426206436-8-31-2022-17-CC-MMAW-CHTRMD-20220831130834

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426206436
Report Date: 08/31/2022
Date Signed: 08/31/2022 01:08:44 PM

Document Has Been Signed on 08/31/2022 01:08 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:	CHAVEZ FCC AKA NANNIE'S DAY CARE		FACILITY NUMBER:	426206436
ADMINISTRATOR:	NANETTE F. CHAVEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 570-0303
CITY:	CARPINTERIA	STATE: CA	ZIP CODE:	93013
CAPACITY:	14	CENSUS: 6	DATE:	08/31/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	NANETTE F. CHAVEZ		TIME COMPLETED:	01:25 PM

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On 8/31/2022 at 9:40 am Licensing Program analyst (LPA) Michael Mathew Conducted an unannounced annual visit LPA met with Licensee Nanette Chavez and discussed the purpose of the Visit. Prior to entering the home LPA conducted Covid-19 screening questions. Licensee and LPA toured inside and out of the home. At the time of the visit there were 6 children and 2 adults. There are age-appropriate toys and equipment for children in care.

Licensee uses the living room, playroom/garage, Kitchen, and bathroom, for the day-care. Licensee stated that there are no guns/weapons or ammunition in the home. LPA observed the knifes were kept in drawer covered and inaccessible to children. LPA observed chemicals and toxins are kept in a cabinet on top of the sink which is inaccessible to children in care. LPA observed playroom is in the garage which has age-appropriate toys and furniture for children in care. LPA observed a baby gate to prevent children from running out from the playroom/garage. LPA observed no bodies of water during inspection. LPA observed a 2A10BC fire extinguisher present and serviced on 8/17/22. Fire alarm and carbon monoxide detector are good and in working condition. Licensees and assistant CPR/first aid is current and is valid until 9/1/23 and 4/11/23. Licensee and assistants present have current mandated reporter training valid until 4/15/2023, and 8/31/24. Fire drill was conducted on 8/10/22.

The facility is currently not providing Incidental Medical Services. 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

809-C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Michael Mathew	TELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

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: CHAVEZ FCC AKA NANNIE'S DAY CARE	FACILITY NUMBER: 426206436
	VISIT DATE: 08/31/2022

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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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 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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee.

"No deficiency was cited in today’s visit."

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Michael Mathew	TELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

LIC809 (FAS) - (06/04)

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