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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426206654
Report Date: 08/30/2019
Date Signed: 08/30/2019 12:30:58 PM

COMPREHENSIVE INSPECTION
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:FERREIRA FAMILY CHILD CAREFACILITY NUMBER:
426206654
ADMINISTRATOR:VIRGINIA FERREIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 354-0958
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:14CENSUS: 8DATE:
08/30/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Virginia FerreiraTIME COMPLETED:
11:30 AM
NARRATIVE
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Licensing Program Analysts (LPAs) Christian Patterson and Juvenal Moctezuma made an unannounced ANNUAL/REQUIRED Inspection to the home. LPAs met with Virginia Ferreira, licensee and her husband Moises Ferreira. The purpose of the inspection was explained There were 8 children present. One child was picked up during the visit.

The one story home was toured both inside and outside. The licensee stated that children use the living room, dining room, and hall bathroom in the day care. LPAs observed age appropriate toys and furniture inside The licensee uses the front yard for the day care. LPAs observed age appropriate climbing structures and play kitchens outside. The yard is enclosed with a fence. There is a barricade keeping children from accessing areas that are off limits. The bedrooms, kitchen, closets, and backyard are off-limits.

The regulation fire extinguisher was serviced on 8/6/19. The smoke detector and carbon monoxide detector were observed to be operational. The Licensee states that there are no guns or weapons on the property. LPAs did not observe any bodies of water on the property. Mrs. Ferreira's First Aid/CPR certificates are valid until 2/2/21. 7 children's files were reviewed. Child 1's file was found to be missing. The child roster was reviewed and found to be missing child 1, 2, and 3. Licensee and her assistant are missing proof of immunization requirements per SB 792. Licensee has not taken the Mandated Reporter Training AB 1207 as it is only available in English, but stated that her husband and daughter will take the training. The last fire drill was conducted on 08/01/19.
Report Continued on LIC 809-C
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019
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 4
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: FERREIRA FAMILY CHILD CARE
FACILITY NUMBER: 426206654
VISIT DATE: 08/30/2019
NARRATIVE
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Licensee is 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 LPAs reviewed and provided licensee with Effects of Lead Exposure pamphlet which needs to be provided to all current and future parents. LPAs reviewed safe sleep guidelines that will take effect this year with licensee and reminded her not to store anything inside of cribs or playpens. Pamphlets were provided for both the safe sleep and lead exposure.

This report was translated in Spanish by LPA Moctezuma.

During todays inspection, the following Type B Deficiencies were cited. Appeal rights were explained and provided to Licensee, Virginia Ferreira.

Licensee was reminded that it is her responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov.


LPA observed licensee post the Notice of Site visit.
FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: FERREIRA FAMILY CHILD CARE
FACILITY NUMBER: 426206654
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/06/2019
Section Cited

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On and after January 1, 2018, a person who applies for a license to be a provider of a child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a) as a precondition to licensure and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement was not met as evidenced by Licensee stating that her 2
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assistants have not taken the mandated reporter training AB 1207. This poses a potential health and safety risk to children in care.
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Type B
09/06/2019
Section Cited

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Employees or volunteers at family day care home; immunization requirements; records; exemptions- Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between...
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This requirement was not met as evidenced by interviewing Licensee/file review and licensee and her assistant not having proof that they are up to date with the immunization requirements per SB 792. This poses a potential health/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: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: FERREIRA FAMILY CHILD CARE
FACILITY NUMBER: 426206654
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/06/2019
Section Cited

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Operation of a Family Child Care Home. All homes shall have a current roster of the children. This requirement was not met as evidenced by: LPA doing file review of the children's roster and interview with licensee that she does not a current children's roster. Licensee did not have Child #1, #2, or #3 listed in the roster.
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This poses a potential health and safety risk to children in care.
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Type B
09/06/2019
Section Cited

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(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency....

This requirement is not met as evidenced by:
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Based on LPA's review of record, Child # 1's complete file was missing. Licensee stated that she has it but was not able to locate it. This poses a potential risk to health and safety of day care children
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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: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4