426211141-11-27-2019-17-CC-MJIZ-BJBV27-20191127150240

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426211141
Report Date: 11/27/2019
Date Signed: 11/27/2019 03:03:18 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:	RUIZ FAMILY CHILD CARE		FACILITY NUMBER:	426211141
ADMINISTRATOR:	IRMA RUIZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 346-2868
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY:	14	CENSUS: 5	DATE:	11/27/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:25 PM
MET WITH:	Irma Ruiz		TIME COMPLETED:	03:13 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	Licensing Program Analyst (LPA) Martina Jimenez conducted an annual random inspection and met with Irma Ruiz, Licensee. The home was toured inside and outside. LPA observed five (5) children playing in the family room The areas used for the are the kitchen, dining room area, and family room. The second story of the home is off limits to children. There is a gate at the bottom of the stairs making upstairs area inaccessible to children. The kitchen, and bathroom are accessible to children. LPA observed age appropriate toys, games, books, tables and chairs. The backyard is completely fenced. LPA observed one (1) dog secured in the backyard. LPA observed age appropriate tables, chairs, shade area and bike area. No bodies of water were observed during the visit. Licensee stated that there are no guns or ammunition in the home. Licensee is not a licensed foster care home. Licensee is current with immunization requirements per SB 792. The safety drills were conducted and documented, last drill was conducted March 14, 2018. Licensee was reminded to conduct and document safety drills once every 6 months. A fire extinguisher was observed during the visit. Licensee is reminded to service/purchase fire extinguisher yearly. Licensee is current with CPR and First Aid which expires May 5, 2020. LPA reviewed “A Child Care Provider’s Guide to Safe to Sleep, Safe Sleep in Child Care, and Effects of Lead Exposure”. The visit was conducted in Spanish, and report was translated in Spanish by LPA Jimenez. LPA observed licensee post the Notice of Site visit. Licensee was reminded to check updates in the regulation at www.ccld.ca.gov. This Report Continues on LIC 809c and LIC 809D

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2019

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: RUIZ FAMILY CHILD CARE	FACILITY NUMBER: 426211141
	VISIT DATE: 11/27/2019

NARRATIVE

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LPA discussed AB 1207 Child Abuse Mandated Reporter Training. Licensee has not completed the training as required. Licensee was reminded about the requirement for care providers/employees, including volunteers to obtain immunization against Influenza, Pertussis, and Measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

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

The following Type B deficiencies were cited according to CCR, Title 22 Division 12. Appeal Rights reviewed.
The "Notice of Site Visit" was posted at the visit.

FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2019

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: RUIZ FAMILY CHILD CARE	FACILITY NUMBER: 426211141
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/27/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/04/2019 Section Cited	1 2 3 4 5 6 7	102417 Operation of a Family Child Care Home. (g) The home shall be free from defects or conditions ... include but not be limited to: (1) Fireplaces and open-face heaters shall be screened to prevent access bychildren... fire extinguisher ... by the State Fire Marshal. This requirement was not met by :
	8 9 10 11 12 13 14	Licensee has a type 2A10BC fire extinguisher on the kitchen counter without a receipt. This poses a potential health and safety risk to clients/children in care.	8 9 10 11 12 13 14
Type B 12/04/2019 Section Cited	1 2 3 4 5 6 7	102417 (g) (9)(A) 1 Operation of a FCCH: Each family child care home shall conduct fire drills and disaster drills at least once every six months. The licensee shall document the drills, including the date and time of each drill. This documentation shall be kept at the family child care home.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by the review of the emergency disaster drill log and interview with licensee revealed the last fire drill was conducted 03/14/2018. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14

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) 387-5041
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2019

LIC809 (FAS) - (06/04)

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