426208395-11-3-2023-17-CC-SMAZ-CX8RYK-20231103132628

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426208395
Report Date: 11/03/2023
Date Signed: 11/03/2023 01:26:35 PM

Document Has Been Signed on 11/03/2023 01:26 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	GARCIA FAMILY CHILD CARE		FACILITY NUMBER:	426208395
ADMINISTRATOR:	ALMA GARCIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 325-3646
CITY:	SOLVANG	STATE: CA	ZIP CODE:	93463
CAPACITY:	14	CENSUS: 3	DATE:	11/03/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	11:22 AM
MET WITH:	Alma Garcia		TIME COMPLETED:	01:41 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On November 3, 2023 Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced required 3 year inspection. LPA met with Licensee Alma Garcia and advised her the purpose for the inspection. Together with Licensee, LPA toured the home inside and outside. At the time of inspection there were 3 children present and two adults in the home. No bodies of water were observed at the time of inspection. Licensee denies having guns/ammunition in the home. The Licensee operates M-F 6 AM- 5 PM. Licensee uses living-room, dining room, kitchen, one bathroom, and enclosed back yard for day care use. LPA observed required licensing documents mounted on the walls throughout the home. Last fire/disaster drill was conducted on 10/12/2022, LPA reminded Licensee that fire/disaster drills must be conducted and documented every 6 months. Fire extinguisher 2A10BC mounted on the wall inside the laundry room was last serviced 10/20/2022. During the inspection Licensee contacted her local fire department and set up an appointment to service the fire extinguisher on Mon 11/6/23 at 1 pm. Smoke detector was observed to be located in the living-room. The carbon monoxide detector located in the kitchen was tested at 11:41 AM and found to be working. Fire place inside the living room is screened to prevent access by children. Kitchen knives are being kept in a cabinet above counters to keep out of reach from children. Children have access to toys that are age-appropriate inside and outside of the home. Back yard play area is enclosed and has plenty of bicycles, scooters, and activities. During the tour, LPA did not observe any hazards/toxins items accessible to children in care. LPA reviewed three out of three children files. Two out of three children's files were current. Licensee states that C1 just started attending today, and therefore that is why child does not have complete file. LPA reminded Licensee that children's files should be completed by enrollment. Licensee states the mother was in a rush the day prior and did not want to take the forms. Licensee states she will have the mother complete the documents today. Continued on 809-C

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 426208395
	VISIT DATE: 11/03/2023

NARRATIVE

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LPA observed a large trampoline in the backyard.
Licensee was advised of the dangers regarding children playing on a trampoline. Licensee agreed to the following:
TRAMPOLINE CONDITIONS:
1. Follow appropriate age limit and warnings designated by manufacture when using the trampoline.
2. There will be one fully qualified adult and/or the licensee directly and in the presence of children playing on the trampoline. The licensee may be one of the adults supervising the children.
3. If children are in care who are not using the trampoline, those children shall be supervised by a qualified adult.
4. The licensee shall inspect the trampoline on a daily basis and immediately before its use to ensure its safety and that it is in good repair and condition.
5. The trampoline shall only be used in a safety cushioned area.
6. If there are any injuries as a result of the use of the trampoline requiring medical attention, the licensee is required to report this incident to the licensing office within 24 hours by telephone followed by a written report (LIC 624 B) within 7 days from the day of the incident.

Licensee CPR/first aid is valid through 10/11/2025. Licensee was reminded a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter certification AB1207 every two years at www.mandatedreporterca.com. Licensee states she does not know what that is. Licensee was issued a citation in the past for missing mandated reporter. LPA provided mandated reporter information in Spanish.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
Continued on 809-C

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 426208395
	VISIT DATE: 11/03/2023

NARRATIVE

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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.
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.
Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE Alma Garcia, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.
LPA provided the following resources:
- Mandated Reporter Training instructions (in English and Spanish)
- Pictorial handout on items not permitted in the home.
- Safe Sleep FAQ's (in Spanish) and Sleep Log
- Forms/Record to be kept in your family child care home (LIC311D)

During today's inspection two Type B citations were issued and can be found on the attached 809-D. Two Technical Violations were also issued:
Type B: Missing mandated reporter training certification: HSC 1596.8662(b)(1)
Type B: No fire/emergency disaster drills: CCR 102417(g)(9)(A)
Technical Violation: Fire Extinguisher per CCR 102417(g)(1)
Technical Violation: Children's Records per CCR 102421(a)

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted, appeal rights provided and report was reviewed in Spanish with the licensee Alma Garcia.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/03/2023 01:26 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 426208395
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(9)(A)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above in last fire/disaster drill was conducted over a year ago which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/17/2023
	Plan of Correction
1 2 3 4	Licensee agrees to conduct fire/disaster drills every six months. Licensee is to provde proof of disaster drill being documented to LPA by 11/17/23.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), 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 is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above in Licensee is not aware of what the mandated reporter training is which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/17/2023
	Plan of Correction
1 2 3 4	Licensee is to complete the mandated reporter training and submit a copy of the certificate to the LPA by 11/17/2023. LPA provided contact information on business card.

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 Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

LIC809 (FAS) - (06/04)

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