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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426212762
Report Date: 05/12/2023
Date Signed: 05/12/2023 11:58:15 AM


Document Has Been Signed on 05/12/2023 11:58 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:RIOS FAMILY CHILD CAREFACILITY NUMBER:
426212762
ADMINISTRATOR:KATIA RIOSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 965-7519
CITY:SANTA BARBARASTATE: CAZIP CODE:
93101
CAPACITY:14CENSUS: DATE:
05/12/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Katia RiosTIME COMPLETED:
12:15 PM
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On 5/12/23, at 9:45 AM, Licensing Program Analysts (LPA) Elvin Baddley conducted a unannounced Required Annual inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Katia Rios, Licensee of the FCCH and explained the purpose of the inspection. LPA notes the Licensee's spouse, Juan Rios, assisted with communication as the Licensee is primarily Spanish speaking. LPA, in the company of Licensee, toured the interior and exterior of the FCCH. The home's living room, dinning room, kitchen, hallway restroom and backyard, are used for child care, while the remainder of the home is excluded. LPA observed nine children on site along with an assistant (cleared and associated).

LPA observed required licensing forms and documents posted on the wall in the dining room LPA observed a smoke and carbon monoxide detectors in the FCCH. The detectors were not tested as six children in care are napping. The FCCH has a regulation fire extinguisher which was serviced on 8/29/22. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually.

LPA observed age appropriate toys, furniture and equipment in the FCCH's interior. LPA observed the restroom used by children in care to be clean and free of toxins. Medication is stored ion an elevated cabinet shelf in the kitchen which is inaccessible to children. LPAs observed cleaning compounds in elevated locations in the home which are beyond the reach of children in care. Sharps in the FCCH are stored on an elevated shelf in a cabinet which is also beyond the reach of children.

The backyard is enclosed by a wooden fencing and the footing in the area is cement. Toys and play equipment observed on site are age appropriate. The fence’s entry/exit gate is secure. LPA observed a refrigerator in the back yard area which is secured. LPA observed no bodies of water on site.

A sampling of the children's records were reviewed. The records are current, complete and possessed emergency contact information as well as immunization records. LPA also reviewed documentation noting
(CONT. LIC 809-C)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/12/2023
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: RIOS FAMILY CHILD CARE
FACILITY NUMBER: 426212762
VISIT DATE: 05/12/2023
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the children's sleep checks conducted in 15 minute intervals. The Licensee's records were also reviewed and found to be current. Pediatric CPR and First (EMSA approved) expires on 8/30/23 while Mandated Reporter certificate expire on 7/18/24. Licensee stated no firearm or ammunition is stored 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 for additional resource. LPAs 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.

A Notice of Site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Katia Rios.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
LIC809 (FAS) - (06/04)
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