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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426210235
Report Date: 09/24/2019
Date Signed: 09/24/2019 12:55:51 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:LUJANO FCC AKA TRISHA'S LITTLE ANGEL'SFACILITY NUMBER:
426210235
ADMINISTRATOR:PATRICIA LUJANOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 588-7802
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:14CENSUS: 8DATE:
09/24/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Patricia LujanoTIME COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analysts (LPAs) S. Mendoza and C. Patterson conducted an Annual/ Random inspection. LPAs met with licensee Patricia Lujano and and her assistant Meaghan Cota and explained the purpose of the visit. Licensee was caring for 8 children. Licensee stated there are no bodies of water. LPAs did not observe any bodies of water on the premises. Licensee stated that there are firearms and ammunition on the premises. LPAs observed the firearms and ammunition to be stored in compliance with regulations. LPAs reviewed the handouts "A Child Care Provider's Guide to Safe Sleep, Safe Sleep in Child Care, and Effects of Lead Exposure" with licensee. LPAs toured the home inside and outside. LPAs inspected the kitchen, living room, backyard, and bathroom. The knives and sharp implements were observed to be stored out of reach of children. No toxins were observed in the kitchen. LPAs observed age appropriate toys, books and furnishings in the day care room. There are 3 bedrooms and one bathroom upstairs which were made inaccessible to day care children with a gate. The bathroom was observed to be clean and all toxins are stored out of reach of children. The outdoor activity area is completely fenced. LPAs reviewed the childcare roster. The fire extinguisher was serviced on 03/11/2019. Licensee was advised to service or replace the fire extinguisher yearly. There is a carbon monoxide and smoke detector in the home. Licensee Lujano and her assistant Meaghan Cota have current CPR/ First Aid which is valid until 01/23/20. Licensee and her assistant have completed AB1207 Mandated Reporter Training. LPAs reviewed the requirement for care providers/employees and volunteers to obtain immunization against Influenza, Pertussis, and Measles. LPAs advised, each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year or obtain a signed statement declining the influenza vaccination.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
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 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: LUJANO FCC AKA TRISHA'S LITTLE ANGEL'S
FACILITY NUMBER: 426210235
VISIT DATE: 09/24/2019
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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 observed the Notice of Site Visit posted

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2