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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406207484
Report Date: 02/19/2020
Date Signed: 02/19/2020 11:58:08 AM

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:ZARATE FCC AKA HAPPY FACE CHILD CAREFACILITY NUMBER:
406207484
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
02/19/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Nora ZarateTIME COMPLETED:
12:05 PM
NARRATIVE
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On 2/19/20 at 10:35am, Licensing Program Analyst (LPA), Melissa Stewart, conducted an unannounced annual/random inspection and met with Licensee, Nora Zarate. The purpose of the inspection was explained and the home was toured inside and out. Licensee's adult son was also present, but not assisting with the care of children. All required forms are posted in a prominent location. At the time of inspection, there were 5 children present.

The indoor activity area is located in the converted garage. LPA observed cubbies, age appropriate toys, books and furnishings. The bathroom used by children was observed to be clean and free of toxins. Three bedrooms are off limits and kept locked during operating hours. All hazardous items are stored inaccessible to children in care. Licensee stated there are no guns or ammunition in the home. Outdoors, LPA observed playhouse, riding toys, sensory table, side walk chalk and blocks. The backyard is completely fenced; there are no bodies of water.

Carbon monoxide and smoke detectors were tested and operational. LPA observed the 2 A10 BC fire extinguisher which was serviced today, 2/19/20. Licensee was reminded to service or replace the fire extinguisher yearly. Licensee completes and documents emergency drills. The most recent drill was held on 1/24/20. Facility roster and a sample of children's records were reviewed and found complete. LPA reviewed the log of parent signatures verifying that they have received the “Effects of Lead Exposure” brochure.
Continued on 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
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: ZARATE FCC AKA HAPPY FACE CHILD CARE
FACILITY NUMBER: 406207484
VISIT DATE: 02/19/2020
NARRATIVE
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Licensee's Pediatric CPR and first aid certification expired on 2/11/19. Licensee has met SB 792 immunization requirement. Licensee was advised that the Mandated Reporter Training per AB 1207 is now available in Spanish and should be completed within the next 45 days (on or before 4/4/20). Online training is available at: www.mandatedreporterca.com

Licensee is not providing Incidental Medical Services (IMS) at this time. 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: www.ada.gov/childqanda.htm

LPA reviewed and provided Licensee with Safe to Sleep brochure. Licensee was reminded that it is her responsibility to know the regulations for Family Child Care Home and was advised to review Quarterly Updates and Provider Information Notices (PINs) which can be accessed on-line at www.ccld.ca.gov. Licensee stated that she receives important updates from the Community Care Licensing Division via email.

See LIC 809-D for cited deficiencies in accordance with the California Code Regulations Title 22, Division 12 and/or Health and Safety Code. Appeal rights provided.


LPA observed Licensee post the Notice of Site visit.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: ZARATE FCC AKA HAPPY FACE CHILD CARE
FACILITY NUMBER: 406207484
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/28/2020
Section Cited

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Additional health and safety training- ...licensees of family day care homes shall ensure that at least one staff member who has a current course completion card in pediatric first aid and pediatric CPR issued by the American Red Cross, the American Heart Association, or by a training program that has been approved by the EMSA...
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This requirement is not met as evidenced by:

Based on review of Licensee's Pediatric CPR and First Aid card which expired on 2/11/19, Licensee failed to ensure that her CPR/First Aid certification is current which poses a potential risk to the health and safety of children in care.
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Licensee stated that she will complete the course on 3/28/20 and provide a photo of the certificate of completion to LPA via text, mail or email on or before 3/30/20. LPA provided Licensee with contact information.

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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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 02/19/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/19/2020
LIC809 (FAS) - (06/04)
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