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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426212781
Report Date: 10/07/2022
Date Signed: 10/07/2022 12:23:29 PM


Document Has Been Signed on 10/07/2022 12:23 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:MOROS FCC AKA LA CASITA CHILDCAREFACILITY NUMBER:
426212781
ADMINISTRATOR:PATRICIA MOROSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 566-0962
CITY:CARPINTERIASTATE: CAZIP CODE:
93013
CAPACITY:14CENSUS: 11DATE:
10/07/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:03 AM
MET WITH:Patrica Moros TIME COMPLETED:
12:38 PM
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On October 7, 2022 at 10:05 AM Licensing Program Analyst (LPA) Rona Chavez conducted an unannounced annual inspection. LPA met with licensee Patricia Moros and discussed the nature and purpose of the inspection. Together both licensee and LPA conducted a tour of the home inside and outside. There was 11 children in care at the time of the inspection with one (1) assistant.

The licensee uses the converted garage/playroom, den, 1 bathroom, kitchen, 2 bedrooms, and the backyard for the day care. All required forms are prominently posted for parent's or authorized representatives in the playroom. LPA observed a fireplace with a glass screen that prevents the children from having access. There are age appropriate toys and furniture readily accessible to children. There are no toxins/hazards accessible to the children in care. Licensee states that there are no firearms and ammunition in the home. The home has a working smoke and carbon monoxide detector in the kitchen and the playroom. A 2A10BC fire extinguisher was observed in the play room with a service date of 12/11/2022. The back yard is fully enclosed with a wooden fence. There is a pool and a hot tub in the back yard. The pool has a sturdy cover that was tested by the licensee and the pins are locked and need a key to remove the pins. Hot tub is locked and secure. Licensee has blocked off the path to the pool with a fence and furniture and the children remain on the side of the backyard for play time. Licensee has age appropriate toys and play structures in the backyard in good condition and free of hazards.

Continued on 809-C

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Rona ChavezTELEPHONE: (424) 299-1480
LICENSING EVALUATOR SIGNATURE:
DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/07/2022
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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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: MOROS FCC AKA LA CASITA CHILDCARE
FACILITY NUMBER: 426212781
VISIT DATE: 10/07/2022
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Licensee has a valid Pediatric CPR/First Aid certificate with an expiration date of 3/27/2023. Licensee and staff have AB 1207 Mandated Reporter Training Certificate on file expiring on 12/9/2023. LPA observed missing Employee Rights in the assistants file. LPA provided information regarding required forms for personnel files. LPA observed assistant sign the document and licensee added to file. The last fire drill was conducted on 9/9/2022.

A roster of children in care was observed current and complete.A sampling of children's records were reviewed and found complete. Licensee is following Safe Sleep regulations and LPA reviewed Infant Sleeping Plans and 15-minute check logs. Licensee is currently not providing Incidental Medical Services (IMS).



During today's inspection there were not deficiencies cited. Technical Assistance was provided and issued.

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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Rona ChavezTELEPHONE: (424) 299-1480
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2022
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: MOROS FCC AKA LA CASITA CHILDCARE
FACILITY NUMBER: 426212781
VISIT DATE: 10/07/2022
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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 [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 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

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Patricia Moros.

SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Rona ChavezTELEPHONE: (424) 299-1480
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2022
LIC809 (FAS) - (06/04)
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