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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426212122
Report Date: 11/25/2024
Date Signed: 11/25/2024 01:48:28 PM

Document Has Been Signed on 11/25/2024 01:48 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:CARDOSO FAMILY CHILD CAREFACILITY NUMBER:
426212122
ADMINISTRATOR/
DIRECTOR:
BLANCA CARDOSOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 925-5378
CITY:SANTA MARIASTATE: CAZIP CODE:
93455
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
11/25/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:40 AM
MET WITH:Blanca CardosoTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 11/25/2024 at 11:40 AM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Annual/Random inspection at the above Family Childcare Home (FCCH). LPA met with Licensee, Blanca Cardoso and assistants, and discussed the purpose of the inspection. FCCH operates Monday to Friday, 4:30 AM to 6:00 PM, Licensee provides care for children 0 to 8 years of age.

LPA and Staff 2 toured the inside and outside of the home, there were 3 children and 1 infant present under the care of Licensee and 2 staff assistant. The smoke and carbon monoxide detectors were tested and found functional. The regulation fire extinguisher was serviced on 2/23/2024. Age-appropriate toys, books, playpen and equipment were observed in the home. The yard is enclosed with 10-foot vinyl fence and surface is covered with artificial grass, and was observed to be free of tripping hazards. Children’s bathroom is free of toxins. Sharps, medicines and toxins are stored in the area inaccessible to children in care.

LPA reviewed the facility file and found that the Pediatric CPR and First Aid certificate is current with expiration date of 01/06/2026 while Mandated Reporter Training expires on 11/12/2026. Children’s record were reviewed and found complete. Child # 1' Infant Safe Sleep plan (LIC9227) was not completed during the enrollment. . Licensee and assistants check and document napping infants every 15 minutes.
LIC 809C
Maria MuellerTELEPHONE: (805) 562-0410
Gigi ReyesTELEPHONE: (805) 698-7114
DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/25/2024
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: CARDOSO FAMILY CHILD CARE
FACILITY NUMBER: 426212122
VISIT DATE: 11/25/2024
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Childcare facility roster is current. Nobodies of water was observed. Licensee stated there are no guns or ammunition in the home.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

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, 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.

Continued on LIC 809 C

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
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: CARDOSO FAMILY CHILD CARE
FACILITY NUMBER: 426212122
VISIT DATE: 11/25/2024
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LPA also informed licensee, 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.

The FCCH is not providing Incidental Medical Services (IMS). 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/.

Licensee, was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

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

During today’s inspection, no deficiency was cited but a Technical Violation was issued regarding the Infant Safe Sleep Plan.



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, Blanca Cardoso.

Inspection and report was translated in Spanish by Licensee’s assistant/daughter, Marina Cardoso.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
LIC809 (FAS) - (06/04)
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