406207484-10-26-2021-17-CC-FVEZ-C86TQ3-20211026145517

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406207484
Report Date: 10/26/2021
Date Signed: 10/26/2021 02:55:20 PM

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 CARE		FACILITY NUMBER:	406207484
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 5	DATE:	10/26/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	01:35 PM
MET WITH:	Nora Zarate		TIME COMPLETED:	03:05 PM

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On 10/26/2021, at 1:35 PM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced Case Management - Other inspection of the facility for a change of capacity. Prior to entering the facility, LPA conducted COVID-19 questionnaire and based on Licensee’s responses it was determined that the home is safe of any COVID-19 exposures. LPA met with Nora Zarate, Licensee of the facility and explained the nature and purpose of the inspection. At the time of this inspection, the Licensee was caring for five (5) children.

LPA and Licensee conducted a tour of the interior and exterior of the facility. LPA observed the facility's interior and exterior to be free of hazardous materials and/or toxins which would pose a danger to the children in care. LPA observed that cleaning supplies/toxins, medications and sharps are stored in high cabinets with safety latches, making all these items inaccessible to children in care. No bodies of water were observed. Licensee reported that there are guns and ammunition in the facility. LPA observed that guns and ammunition are stored in Licensee's bedroom that is locked and inaccessible to children. LPA observed Licensee open the door to her bedroom by using a key. LPA observed that guns are stored in a large safe that requires a numerical code to open. LPA observed that ammunition is stored in a separate locked box in the bedroom. LPA observed that guns and ammunition are not stored together.

LPA reviewed Licensee’s First Aid/ CPR certification which is current and expires on 04/23/2022. Mandated Report Training is current and expires 03/29/2022. LPA observed a regulation fire extinguisher that was serviced on 02/18/2021. LPA observed a smoke detector and carbon monoxide detector in the hallway of the facility. Detectors were tested at 1:45 PM and were operable during this inspection.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2021

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: ZARATE FCC AKA HAPPY FACE CHILD CARE	FACILITY NUMBER: 406207484
	VISIT DATE: 10/26/2021

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On 10/11/2021, the Licensee submitted documentation for a change of capacity. The Licensee is seeking to change the capacity of her license from 8 (Small license) to 14 (Large license). The San Luis Obispo County Fire Department granted a fire clearance on 10/20/2021.

LPA observed that COVID-19 documents are posted in the facility and Licensee stated that the facility continues to follow all COVID-19 guidance.

Exit interview was conducted with Licensee, Nora Zarate. Notice of site visit was printed and posted by Licensee prior to LPA leaving the facility. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

The home meets Title 22 Division 12 California Code of Regulations requirements for a Large Family Child Care Home (FCCH). Effective date of license is 10/26/2021.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2021

LIC809 (FAS) - (06/04)

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