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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406210335
Report Date: 07/22/2019
Date Signed: 07/23/2019 08:28:18 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:APODACA FCC AKA BUSY BEE DAYCAREFACILITY NUMBER:
406210335
ADMINISTRATOR:MARY APODACAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 481-8498
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY:14CENSUS: 6DATE:
07/22/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:May ApodacaTIME COMPLETED:
04:45 PM
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Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced annual/random and met with Licensee, Ms. Mary Apodaca and assistant. There were 6 children present, 3 being infants. The entrance to day care is separate from the home. The back yard is completely fenced. LPA observed age appropriate toys and play structure. There are no guns nor ammunition in the home. There are no bodies of water observed.

CPR and First Aid expires on 10/18/2020. Records of immunization is on file. AB 1207 Mandated Reporter Training was completed on 12/28/2018. Fire Extinguisher was last serviced on 1/31/2019. Carbon monoxide and smoke detectors were present and functional. Home conducts fire and disaster drill every month, last drill was conducted on 6/9/2019. Children's files were randomly reviewed and found complete. Home has current children's roster. LPA discussed the Safe Sleep Concept and the Effects of Lead Exposure. 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.
Licensee is not providing Incidental Medical Services (IMS) 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

During today's inspection, no deficiency was cited.

LPA observed licensee posted notice of site visit. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2019
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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