406213188-1-4-2023-17-CC-FVEZ-CMS3AA-20230104170424

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406213188
Report Date: 01/04/2023
Date Signed: 01/04/2023 05:04:52 PM

Document Has Been Signed on 01/04/2023 05:04 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:	ECHEVARRIA FCC AKA KIDS ANGELES		FACILITY NUMBER:	406213188
ADMINISTRATOR:	ROSA ECHEVARRIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 286-2982
CITY:	PASO ROBLES	STATE: CA	ZIP CODE:	93446
CAPACITY:	14	CENSUS: 5	DATE:	01/04/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Rosa Echevarria		TIME COMPLETED:	11:50 AM

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 January 4, 2023, Licensing Program Analysts (LPA) Francisca Velazquez conducted an unannounced One Year Required Inspection of the Family Child Care Home (FCCH). LPA met with Rosa Echevarria, Licensee of the FCCH and explained the purpose of the inspection. LPA, in the company of Licensee toured the interior and exterior of the FCCH. LPA notes five (5) children are present being cared by Licensee. This is a two- story home with three (3) bedrooms and two (2) bathrooms, living room, kitchen, garage and attached studio. The daycare services occur in the attached studio that is considered the daycare room, bathroom, and part of the outdoor yard. Meanwhile, the entire home is off-limits and not accessible to children in care. LPA observed a door with a safety knob making the home inaccessible to children in care. LPA observed the home to be clean and orderly. There is plenty of ventilation to afford the children comfort. LPA observed sharps are stored in the kitchen in the home. Per Licensee, snacks and meals are prepared in the kitchen and brought to the daycare room. Per Licensee, medication for the family is stored in Licensee’s bedroom that is inaccessible to children in care. LPA observed cleaning compounds in an elevated cabinet in the kitchen counter that is located in the attached studio. The restroom that is used for childcare services is clean and free of toxins. Toys, furniture, and equipment within the FCCH are age appropriate. Required forms are predominantly posted on the wall of the daycare room. LPA observed a smoke and carbon monoxide detectors in the FCCH that were not tested at 9:30 AM and were operable during this inspection. LPA observed the home has a regulation fire extinguisher with a service tag dated 4/19/22. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The home maintains working telephone services. LPA observed that part of the is accessible to children in care. The outdoor yard to be completely fenced. LPA observed the exit doors to be secured. 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: 01/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023

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: ECHEVARRIA FCC AKA KIDS ANGELES	FACILITY NUMBER: 406213188
	VISIT DATE: 01/04/2023

NARRATIVE

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The outdoor yard provides plenty of shading for the children in care. Drinking water is provided by means of individual disposable cups. Toys, furniture, and equipment observed in the outdoor yard are age appropriate and in good conditions. No bodies of water are observed.

LPA reviewed Licensee and children's records. LPA reviewed children files and found them to be complete and current. In addition, all children present during today’s inspection are documented in the facility roster. LPA reviewed Licensee’s Pediatric First -aid certificate that is valid until 9/1/24 and Licensee's Mandated Reporter training certification expires 6/11/23. The last emergency drill was conducted and documented on 8/18/22. The Licensee informed LPA no firearms and ammunition are 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 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, Rosa Echevarria in Spanish due to Spanish being the Licensee’s primary language.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023

LIC809 (FAS) - (06/04)

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