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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215391
Report Date: 07/16/2021
Date Signed: 07/16/2021 05:02:08 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:FERREYRA FCC AKA BAMBI DAY CAREFACILITY NUMBER:
406215391
ADMINISTRATOR:ALMA RUTH FERREYRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 503-0768
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY:14CENSUS: 11DATE:
07/16/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Alma Ferreyra TIME COMPLETED:
05:15 PM
NARRATIVE
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On 7/16/2021, at 11:45 AM, Licensing Program Analysts (LPAs) Elvin Baddley and Francisca Velazquez conducted a Required Inspection of the facility. Prior to entering the facility, LPAs completed COVID-19 pre-screening questionnaire with Licensee and based on Licensee's responses it was determined that facility did not have COVID-19 exposures. LPAs met with Alma Ferreyra, Licensee of the facility and explained the purpose of the inspection. LPAs, in the company of the Licensee, toured the interior and exterior of the facility. This home consists of living room, family room, three (3) bedrooms, two (2) bathrooms, garage and backyard. The home’s living room, family room, kitchen, bathroom and back yard are used for child care, while the home’s bedrooms and garage are excluded. At the time of the inspection 11 children are present along with assistant, Rutila Mendoza, Licensee's mother.

LPAs observed the bathroom used for care was clean and free of toxins with hand washing poster for the children. LPAs observed that all cabinets in bathroom have safety locks and were inaccessible to children in care. LPAs observed cleaning compounds stored in a high cabinet in the kitchen and in the bottom cabinet of the bathroom. Both areas were observed to be locked and inaccessible to children in care. Licensee stated that household medications are stored in a high cabinet in the kitchen and are inaccessible to children in care. Toys, furniture and equipment in the facility are age appropriate.

At 12:15 PM, LPA's observed garage door and bedroom door was not locked and accessible to children. LPA's inspected garage and bedroom and observed Clorox and Detergent soap in the garage accessible to children. LPAs observed medication in the bedroom that was accessible to children in care. LPAs reminded Licensee to ensure that garage and bedroom doors are always locked in order for areas to be inaccessible to children.

CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 6
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: FERREYRA FCC AKA BAMBI DAY CARE
FACILITY NUMBER: 406215391
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/23/2021
Section Cited

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The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: Poisons, detergents, cleaning compounds, medicines, firearms and other items... shall be stored where they are inaccessible to children. This requirement was not met as evidenced by:
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During LPA's inspection tour, LPA observed the garage and bedroom door were not locked and had Clorox, detergents and medication accessible to children. This poses a potential health and safety risk to children in care.
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Type B
07/23/2021
Section Cited

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The licensee of a licensed child day care facility shall obtain proof from an administrator or employee of the facility that the person has completed mandated reporter training in compliance with this subdivision...shall complete renewal mandated reporter training every two years.
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LPAs review of Licensee's records revealed that Licensee's AB1207 expired on 1/18/20. This poses a potential health and safety risk to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 07/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/16/2021
LIC809 (FAS) - (06/04)
Page: 2 of 6
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: FERREYRA FCC AKA BAMBI DAY CARE
FACILITY NUMBER: 406215391
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/23/2021
Section Cited

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Fireplaces and open-face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshal.

This requirement is not met asevidenced by:
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LPA observed that 2 A10 BC fire extinguisher was last serviced on 1/14/2020. This poses a potential risk to health and safety of children in care.
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Type B
07/23/2021
Section Cited

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The Licensee and other personnel as specified shall complete training on preventive health practices including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement was not met, as evidenced by:
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LPAs review of Licensee's records revealed that Licensee's CPR/First aid expired 1/17/21. This poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 07/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/16/2021
LIC809 (FAS) - (06/04)
Page: 3 of 6
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: FERREYRA FCC AKA BAMBI DAY CARE
FACILITY NUMBER: 406215391
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/23/2021
Section Cited

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Each family child care home shall conduct fire drills and disaster drills at least once every six months. The licensee shall document the drills, including the date and time of each drill. This documentation shall be kept at the family child care home. This requirement is not met as evidenced by:
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LPAs review of documentation revealed the last fire drill/and or diaster drill was completed or documented on 12/18/2018. This poses a potential risk to the health and safety of chidlren in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 07/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/16/2021
LIC809 (FAS) - (06/04)
Page: 4 of 6
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: FERREYRA FCC AKA BAMBI DAY CARE
FACILITY NUMBER: 406215391
VISIT DATE: 07/16/2021
NARRATIVE
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LPAs observed required licensing forms and documents post on the wall of the living room in the facility. LPAs observed smoke detector on the ceiling of the living room and carbon monoxide located in the kitchen of the home. Both smoke detector and carbon monoxide detector were tested and were found to be operational at 12:20 PM.

At 12:25 PM, LPAs observed a regulation fire extinguisher in the kitchen area that was serviced 1/14/20. LPAs reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPAs reviewed the home’s fire/disaster drill log. The most recent fire drill conducted and documented was beyond six (6) months. Last documented drill was on 12/18/2018. LPAs reminded Licensee that emergency drills need to be completed and documented every six (6) months.

Licensee uses the back yard as an outdoor play area. Back yard is fence and Licensee stated that children are always supervised when playing outdoors. Toys and play equipment observed in backyard are age appropriate. LPAs observed no bodies of water on site.

Licensee informed LPAs no firearms or ammunition are stored on site.

LPAs reviewed a sampling of the children records. All records reviewed are current and contains complete emergency card information. Facilities current roster of children was reviewed by the LPAs during inspection. LPA reviewed the Licensee's Pediatric CPR and First Aid certifications which expired 1/17/21 and Mandated Reporter training expiring on 1/18/2020. LPAs advised Licensee to update Pediatric CPR and First-Aid and Mandated Reporter training certificate.

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

CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: FERREYRA FCC AKA BAMBI DAY CARE
FACILITY NUMBER: 406215391
VISIT DATE: 07/16/2021
NARRATIVE
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LPAs discussed COVID 19 guidance and best practices with the Licensee. LPAs discussed safe sleep regulations with the Licensee. LPAs provided Licensee copy of Safe Sleep Regulations and Individual Infant Sleep plan LIC 9217. Licensee was reminded that it is Licensee's responsibility to know the regulations for a FCCH which can be accessed on-line at www.ccld.ca.gov.

Type B Deficiencies are being cited based on LPA’s observation/interviews/record reviews pursuant to Title 22 of the CA Code of Regulations (refer to LIC 809-D). Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. The LIC 9213 (Notice of Site visit) was posted during today's visit.

An exit interview was conducted with Licensee, Alma Ferreyra, and a Plan of Correction was reviewed and developed with the Licensee. A copy of this report was provided to the Licensee, whose signature is on this form confirms receipt of this document.

The LIC 9213 (Notice of Site visit) was posted during today's visit.

CONT 809-D
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
LIC809 (FAS) - (06/04)
Page: 6 of 6