LPA that the pets are current on vaccinations and don't have interactions with day care children. LPA observed relevant licensing forms and documents posted prominently to a wall in the primary playroom. LPA observed various carbon monoxide and smoke detectors throughout the residence. (CONT. 809-C, Page 2)

Maria Mueller
Matthew Sapien
DATE: 09/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: KELMIS FCC AKA LITTLE PRESCHOOL ON PRAIRIE
FACILITY NUMBER: 406209618
VISIT DATE: 09/28/2026
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Near the bathroom, a detector was tested at 10:00 AM and was found to be operable. LPA observed a regulation fire extinguisher in the FCCH which was purchased on the following date: 12/27/25. LPA reminded the Licensee to service or purchase a regulation fire extinguisher each year. LPA reviewed the FCCH's fire and earthquake drill log. The most recent drill occurred on the following date: 7/1/26. Licensee informed LPA that disaster drills are conducted every few months.

As aforementioned, the backyard is accessible to day care children. The FCCH's outdoor areas are enclosed by secure wooden fencing. Like the interior of the FCCH, the outdoor areas have age-appropriate play structures, toys, and other equipment throughout the areas that can afford for healthful childcare services. Licensee was reminded to replace toys and play equipment which start to degrade or are not in good repair. The footing of the exterior is made up of the following surfaces: concrete pavement, rock, sand, and dirt. In the backyard area, LPA observed various large sun sails, trees, and sizable metal overhang structures that can offer ample shade for children in care. LPA observed no bodies of water on site and confirmed this with the Licensee. LPA did, however, observe a few water tables in the backyard. LPA reminded the Licensee of safe practices when it comes to water table use. In the backyard, LPA also observed an enclosed sun room that has been converted to an outdoor classroom. Within the outdoor classroom, LPA observed a number of containers and cabinets that solely possessed items and equipment related to the FCCH. Licensee attested to LPA that children are always supervised when engaged in outside activity. LPA reminded the Licensee to inspect the outdoor area prior to letting children outside in order to ensure safety for children in care.



LPA reviewed children's records. The records were found to be current, complete, and possessed emergency contact information and vaccination records, among other relevant licensing documents and forms. Licensee's records were also reviewed by the LPA. LPA found that the Licensee completed their CPR/First Aid Training (EMSA approved) on 8/7/25 (expiration 8/7/27) and their Mandated Reporter Training on 9/24/26 (expiration 9/24/28). Licensee was reminded to renew certifications and training prior to expiration dates. Licensee informed LPA that there are currently no firearms and ammunition that are present throughout the property.

Currently, the Licensee does provide Incidental Medical Services (IMS) and/or administers medication to children in care. LPA reviewed storage of medication equipment, medication, supplies, and also reviewed children’s, personnel, and administrative records. IMS policy was discussed. For IMS information see PIN 22-02CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Family Child Care Homes and the ADA, available at: http://www.ada.gov/childqanda.htm. (CONT. 809-C, Page 3)

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Matthew Sapien
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2026
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: KELMIS FCC AKA LITTLE PRESCHOOL ON PRAIRIE
FACILITY NUMBER: 406209618
VISIT DATE: 09/28/2026
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LPA discussed the safe sleep regulations with Licensee 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. Important to note, the Licensee offers care for children 24 months and under, however, due to the FCCH's hours of operations napping periods do not take place the facility. The facility currently closes at 11:30 AM each day. 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.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

During today's inspection, no deficiencies were issued.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility when the LPA completed an RSO profile in FAS on 9/28/26.

A notice of site visit was given and must remain posted for 30 days. Appeal rights were also given to the Licensee and signature on this form acknowledges receipt of these rights. Exit interview was conducted and report was reviewed with the Licensee, Marie Kelmis.

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Matthew Sapien
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2026
LIC809 (FAS) - (06/04)
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