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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215944
Report Date: 04/07/2020
Date Signed: 04/13/2020 04:31:15 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:ANGUIANO FCC AKA SAYMA FAMILY DAYCAREFACILITY NUMBER:
406215944
ADMINISTRATOR:MARIA ANGUIANOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 674-0624
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:14CENSUS: 1DATE:
04/07/2020
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Maria AnguianoTIME COMPLETED:
03:00 PM
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On 4/7/2020 at 2:00 PM, Licensing Program Analyst (LPA) Gigi Reyes conducted a virtual pre licensing inspection for a change of location and met with Licensee/Applicant, Maria Anguiano. Applicant's 3 year old child was present. Prior facility number was 406214464.

LPA conducted a virtual video tour of the home. This is a one story home composed of 3 bedrooms and 2 baths. The day care area or playroom is next to the living room with safe and age appropriate toys. Bedrooms and garage are not accessible to day care children. The following were observed during the virtual tour, the home is clean and in order, bathroom is free of toxins, fire extinguisher meets the State Fire Marshall standard which was purchased on 3/8/2020. Carbon monoxide and smoke detectors are functional. All hazardous items such as cleaning products, toxins, knives, medications are stored inaccessible to the children in care. Back yard is completely fenced equipped with safe and age appropriate toys.

LPA reviewed the submitted record of immunization, MMR and TDAP for the Licensee Children CPR and First Aid expires on 10/20/2020. Mandated Reporter Training AB 1207 was taken on 12/10/2018. The control of property was reviewed. Safe Sleep Best Practices and Effects of Lead Exposure were discussed. Licensee was advised to provide Flyer of "Effects of Lead Exposure to parents of day care children. Licensee/Applicant was reminded to visit the website ccld.ca.gov for Quarterly Updates and Family Child Care Home Regulations. Continued on 809C

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2020
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: ANGUIANO FCC AKA SAYMA FAMILY DAYCARE
FACILITY NUMBER: 406215944
VISIT DATE: 04/07/2020
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

A 90 day Provisional License for Small Family Child Care Home (FCCH) is granted today, 4/7/2020.

The small FCCH will be converted to large FCCH upon issuance of fire safety inspection clearance from the Fire Department.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2020
LIC809 (FAS) - (06/04)
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