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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216010
Report Date: 02/24/2025
Date Signed: 02/24/2025 03:05:14 PM

Document Has Been Signed on 02/24/2025 03:05 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CHAPMAN FCC AKA POSYFACILITY NUMBER:
426216010
ADMINISTRATOR/
DIRECTOR:		ALEXIS CHAPMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(503) 508-4244
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY: 14TOTAL ENROLLED CHILDREN: 3CENSUS: 2DATE:
02/24/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:41 PM
MET WITH:Alexis ChapmanTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
NARRATIVE
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On February 24, 2025, at 12:41 PM, Licensing Program Analyst (LPAs) Bill Billones and Giovani Gonzalez conducted an unannounced Required 3-Year inspection of the abovementioned Family Child Care Home (FCCH). LPAs met with Alexis Chapman, Licensee, and informed them of the purpose of the visit. LPAs, in the company of the Licensee toured the interior and exterior of the facility and observed required documents posted in a prominent and publicly accessible area of the facility. The LIC 610A Emergency Disaster Plan and Earthquake Preparedness Checklist were not posted. The hours of operation are from 8:00 AM to 4:00 PM, Monday - Thursday. During the inspection, LPAs observed two (2) children in care, along with Licensee providing supervision. Adults present in the home were associated and cleared.

The FCCH operates out of one play room, a dining room, and an outdoor play area and the rest of the home is excluded from child care. The bathrooms are not used for child care due to the Licensee caring for infants. The rooms used for child care were observed to be appropriately furnished. The kitchen is made inaccessible to children in care with latched gates. Licensee states the changing tables are cleaned daily. LPAs observed adequate amount of cribs. Soiled laundry is stored in a sealed container and made inaccessible to children in care. The outdoor yard area is enclosed by wooden fencing and is secure. Outdoor furnishings, toys, and equipment are age appropriate.

LPAs observed a carbon monoxide detector and a smoke alarm which were both tested at 12:59 PM and found to be operable. Disinfectants, cleaning solutions, and sharps are made inaccessible to children in care. Licensee states medications are stored in Licensee's bedroom and made inaccessible to children in care. Licensee notes no firearms or ammunition are stored on site. LPAs observed a regulation fire extinguisher (2A10BC) that was last serviced on 9/7/2022. LPAs note the last fire drill was conducted on 3/8/2024. No bodies of water were observed on grounds.

Continued on 809-C
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Bill-Brian Billones
LICENSING EVALUATOR SIGNATURE: DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 02/24/2025 03:05 PM - It Cannot Be Edited


Created By: Bill-Brian Billones On 02/24/2025 at 01:57 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: CHAPMAN FCC AKA POSY
FACILITY NUMBER: 426216010

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(9)(A)
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: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.

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 was which poses/posed a potential health, safety or personal rights risk to persons in care. LPAs note last emergency diaster fire drill was conducted on 3/18/2024.
POC Due Date: 03/10/2025
Plan of Correction
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Conduct fire and disaster drills per regulation and submit proof to Licensing Program Analyst at [email protected].
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee 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 completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Licensees' mandated reporter certificate completed on 10/7/2020 (expired).
POC Due Date: 03/10/2025
Plan of Correction
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Licensee to complete mandatory mandated reporter training and submit proof to Licensing Program Analyst at [email protected].
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:Bill-Brian Billones
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


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Document Has Been Signed on 02/24/2025 03:05 PM - It Cannot Be Edited


Created By: Bill-Brian Billones On 02/24/2025 at 01:57 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: CHAPMAN FCC AKA POSY
FACILITY NUMBER: 426216010

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care. Pediatric first aid and CPR training was completed on 5/25/2022.
POC Due Date: 03/10/2025
Plan of Correction
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Licensee to complete mandatory pedatric first-aid/CPR training and submit proof to Licensing Program Analyst at [email protected].
Type B
Section Cited
CCR
102425(j)(2)(D)(c)
Infant Safe Sleep
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care. LPAs observed sleep logs had last been documented in January 2025.
POC Due Date: 03/10/2025
Plan of Correction
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Licensee to conduct and document sleep logs and submit last two weeks of sleep logs to Licensing Program Analyst at [email protected].
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:Bill-Brian Billones
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2025


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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: CHAPMAN FCC AKA POSY
FACILITY NUMBER: 426216010
VISIT DATE: 02/24/2025
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A sampling of children and staff records were reviewed. The children’s records were found to be complete and contained all necessary documents. All infant’s files had an Individualized Infant Sleep Plan. The 15 minute sleep chart was last documented in January 2025. Licensees' pediatric CPR and First Aid certification was found to be expired and last taken on 5/25/2022. Licensees' Mandated Reporter certification was expired and last taken on 10/7/2020. Director was reminded to keep training certifications current and updated prior to expirations.

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 [email protected]. 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.

LPAs 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. LPAs 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.

Incidental Medical Services (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/.


Continued on 809-C
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Bill-Brian Billones
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
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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: CHAPMAN FCC AKA POSY
FACILITY NUMBER: 426216010
VISIT DATE: 02/24/2025
NARRATIVE
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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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

Four Type B deficiencies were cited during today’s visit. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Alexis Chapman.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Bill-Brian Billones
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
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