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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406210093
Report Date: 07/18/2019
Date Signed: 07/18/2019 04:23:02 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:LARA FAMILY CHILD CAREFACILITY NUMBER:
406210093
ADMINISTRATOR:LUZ MARIA LARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 473-9548
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY:14CENSUS: 5DATE:
07/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Luz Maria LaraTIME COMPLETED:
04:28 PM
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Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced annual/random and met with licensee, Ms. Luz Maria Lara. The purpose of the visit was discussed. There were 5 children present during the inspection. The home was toured inside and out, there were 3 bedrooms and 2 baths. Living room is used for day care, garage was converted to day care area. There are no bodies of water observed. Licensee stated there are no guns nor ammunition.

CPR and First Aid expires on 9/4/2019. Fire extinguisher was serviced on 2/8/19. The carbon monoxide and smoke detectors were tested and found functional. The cleaning compound, knives and other hazardous items are kept inaccessible to children in care. Licensee and assistant met the SB 792, immunization records are on file. All the required forms are posted in the prominent location. Fire and disaster drill are conducted and logged, last drill was conducted on 6/11/2019. LPA discussed the Safe Sleep Concept and provided flyer for "The Effects of Lead Exposure" for distribution to parents of day care children.

Licensee does not provide Incidental Medical Services (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: http://www.ada.gov/childqanda.htm

Licensee was reminded that it is her responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov.



LPA observed licensee post the Notice of Site visit.
FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

Inspection was translated in Spanish by licensee's daughter Jessica Lara

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019
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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