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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426212389
Report Date: 09/20/2022
Date Signed: 09/20/2022 02:27:11 PM


Document Has Been Signed on 09/20/2022 02:27 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:BUENROSTRO FCC AKA HUGGABLES DAY CAREFACILITY NUMBER:
426212389
ADMINISTRATOR:ANDREA BUENROSTROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 714-4355
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:14CENSUS: 9DATE:
09/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Andrea BuenrostroTIME COMPLETED:
02:45 PM
NARRATIVE
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On 9/20/22, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced One Year Required Inspection of the above-mentioned Family Child Care Home (FCCH). LPA met with Andrea Buenrostro, Licensee of the FCCH and explained the purpose of the inspection. LPA, in the company of Licensee toured the interior and exterior of the FCCH. Prior to entering the facility, LPA conducted COVID-19 pre-screening questionnaire and based on Licensee’s responses it was determined that the home is safe and free of any COVID-19 exposures. LPA notes that there are nine (9) children present being supervised by four (4) assistants.

At arrival, Licensee informed LPA that parents enter the daycare through the side door. LPA observed that the main home is not accessible to children in care. This home has added permitted enclosed patios and sunrooms that are used for childcare services. Children have access to the cubby room, children kitchen and dinning area, bathroom, daycare room and outdoor yard. LPA notes all three (3) bedrooms in the home, 2 bathrooms, main kitchen, living room and dinning room are off-limits to the children in care. LPA observed the kitchen door and bedroom door are locked making these areas inaccessible.

LPA observed all children in the daycare room area. LPA observed the home to be clean and orderly. Further, the home offers plenty of ventilation for the children in care. LPA did not observe any hazardous items accessible to children in care. LPA observed sharps are stored in the main kitchen in an elevated cabinet. LPA notes the main kitchen is not accessible to children in care. Medication is stored in an elevated kitchen cabinet which is secure and beyond the reach of children. Cleaning compounds were observed in the main kitchen and the laundry room, both are off-limits to children in care. Toys, furniture and equipment within the FCCH are age appropriate.

The backyard is made up of grass footing and is enclosed by wood fencing. The fence’s entry/exit gates are secure. Toys and play equipment observed in backyard are age appropriate. No bodies of water are observed. CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2022
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 09/20/2022 02:27 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: BUENROSTRO FCC AKA HUGGABLES DAY CARE
FACILITY NUMBER: 426212389

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/20/2022

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
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Based on record review, the licensee did not comply with the section cited above in that only two (2) children present during inspection were listed on the facility roster which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/27/2022
Plan of Correction
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Licensee agrees to update all enrolled on the facility roster and provide a copy of LPA Velazquez via email at francisca.velazquez@dss.ca.gov by 9/27/2022.
Type B
Section Cited
CCR
102425(d)(2)
Infant Safe Sleep
The provider shall place infants up to 12 months of age on their backs for sleeping. Upon expiration of the medical exemption, the provider shall follow all requirements set forth in subsection (d).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that none of the infants under the age of 1 year old had Individualized Infant sleep plans on file for review which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/27/2022
Plan of Correction
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Licensee aggress to ensure that all infants under the age of one (1) year have completed and up to date LIC 9227 Individualized Infant Sleep Plan on file ready for review. Licensee will send proof of completion via email to Francisca.Velazquez@dss.ca.gov by 9/27/2022.

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) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2022
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: BUENROSTRO FCC AKA HUGGABLES DAY CARE
FACILITY NUMBER: 426212389
VISIT DATE: 09/20/2022
NARRATIVE
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Required forms are predominantly posted on the wall. The FCCH has a fireplace that is locked and/or made inaccessible to children in care. LPA observed smoke and carbon monoxide detectors in the FCCH which were each tested at 11:45 AM and found to be operable. Likewise, the home has a regulation fire extinguisher which was serviced on 5/21/22. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The home maintains working telephone services.

LPA reviewed Licensee and children's records. LPAs notes that although Licensee had files for all children present, some documents were not complete or are missing parent signature during this inspection. LPA notes all children had emergency card available for review, however none of the infants present had Individualized Infant Sleep Plan on file. LPA reviewed Licensee's Mandated Reporter training certification which was taken 9/9/22. LPA reviewed Licensee's Pediatric CPR and First Aid certifications that were taken on 5/26/21. LPA review facility roster and found that only two (2) children present were listed on the facility roster. The Licensee informed LPA no firearms and ammunition are on site.

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

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
for additional resource. LPA also informed Licensee 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. CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
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: BUENROSTRO FCC AKA HUGGABLES DAY CARE
FACILITY NUMBER: 426212389
VISIT DATE: 09/20/2022
NARRATIVE
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Type B deficiencies are being cited based on LPA’s record reviews pursuant to Title 22 of the CA Code of Regulations (refer to LIC 809-D). Licensee was provided a copy of their appeal rights.

A Notice of Site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee Andrea Buenrostro.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
LIC809 (FAS) - (06/04)
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