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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406211177
Report Date: 02/27/2023
Date Signed: 02/27/2023 07:31:42 PM


Document Has Been Signed on 02/27/2023 07:31 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 DAYCAREFACILITY NUMBER:
406211177
ADMINISTRATOR:YADIRA MENDOZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 674-9691
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:14CENSUS: 9DATE:
02/27/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Yadira MendozaTIME COMPLETED:
03:45 PM
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On 02/27/23, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced One Year Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Yadira Mendoza, Licensee of the FCCH and explained the purpose of the inspection. LPA notes COVID Pre-screening questions were asked of Licensee prior to the inspection. The Licensee's responses suggest the FCCH is void of COVID positive cases. At the time of the inspection, LPA observed nine (9) children napping on site along with Licensee’s assistant. There are two (2) adults that live in the home and both adults have fingerprint clearance.

LPA, in the company of Licensee toured the interior and exterior of the FCCH. This home is a two-story home consisting of formal living room, dining room, kitchen with family room, four (4) bedrooms, three (3) bathrooms, loft, laundry room, garage, and outdoor yard. The FCCH’s living room, dining area, one (1) bedroom, one (1) bathroom and outdoor yard are accessible for childcare services. Meanwhile, the entire second floor that consists of three (3) bedrooms, two (2) bathrooms and loft, garage, kitchen with family room, laundry room and part of the outdoor yard are off-limits to children in care. LPA observed kitchen and family room are made inaccessible by means of gates. LPA observed a gate located on the first step of the stairway making the second floor inaccessible to children. In addition, LPA observed laundry room and garage have safety locks making them inaccessible.

The FCCH was observed to be clean and orderly. The FCCH has ventilation to afford for the children’s comfort. LPA observed the formal living room and dining room is where most of the daycare services occur. LPA observed sharps and medication are stored in an elevated cabinet in the kitchen that is locked. LPA observed cleaning compounds are stored under the kitchen sink with a lock and in the laundry room that is also inaccessible to children in care. The bathroom used for childcare is clean and free of toxins. LPA observed toys, furniture, and equipment in the FCCH are age appropriate and in good condition. LPA notes there are plenty of activities for children indoors and outdoors. CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2023
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: 02/27/2023
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Required forms are predominantly posted on the entrance of the FCCH. LPA observed a smoke and carbon monoxide detectors in the FCCH. Detectors were not tested due to children napping during time of inspection. Licensee reports that she is contracted with the Early Head Start program and is required to conduct emergency drills every month. During emergency drills, Licensee is required to check smoke alarm and carbon monoxide detectors. The FCCH has a regulation fire extinguisher on site which was serviced on 06/04/2022. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The FCCH maintains working telephone services.

LPA and Licensee toured the outdoor yard. LPA notes that children only have access to part of the outdoor yard. Yards are separated by means of fence. LPA observed children yard has plenty of shading to afford the children in care. Children have access to filtered water by means of individual cups that are labeled. LPA observed there are plenty of toys, furniture and equipment that is age appropriate and in good conditions. LPA observed a body of water (pool) on the side of the outdoor yard that is not accessible to children in care. LPA notes that children do not have access to this side of the yard. The pool is fenced and locked to ensure the safety of the children. In addition, children do not have access to the door that leads to the pool.

LPA reviewed children's records. The records are current, complete, and possessed emergency contact information and immunization records. LPA review 15-minute checks for all infants enrolled in the FCCH. A review of the FCCH's fire drill log shows the last drill occurred 2/8/23. The Licensee's records were reviewed. Licensee’s pediatric CPR and First Aid certification expires on 09/23/23. Licensee’s Mandated Reporter training certificate expires 02/14/2024. Assistant’s records were reviewed and current. Assistant’s CPR and First Aid certification expires on 09/23/23. Assistant’s Mandated Reporter training certificate expires 02/28/2024.The Licensee informed LPA 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
CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2023
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: 02/27/2023
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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 https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an for additional resource. LPA also informed Licensee 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 conducted and report was reviewed with the Licensee, Yadira Mendoza.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2023
LIC809 (FAS) - (06/04)
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