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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426209769
Report Date: 02/03/2020
Date Signed: 02/03/2020 03:22:01 PM

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:LEON FAMILY CHILD CAREFACILITY NUMBER:
426209769
ADMINISTRATOR:MARIA LEONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 922-4767
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:14CENSUS: 6DATE:
02/03/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Mario LeonTIME COMPLETED:
03:31 PM
NARRATIVE
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Licensing Program Analyst (LPA) Martina Jimenez conducted an annual inspection and met with licensee's husband, Mario Leon. Upon arrival LPA observed 4 children playing in the front yard. LPA observed licensee's husband was in the living room of the home from the sidewalk. The front yard is completely fence and the gate was locked. LPA observed age appropriate tables, chairs, shade area and bike area. There are no bodies of water observed. The areas used for day care are the living room, dining room area, kitchen, one bedroom and bathroom. During the visit no toxins or potential hazardous products were observed accessible to children. The bathroom was found clean and free of toxins. Kitchen is accessible to children, knives and cleaning supplies are stored out of children's reach. Licensee Maria Leon, licensee’s Assist Denise Lupercio and two granddaughter's arrived during the inspection.

There is a functioning carbon monoxide detector that meets statutory requirements. The smoke alarm was observed in the home. Licensee stated that there are no guns or ammunition in the home. Licensee does not have a foster care home license. Licensee and Assistant are current with immunization requirements per SB 792. The safety drills were conducted and documented, last drill was conducted November 9, 2019. Licensee was reminded to conduct and document safety drills once every 6 months. The fire extinguisher was serviced June 19, 2019. Licensee and Assistant are current with CPR and First Aid which expires May 5, 2020

Licensee is not providing Incidental Medical Services. Incidental Medical Services (IMS) policy was discussed. 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

The Mandated Reporter Training required per AB 1207 is currently not available in Spanish. LPA reviewed the handout "A Child Care Provider's Guide to Safe Sleep and Effect to Lead Exposure." LPA provided a Handout for Reporting Child Abuse and Neglect Training provided on line at www.ccld.ca.gov. The inspection visit was conducted in Spanish and report was translated in Spanish by LPA Jimenez. Today, deficiency cited under Title 22 Division 12 Appeal rights given.
THIS REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS. LPA observed the "Notice of Site Visit" posted.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 387-5041
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2020
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 2
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: LEON FAMILY CHILD CARE
FACILITY NUMBER: 426209769
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/03/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/14/2020
Section Cited

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The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
-This requirement was not met by LPAs observed Licensee's Husband, Mario Leon caring for day-care children. Licensee's Husband does not have a current first aid/CPA certification. This poses a potential Health & Safety risk to children in care.
Type B
02/14/2020
Section Cited

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Health & Safety 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 day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall
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receive an influenza vaccination between August 1 and December 1 of each year.
-This requirement was not met by LPAs observed Licensee's Husband, Mario Leon caring for day-care children. Licensee's Husband did not have verification of immunization against influenza, pertussis, and measles.
. This poses a potential Health & Safety risk to children in care.
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Licensee submit in writing how this will be prevented in the future to CCLD by February 14, 2020.

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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: Maria MuellerTELEPHONE: (805) 387-5041
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:
DATE: 02/03/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/03/2020
LIC809 (FAS) - (06/04)
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