406210107-6-20-2024-17-CC-JMEZ-D6EV2C-20240620160254

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406210107
Report Date: 06/20/2024
Date Signed: 06/20/2024 04:03:04 PM

Document Has Been Signed on 06/20/2024 04:03 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:	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: 6	DATE:	06/20/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Maria Irma Rosas		TIME COMPLETED:	04:15 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 June 20, 2024 at 1:40 PM, Licensing Program Analysts (LPAs) Joaquin Mendez and Elvin Baddley conducted an unannounced Required Inspection of the facility. LPA met with Maria Irma Rosas, Licensee of the FCCH and explained the purpose of the inspection. LPA in the company of the Licensee, toured the interior and exterior of the home. This is a two (2) story home with four (4) bedrooms, three (3) bathrooms, dining room, kitchen, living room, and garage. Licensee stated that children have access to the living room, kitchen, dining room, garage and backyard, while second floor and all the bedrooms are off limits to the children in care. During the time of the inspection, Licensee was caring for six children along with her sister/assistant, Ana Real. LPA observed 6 children total (3 grandchildren and 3 children) in the home at the time of inspection. LPA observed required forms posted in the walls of the garage. The day care room has plenty manipulative and material for children in care. LPA observed smoke and carbon monoxide detectors in the facility and were tested at 2:25PM and were functioning at time of inspection. Licensee stated her home has an alarm system with ADT and they come out every three (3) months to check the system which includes carbon monoxide detector and smoke detector. The home has a regulation fire extinguisher which was serviced on 4/07/24. LPA reminded Licensee that fire extinguisher needs to be either service or purchase annually. The home maintains working telephone services. LPA observed a small gate located at the bottom of the stairway making the second floor inaccessible to children in care. LPA observed all cleaning supplies stored in the garage in a high cabinet that is inaccessible to children in care. The facility is orderly, clean and has ventilation for childcare services. The restroom used for children was found to be clean and orderly. Medication in the facility is stored in the garage in a high cabinet and also in the Licensee’s bedroom, both areas are inaccessible to children in care. Toys and equipment observed in the facility are age appropriate.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 682-7647
LICENSING EVALUATOR NAME: Joaquin Mendez	TELEPHONE: (805) 951-0654
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ROSAS FAMILY CHILD CARE	FACILITY NUMBER: 406210107
	VISIT DATE: 06/20/2024

NARRATIVE

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Licensee stated that children have access to the backyard for outdoor play. Licensee stated that children are always supervised when playing in the backyard. LPA reminded Licensee of the importance of having direct supervision when children are engaged in outside play. No bodies of water were observed on site. Licensee stated there are no guns or ammunition in the facility.
A sampling of the children's record were reviewed and found to have current and up to date with emergency information cards. The Licensee's has current Mandated Reporter training certificate that expires 8/02/24. LPA reminded Licensee that Mandated Reporter training certificate must be updated every two (2) years. Licensee has current CPR and First Aid certifications that will be expired 1/12/25. Last emergency drill was conducted on 3/19/24. LPA's reminded Licensee that emergency drills are required every six (6) months and need to be documented.

Licensee Maria Irma Rosas 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.

During the exit interview, the Licensee Maria Irma Rosas, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

The Licensee is not providing Incidental Medical Services (IMS). 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/. MyChildCarePlan.
Licensee Maria Irma Rosas 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.

Continue on 809C pg3

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 682-7647
LICENSING EVALUATOR NAME: Joaquin Mendez	TELEPHONE: (805) 951-0654
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ROSAS FAMILY CHILD CARE	FACILITY NUMBER: 406210107
	VISIT DATE: 06/20/2024

NARRATIVE

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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 inspectionprocess@dss.ca.gov. 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.

LPA discussed safe sleep regulations and Individual Infant Sleep Plan LIC 9227. Licensee stated that she was aware of the new sleep regulations. Licensee was reminded that it is Licensee's responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov. LPA and Licensee discussed safe sleep regulations. Licensee stated that she just took a course through her local resource and referral on the new safe sleep regulations.

In areas evaluated, there were no deficiencies cited during today's visit.
A notice of site visit was given and must remain posted for 30 days.

Report was read to Licensee, Maria Irma Rosas in Spanish.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 682-7647
LICENSING EVALUATOR NAME: Joaquin Mendez	TELEPHONE: (805) 951-0654
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024

LIC809 (FAS) - (06/04)

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