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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215944
Report Date: 03/29/2022
Date Signed: 03/29/2022 05:05:07 PM


Document Has Been Signed on 03/29/2022 05:05 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: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: 7DATE:
03/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Maria AnguianoTIME COMPLETED:
05:15 PM
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On 3/29/22, at 2:00 PM Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced Required inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Maria Anguiano, Licensee of the FCCH and explained the nature and purpose of the inspection. LPA notes seven (7) children are on site and Licensee reported Assistant, Maria Castro Silva was picking up children from the local elementary schools and would be arrive with five (5) additional school-age children. Within five (5) minutes, assistant arrived with five (5) school age children.

LPA, in the company of the Licensee, toured the exterior and interior of the FCCH. The home’s living room, dining area, bathroom and outdoor yard are used for child care services, while the bedrooms, kitchen, garage and part of the outdoor yard are excluded from services. LPA notes all bedroom doors and garage door were locked during this inspection. LPA observed two gates making the kitchen inaccessible to children in care.

The FCCH is clean, orderly and has ventilation to afford for the children’s comfort and safety. Medication in the FCCH is stored in the Licensee’s bedroom that is inaccessible to children in care. Sharps are stored in an elevated cabinet in the kitchen. Cleaning compounds were observed to be stored in an elevated cabinet in the kitchen and in the laundry room, both areas are inaccessible to children in care. Laundry room was observed to be locked during this inspection. All areas were observed to be inaccessible to children in care. Toys, furniture and equipment observed in the FCCH are age appropriate.

Required forms are posted on the FCCH living room wall. The FCCH has smoke and carbon monoxide detectors which were tested at 2:49 pm and found to be operable. The FCCH has a regulation fire extinguisher which was purchased 4/20/21. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill documentation. The last drill was completed on 2/9/22. CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:
DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/29/2022
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 3


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: 03/29/2022
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The outdoor play yard is completed fenced. LPA notes that the side yard is made inaccessible to children in care and has been blocked off by a large fence. LPA notes that the yard affords plenty of shade for the children. Toys, furniture and equipment observed in the yard are age appropriate. Licensee reported that at times, Licensee will take children to a near by park. LPA reminded Licensee of the importance of active supervision when children and Licensee are at the local park. LPA observed no bodies of water on site.


A sampling of the children's records were reviewed. The records are current, complete and possessed emergency contact information. The Licensee's records were also reviewed and found to be current. Pediatric CPR and First (EMSA approved) expires 1/5/23 and Mandated Reporter certificates expire on 12/31/23.

The Licensee notes 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

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 additional resource. LPA also informed licensee [facility representative] 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 and report was reviewed with the licensee Maria Anguiano. This inspection and review of report was conducted in Spanish due to Spanish being the primary language of the licensee.

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

DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022
LIC809 (FAS) - (06/04)
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