406213554-9-9-2021-17-CC-FVEZ-C6PST7-20210909140905

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406213554
Report Date: 09/09/2021
Date Signed: 09/09/2021 02:09:10 PM

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:	CAMACHO FAMILY CHILD CARE		FACILITY NUMBER:	406213554
ADMINISTRATOR:	VISITACION CAMACHO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 234-4983
CITY:	SAN LUIS OBISPO	STATE: CA	ZIP CODE:	93405
CAPACITY:	14	CENSUS: 3	DATE:	09/09/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Visitacion Camacho and Arturo Camacho Ortiz		TIME COMPLETED:	02:15 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 9/9/21, at 12:40 AM, Licensing Program Analyst (LPA), Francisca Velazquez conducted an unannounced Required inspection of the facility. Prior to inspection, LPA completed COVID-19 pre-screening questionnaire with Licensee, based on responses it was determined that there are no COVID-19 exposures in the facility. The LPA met with Visitacion Camacho and Enrique Camacho Ortiz, Licensees' of the facility and explained the purpose of the inspection. LPA, in the company of Licensee, Enrique toured the interior and exterior of the facility. This town house is two stories consisting of two (2) bedrooms, one in a half (1.5) bathrooms, kitchen/dinning area, living room and fenced front patio. Licensee stated that children have access to the living room, dining/kitchen area, bathroom and front patio. At the time of the inspection, three (3) children were present. Required forms are predominantly posted on the wall of the living room. The home’s living room has a heater that is located in the ceiling of the facility and is inaccessible to children in care. LPA observed a smoke and carbon monoxide detector in the ceiling of the hallway room. The detectors was tested and found to be operable at 1:20 PM. The home has a regulation fire extinguisher which was service on 3/23/21. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The home maintains working telephone services. The home was clean, orderly and has ventilation to afford for the children’s comfort and safety. Further, the home was void of hazardous items. Medication in the home is stored in the bedrooms located on the second floor and is inaccessible to children. Cleaning compounds are stored under the kitchen sink and in a closet located in the second floor of the town house, both of which are inaccessible to children. LPA observed the restroom used for children to be clean and free of toxins with plenty of hand soap, paper towels and hand washing poster for children. Toys, furniture and equipment observed in the home are safe, varied and age appropriate. 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: 09/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021

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: CAMACHO FAMILY CHILD CARE	FACILITY NUMBER: 406213554
	VISIT DATE: 09/09/2021

NARRATIVE

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The outdoor area used for childcare is a front patio that is completely fenced. Licensee stated that when children are outdoor they are always supervised by an adult. The fence’s entry/exit gates were secure. Toys and play equipment observed in backyard are safe, varied, age appropriate and in satisfactory condition. No bodies of water were observed in the facility.

LPA reviewed children records. The records were current, complete and possessed emergency contact information as mandated by regulations and personal rights. LPA reviewed Licensees' records and found that both Licensee's have current and complete records with CPR and First Aid certifications expiring on 2/29/22 and AB1207 expiring 9/4/22.

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

The Licensee is not providing Incidental Medical Services (IMS). Policy was discussed. 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: www.ada.gov/childqanda.htm

LPAs discussed COVID-19 best practices and guidance. Likewise, LPA discussed safe sleep regulations with the Licensee. Licensee has current LIC 9227 and 15 minute log for all infant children enrolled in the facility. Licensee was reminded that it is her responsibility to know the regulations for facility which can be accessed on-line at www.ccld.ca.gov.

There were no deficiencies cited at this time.

This inspection and revision of this report was conducted in Spanish.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021

LIC809 (FAS) - (06/04)

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