406210107-2-24-2020-17-CC-MKST-BM4UJ8-20200224143708

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406210107
Report Date: 02/24/2020
Date Signed: 02/24/2020 02:37:15 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:	ROSAS FAMILY CHILD CARE		FACILITY NUMBER:	406210107
ADMINISTRATOR:	MARIA ROSAS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 489-9276
CITY:	OCEANO	STATE: CA	ZIP CODE:	93445
CAPACITY:	14	CENSUS: 8	DATE:	02/24/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Maria Rosas		TIME COMPLETED:	02:40 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 2/24/20 at 1:50pm, Licensing Program Analyst (LPA) Melissa Stewart conducted an unannounced, Annual/random inspection and met with Licensee, Maria Rosas, whose primary language is Spanish. LPA informed Licensee that if they are unable to understand each other, LPA will contact the language translation service for assistance. Licensee stated that she understood. The purpose of the inspection was explained and the home was toured inside and out. All required forms are posted in a prominent location. At the time of inspection, there were 8 children (2 being infants) supervised by two assistants and Licensee. The family child care home operates on the first floor living room, dining area, converted garage and backyard of the home. LPA observed age appropriate toys, books and furnishings in the indoor activity area located in the garage. The bathroom used by children was observed to be clean and free of toxins. The upstairs is off limits and is made inaccessible by a child safety gate. There is an additional off limits room downstairs located through sliding glass doors which are kept locked. All hazardous items are stored inaccessible to children in care. Licensee stated there are no guns or ammunition in the home. Carbon monoxide and smoke detectors were tested and operational. LPA observed the 2 A10 BC fire extinguisher which was serviced on 4/30/19. Licensee was reminded to service or replace the fire extinguisher yearly. Licensee completes and documents emergency drills. The most recent drill was held on 1/7/20. Continued on 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020

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: ROSAS FAMILY CHILD CARE	FACILITY NUMBER: 406210107
	VISIT DATE: 02/24/2020

NARRATIVE

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Outdoors, LPA observed playhouse, slide, and small climbing structure with mats to cushion a fall. The backyard is completely fenced; there are no bodies of water. Licensee and Assistants are Pediatric CPR and first aid certified through 3/9/21. Licensee and Assistants have met SB 792 immunization requirement. LPA informed Licensee that the Mandated Reporter Training per AB 1207 is now available online in Spanish by selecting "settings" at the top of the first page: www.mandatedreporterca.com. Facility roster and a sample of children's records were reviewed and found complete. Licensee stated that there are no children enrolled who require medications at this time.

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: www.ada.gov/childqanda.htm

LPA reviewed and provided Licensee with Safe to Sleep brochure. LPA provided “Effects of Lead Exposure” brochure to be distributed to all families. 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. LPA guided Licensee through the process of signing up to receive important updates from Community Care Licensing Division via email.

In the areas evaluated, no deficiency cited.

LPA observed Licensee post the Notice of Site visit.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020

LIC809 (FAS) - (06/04)

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