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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426213156
Report Date: 05/24/2023
Date Signed: 05/24/2023 11:09:46 AM


Document Has Been Signed on 05/24/2023 11:09 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:MONROY FCC AKA CREATIVE CARE FOR CHILDRENFACILITY NUMBER:
426213156
ADMINISTRATOR:DANIELLE MONROYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 963-9681
CITY:SANTA BARBARASTATE: CAZIP CODE:
93103
CAPACITY:14CENSUS: 11DATE:
05/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Anita WattsTIME COMPLETED:
11:15 AM
NARRATIVE
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On 5/24/23, 8:45 AM, Licensing Program Analysts (LPAs) Elvin Baddley and Giovani.Gonzalez conducted an unannounced One Year Required Inspection of the abovementioned Family Child Care Home (FCCH). LPAs met with Anita Watts, Assistant of the FCCH and explained the purpose of the inspection. Assistant informed LPAs Licensee Danielle Monroy is currently away form the FCCH. Specifically, Licensee is reported to be vacationing from 5/22/23-5/29/23. LPAs explained the regulation pertaining the Licensee's temporary absences from the FCCH not exceed 20 percent of the hours that the facility is providing care per day.

LPAs, in the company of the Assistant, toured the interior and exterior of the FCCH. The FCCH's playroom converted living room, hall bathroom and backyard are used for child care, while the upper story and remainder of the home is excluded. LPAs observed a child safety gate at the base of the stairwell to the upper level. At the time of the inspection LPAs observed 11 children present along with another Assistant (clear and associated) .

The home is void of hazardous items and the bathroom the children use for care is clean and free of toxins. Medication in the FCCH is stored in an elevated cabinet in the playroom. Medication is also stored in an excluded area of the home. Sharps and cleaning compounds are also stored in an excluded area of the home. Toys, furniture and equipment observed are age appropriate.

Required licensing forms and documents are posted on the wall of the FCCH's near the home's entry. The FCCH's has no fireplace. LPAs observed smoke and carbon monoxide detectors in the FCCH. The detectors in the playroom were tested at 8:50 AM and found to be operable. LPAs observed a regulation fire extinguisher in the FCCH which was last serviced on 5/15/23. LPAs reminded the Assistant to either service or purchase a regulation fire extinguisher annually.

The backyard is enclosed by a wooden fencing and the footing in the area is varied. Toys and play
(CONT. LIC 809-C)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4


Document Has Been Signed on 05/24/2023 11:09 AM - 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: MONROY FCC AKA CREATIVE CARE FOR CHILDREN
FACILITY NUMBER: 426213156

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Deficiency Dismissed
Type B
Section Cited
CCR
102417(a)
Operation of A Family Child Care Home
(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations and interview, the licensee did not comply with the section cited above as Licensee is away from the FCCH in excess of 20 persent of the hours that the facility is proving day care on 5/24/23 which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/07/2023
Plan of Correction
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Licensee to provide a written plan explaining how Licensee's absences will not exceed 20 percent of the hours that the FCCH is providing care per day. Written plan to be provided to CCLD (elvin.baddley@dss.ca.gov) by 6/7/23.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:
DATE: 05/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2023
LIC809 (FAS) - (06/04)
Page: 2 of 4


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: MONROY FCC AKA CREATIVE CARE FOR CHILDREN
FACILITY NUMBER: 426213156
VISIT DATE: 05/24/2023
NARRATIVE
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equipment viewed on site are age appropriate. The fence’s entry/exit gates are secure. LPAs observed a shed and green house in the backyard area. The aforementioned are secure. LPAs also observed a playhouse in the backyard area. LPAs 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, amongst thing. LPAs also reviewed documentation noting the children's sleep checks in 15 minute intervals. The Assistant's records were also reviewed and found to be current. Pediatric CPR and First Aid (EMSA approved) expires on 5/16/24, while Mandated Reporter certificate expire on 10/23/24. Assistant 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

Assistant 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.

LPAs discussed the safe sleep regulations with Assistant 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 Assistant 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 Type B Deficiency is being cited based on LPAs' observation and interviews pursuant to Title 22 of the CA Code of Regulations (refer to LIC 809-D). Assistant was provided a copy of their Appeal Rights


(CONT> 809-C, Page 3)
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: MONROY FCC AKA CREATIVE CARE FOR CHILDREN
FACILITY NUMBER: 426213156
VISIT DATE: 05/24/2023
NARRATIVE
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(LIC 9058) and their signature on this form acknowledges receipt of these rights.

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

Exit interview conducted and report was reviewed with Assistant Anita Watts.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC809 (FAS) - (06/04)
Page: 4 of 4