406211177-3-23-2022-17-CC-FVEZ-CCSUUS-20220323155400

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406211177
Report Date: 03/23/2022
Date Signed: 03/23/2022 03:54:08 PM

Document Has Been Signed on 03/23/2022 03:54 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	MENDOZA FCC AKA LITTLE STARS CHILDREN DAYCARE		FACILITY NUMBER:	406211177
ADMINISTRATOR:	YADIRA MENDOZA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 674-9691
CITY:	PASO ROBLES	STATE: CA	ZIP CODE:	93446
CAPACITY:	14	CENSUS: 11	DATE:	03/23/2022
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Yadira Mendoza		TIME COMPLETED:	03:00 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 3/23/22, at 12:30 PM Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced Required inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Yadria Mendoza, Licensee of the FCCH and explained the nature and purpose of the inspection. LPA notes eleven (11) children are on site along with Assistant, Aregelia Olvera. LPA, in the company of the Licensee, toured the exterior and interior of the FCCH. The home’s living room, one bedroom, bathroom and part of the back yard are used for child care services, while the kitchen, formal living room, garage, part of the back yard and the entire second floor are excluded from services. LPA notes that two child safety gates block off the kitchen and formal living room. LPA notes that a safety gate is located on the first step of the stairway, making the entire second floor inaccessible to children in care. The daycare areas in the FCCH are clean, orderly and has ventilation to afford for the children’s comfort and safety. Medication in the FCCH is stored in a cabinet in the kitchen that is elevated. Sharps are stored in the same kitchen cabinet. LPA notes cabinet is located in the kitchen which is inaccessible to children and cabinet also has a safety lock. Cleaning compounds were observed to be stored under the sink in the restroom and under the sink in the kitchen, both areas are locked and inaccessible to children in care. Laundry detergents are stored in the laundry room in an elevated shelve. Laundry room was observed to be locked during this inspection. All areas were observed to be inaccessible to children in care. Toys, furniture and equipment observed in the FCCH are age appropriate. Required forms are posted on the FCCH living room wall. The FCCH has smoke and carbon monoxide detectors. Detectors were not tested due to children napping during the time of this inspection. Licensee stated that detectors are checked monthly to ensure the detectors are operational. The FCCH has a regulation fire extinguisher which was serviced on 1/3/22. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill documentation. The last drill was completed on 3/8/22. CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2022

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: MENDOZA FCC AKA LITTLE STARS CHILDREN DAYCARE	FACILITY NUMBER: 406211177
	VISIT DATE: 03/23/2022

NARRATIVE

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LPA observed that the backyard is sectioned off into two (2) sections. One section is accessible to children and the other section is not accessible to children in care. LPA observed the children's backyard to have plenty of age appropriate toys and furniture for the children. LPA notes that shade is provided by means of sunshade mesh that has been added to the yard. LPA observed bodies of water on site. Facility has underground pool. LPA notes that pool is located in the section of the backyard that is not accessible to children. LPA observed that the pool is completely fenced and has two doors that are locked and automatically lock when doors are open. LPA notes that children can not visually see the pool or have any access to the pool.

A sampling of the children's records were reviewed. The records are current, complete and possessed emergency contact information. LPA also reviewed documentation noting the children's sleep in 15 minute intervals. The Licensee's records were also reviewed and found to be current. Pediatric CPR and First (EMSA approved) expires 9/23/23 and Mandated Reporter certificates expire on 4/14/24. Assistants records were reviewed and found to be current with Pediatric CPR and First (EMSA approved) expiring 9/23/23 and Mandated Reporter expiring 2/28/24.

The Licensee notes no firearms or ammunition are stored on site.

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 all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: MENDOZA FCC AKA LITTLE STARS CHILDREN DAYCARE	FACILITY NUMBER: 406211177
	VISIT DATE: 03/23/2022

NARRATIVE

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https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

A notice of site visit was given and must remain posted for 30 days.

Exit interview and report was reviewed with the licensee, Yadira Mendoza.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2022

LIC809 (FAS) - (06/04)

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