426210011-10-27-2022-17-CC-FVEZ-CKM37Q-20221027180019

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426210011
Report Date: 10/27/2022
Date Signed: 10/27/2022 06:01:32 PM

Document Has Been Signed on 10/27/2022 06:01 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:	CENDEJAS FAMILY CHILD CARE		FACILITY NUMBER:	426210011
ADMINISTRATOR:	POMPOSA CENDEJAS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 925-7925
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93455
CAPACITY:	14	CENSUS: 8	DATE:	10/27/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Pomposa Cendejas & Deanna Salinas Cendejas		TIME COMPLETED:	06:15 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 October 27, 2022 at 10:30 AM, Licensing Program Analysts (LPA's) Francisca Velazquez conducted an unannounced Annual/Random inspection. LPA met with licensee, Pomposa Cendejas and advised her the purpose of the inspection. Prior to entering the home LPA's conducted COVID screening questions. Licensee provided LPAs a tour of the home inside and out. There was eight (8) children in care at the time of the inspection. At arrival, LPA met Licensee in the front of the home and upon entering LPA observed children in the living room and outdoor play yard. Licensee’s grandchild, Deanna Salinas Cendejas came out of the bedroom to help provide care and supervision. LPA notes that LPA Francisco Pedroza arrived to assist at the facility at around 2:00 PM. Licensee has a single story home. Prior to conducting the facility tour, LPA asked licensee which adults live in the home. Licensee stated that she, her husband, and grand-daughter are the only adults that reside in the home. Licensee uses the living room, kitchen/dinning area, bathroom in the hallway one (1) bedroom, and outdoor yard for children in care. Per Licensee, two (2) bedrooms, laundry room, garage and the sides of the outdoor yard are inaccessible for day care services. LPA notes that the door leading to the laundry room was not secured. When entering the laundry room, LPA observed that the laundry room had a door leading to the garage. While in the laundry room, Licensee disclosed to LPA that their adult son and daughter-in-law reside in the garage. After further review, LPA observed that the licensee’s daughter-in-law has a background clearance, but not her son. Licensee’s son was denied a background and licensee was informed on 2/12/2015 during a Case Management inspection where she was advised he was not allowed in the home without a background clearance. LPA observed licensee a 2A10BC fire extinguisher mounted on the wall in the dining room that expired 2/23/22. LPA observed the daycare areas had excessive clutter and stacked item hazardous to children in care. There is one (1) bedroom in the home that was locked, and Licensee stated she was unable to open for inspection. The backyard is enclosed with a wooden fence. The following was observed in the outdoor yard; shed that is not locked and secured, shed was observed to store tools, chemicals, saw blades, and other miscellaneous items. CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

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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Document Has Been Signed on 10/27/2022 06:01 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: CENDEJAS FAMILY CHILD CARE	FACILITY NUMBER: 426210011
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/27/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

102370(d)(1)

Criminal Record Clearance

(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or 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 that two (2) adults living in the home are not fingerprint cleared, which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 10/31/2022
	Plan of Correction
1 2 3 4	LIcensee is advised the two (2) indiviudals with no live scan must submit fingerprints for livescan no later than 10/31/22.

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.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

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: CENDEJAS FAMILY CHILD CARE	FACILITY NUMBER: 426210011
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/27/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(b)

Operation of A Family Child Care Home

(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. 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 in that the children's daycar area had excessive cluttered with high piles of children items, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/03/2022
	Plan of Correction
1 2 3 4	Licensee was advised to remove the high piles of children's items in the living room, remove sharps from being accessible to chidlren and add a lock to the laundry room to make it inacessible and submit proof via email by 11/3/22 to Francisca.Velazquez@dss.ca.gov

Type B

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 in that the licensee could not provide proof of annual purachase of fire extinguisher or prrof of service which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/03/2022
	Plan of Correction
1 2 3 4	Licensee is required to provide proof of newly purchased fire extinguisher or proof of service by 11/3/2022 via email to Francisca.Velazquez@dss.ca.gov

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 Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/27/2022 06:01 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: CENDEJAS FAMILY CHILD CARE	FACILITY NUMBER: 426210011
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/27/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(4)

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: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. 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 in that sharps were accessible and within chidren's reach, hazardous items were accessible throughout the home and outdoor yard (sharps, spikes and chemicas in the outdoor yard, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/03/2022
	Plan of Correction
1 2 3 4	Licensee will ensure that all items that could pose a danger to chidlren in care are inacessible and off-limits. Licensee will submit pictures proving these items are inacessible by 11/3/2022 via email to Francisca.Velazquez@dss.ca.gov

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.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/27/2022 06:01 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: CENDEJAS FAMILY CHILD CARE	FACILITY NUMBER: 426210011
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/27/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(9)(A)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: (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. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above in that the lasst documented drill was conducted on 4/14/22 which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/03/2022
	Plan of Correction
1 2 3 4	Licensee is required to conduct a fire/emergency drill and submit proof by 11/3/2022 via email to Francisca.Veazquez@dss.ca.gov

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 Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

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: CENDEJAS FAMILY CHILD CARE	FACILITY NUMBER: 426210011
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/27/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(j)(1)

Infant Safe Sleep

The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in that Infant Safe Sleep 15 mintue checks are not being conducted which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/03/2022
	Plan of Correction
1 2 3 4	Licensee will start to document Infant Safe Sleep 15 mintue checks with all children under the age of 2 years old and will submit proof by 11/3/2022 via email to Francisca.Velazquez@dss.ca.gov

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 and record review, the licensee did not comply with the section cited above in that three (3) assistants that directly work with the children did not have a valid AB1207 which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/03/2022
	Plan of Correction
1 2 3 4	Licensee will ensure all assistant's directly working with chidlren have completed the AB1207 certificate. Licensee will sbumit proof of completed certificates by 11/3/2022 via email to Francisca. Velazquez@dss.ca.gov

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 Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/27/2022 06:01 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: CENDEJAS FAMILY CHILD CARE	FACILITY NUMBER: 426210011
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/27/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416.1(a)

Personnel Records

(a) Personnel records shall be maintained on each employee and shall contain the following information: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in there were no personnel files to review during inspection which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/03/2022
	Plan of Correction
1 2 3 4	Licensee will create personnel files for all adults that works directly with the children and submit proof by 11/3/2022 via Francisca.Velazquez@dss.ca.gov

Type B

Section Cited

HSC

1597.622(a)(1)

General Provisions and Definitions

(1) 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 August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above in that Licensee and Assistants did not have proof of immunizations which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/03/2022
	Plan of Correction
1 2 3 4	Licensee will collect proof of immunizations for all adults working directly with the children and submit proof by 11/3/2022 via email to Francisca.Velazquez@dss.ca.gov

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 Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

LIC809 (FAS) - (06/04)

Page: 7 of 10

Document Has Been Signed on 10/27/2022 06:01 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: CENDEJAS FAMILY CHILD CARE	FACILITY NUMBER: 426210011
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/27/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(8)

Operation of A Family Child Care Home

(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above in the Licensee does not have a roster for the facility which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/03/2022
	Plan of Correction
1 2 3 4	Licensee will create facility roster and submit proof by 11/3/2022 via email to Francisca.Velazquez@dss.ca.gov

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.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

LIC809 (FAS) - (06/04)

Page: 8 of 10

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: CENDEJAS FAMILY CHILD CARE	FACILITY NUMBER: 426210011
	VISIT DATE: 10/27/2022

NARRATIVE

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In addition, LPA observed nails sticking out of a constructed patio area that is accessible to children. LPA’s observed childcare activities in the outdoor patio area. Per licensee that is a storage area and not accessible to children. LPA observed the gate that leads to the garden was not locked and the garden contained hazardous items (tools, stakes, and chemicals). LPA’s observed canine feces in different locations that children have access too. Licensee advised they do not have firearms or live ammunition in the home.

Licensee did not have facility roster available. LPA reviewed a sampling of children records. Children records contained emergency cards and immunizations records. Licensee is not documenting infant safe sleep 15 minute checks with children under the age of 2 years. Licensee did not have facility records for her staff containing required licensing documents and required training. Licensee’s adult grand-daughter assistant has not obtained a background clearance. LPA spoke with licensee’s grand-daughter whom stated that she has lived her whole life and was not aware that she had to get a background clearance. During record review, LPA observed the last emergency drill was conducted on 4/14/22. The following Health and Safety Code and the California Code of Regulations, (Title 22, Division 12 & Chapter 1) are being cited on the attached LIC809D(s).

Eight (8) deficiencies were cited during today's inspection.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Home 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.

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/process.

CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

LIC809 (FAS) - (06/04)

Page: 9 of 10

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: CENDEJAS FAMILY CHILD CARE	FACILITY NUMBER: 426210011
	VISIT DATE: 10/27/2022

NARRATIVE

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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 [facility representative] 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.

Exit interview conducted and report was reviewed with the licensee. Licensee was provided and explained her appeal rights. Licensee was provided LIC 9224 (Acknowledgment receipt of reports) form and advised that every parent/guardian must be provided a copy of the report and sign an LIC 9224 stated they received it.

This report was translated in Spanish by LPA Velazquez due to Licensee being Spanish speaking.

At 5:30 PM, LPA Pedroza was able to inspect the locked room and did not observe any deficiencies in the bedroom.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

LIC809 (FAS) - (06/04)

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