426208696-2-4-2025-17-CC-GRES-DDKVZ8-20250204155218

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426208696
Report Date: 02/04/2025
Date Signed: 02/04/2025 03:52:30 PM

Document Has Been Signed on 02/04/2025 03:52 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:	NAVARRO FAMILY CHILD CARE		FACILITY NUMBER:	426208696
ADMINISTRATOR/ DIRECTOR:	MARIA NAVARRO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 345-1927
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 2	DATE:	02/04/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:30 PM
MET WITH:	Maria Navarro		TIME VISIT/ INSPECTION COMPLETED:	04:00 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 February 4, 2025, at 2:30 PM, Licensing Program Analysts (LPAs) Gigi Reyes and Fernando Hernandez conducted an unannounced Annual Random inspection at the above Family Childcare Home (FCCH). LPAs met with Licensee, Maria Navarro. LPA discussed the purpose of the inspection. The FCCH operates Monday to Saturday from 5:00 AM to 5:30 PM. FCCH provides care to children 0 month to 12 years old. During the inspection, LPAs and Licensee toured the inside and outside of the home LPA observed 3 children under the care of the Licensee and assistant. LPAs observed the Accessible Dwelling Unit (ADU) at the back of the home and it displayed a different address identified as "820A"The required licensing forms were posted at the day care area. FCCH utilizes living room, 1 bathroom, dining, and the backyard for day care operation. The dual carbon monoxide and smoke detectors were tested at 2:45 PM and found functional. The regulation fire extinguisher was purchased on 8/23/2023. Age-appropriate toys, and equipment were observed inside the home. The backyard is completely fenced and equipped with age appropriate. LPA did not observe any bodies of water. Licensee stated there are no guns or ammunition in the home. Continued on LIC 809C.

Maria Mueller	TELEPHONE: (805) 562-0410
Gigi Reyes	TELEPHONE: (805) 698-7114
	DATE: 02/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

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: NAVARRO FAMILY CHILD CARE	FACILITY NUMBER: 426208696
	VISIT DATE: 02/04/2025

NARRATIVE

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LPA reviewed the facility file and found that the Pediatric CPR and First Aid certificate expires on 3/9/2026. All staff have renewed the Mandated Reporter Training which certificate expires on 3/2026. LPA reminded Licensee of the said certificates to be renewed every two years.

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.

LPA discussed the safe sleep regulations with licensee Maria Navarro 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, Maria Navarro 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.

Continued LIC 809C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

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: NAVARRO FAMILY CHILD CARE	FACILITY NUMBER: 426208696
	VISIT DATE: 02/04/2025

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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/.

Due to time constraint, annual inspection will continue on a later date.

During the exit interview, the LICENSEE, Maria Navarro confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given to Licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the licensee, Maria Navarro

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

LIC809 (FAS) - (06/04)

Page: 2 of 4

Document Has Been Signed on 02/04/2025 03:52 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: NAVARRO FAMILY CHILD CARE	FACILITY NUMBER: 426208696
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/04/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

CCR

102417(g)(1)

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: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on ]observation the licensee did not comply with the section cited above, fire extinguisher was purchase on 8/23/2023 which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/14/2025
	Plan of Correction
1 2 3 4	Liecnsee agreed to purchase new fire extinguisher aor purchase a new one. Proof of service or purchase must be submitted to CCL no later than 2/14/2025.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Maria Mueller	TELEPHONE: (805) 562-0410
Gigi Reyes	TELEPHONE: (805) 698-7114
	DATE: 02/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

LIC809 (FAS) - (06/04)

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