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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426212462
Report Date: 11/30/2023
Date Signed: 11/30/2023 10:51:29 AM


Document Has Been Signed on 11/30/2023 10:51 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:GUTIERREZ FCC AKA LITTLE BUGS DAY CAREFACILITY NUMBER:
426212462
ADMINISTRATOR:KARINA GUTIERREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 845-4802
CITY:SANTA BARBARASTATE: CAZIP CODE:
93111
CAPACITY:14CENSUS: 10DATE:
11/30/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Karina Gutierrez TIME COMPLETED:
11:05 AM
NARRATIVE
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On November 30 2023 Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced Required - 3 Year Inspection at the above-mentioned Family Child Care Home (FCCH). LPA met with Licensee Karina Gutierrez and informed them the purpose of the inspection. LPA in the company of the Licensee toured the interior and exterior of the FCCH. The FCCH uses the living room, dining area, nap room and backyard for child care purposes while the remainder of the home is excluded. At the time of inspection 10 children were present.

LPA observed the FCCH's interior to be clean and orderly, with sufficient spacing and ventilation for children in care. LPA observed the FCCH's living room to have age appropriate toys and furnishing. LPA observed the bathroom used for child care to be clean and free of toxins. LPA observed the kitchen to be inaccessible to children with a child proof gate and the sharps were observed to be in an elevated surface beyond the reach of children. Cleaning compounds are stored in the homes garage which is inaccessible to children. Medication is stored in a bedroom that is inaccessible to children in care.

LPA observed required licensing forms and documents to be posted on the wall next to the entrance of the FCCH. LPA observed a combination smoke and carbon monoxide detector in the FCCH. The combination smoke and carbon monoxide detector was tested at 9:20 AM and found to be operable. The FCCH has a regulation fire extinguisher which was purchased 9/26/2023. LPA reminded Licensee to either service or purchase a regulation fire extinguisher annually.

The backyard is completely enclosed by a wooden fence. LPA observed the side gates of the FCCH to be secured. LPA observed age appropriate toys and furnishing. LPA observed no bodies of water on site.

A sample of children's records was reviewed and found to be current and complete. LPA observed up to date
CONTINUED PAGE 2
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Giovani GonzalezTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:
DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/30/2023
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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: GUTIERREZ FCC AKA LITTLE BUGS DAY CARE
FACILITY NUMBER: 426212462
VISIT DATE: 11/30/2023
NARRATIVE
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Safe Sleep logs and Individual Infant Sleeping Plans (LIC9227). LPA reviewed assistant's file and was found to be current and complete as well. Licensee's records were reviewed as well and found to be current. Licensee's Mandated Reporter Training expires on 5/18/25 and Pediatric CPR/First Aid expires on 5/20/2025. LPA reminded Licensee that it is their responsibility to maintain current certifications and training.

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 [or facility representative] 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 [or facility representative] 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 [or 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.

Incidental Medical Services (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/.
CONTINUED PAGE 3
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Giovani GonzalezTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: GUTIERREZ FCC AKA LITTLE BUGS DAY CARE
FACILITY NUMBER: 426212462
VISIT DATE: 11/30/2023
NARRATIVE
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Licensee [or facility representative] was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee Karina Gutierrez.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Giovani GonzalezTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
LIC809 (FAS) - (06/04)
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