426213224-6-17-2021-17-CC-GRES-C43J3S-20210617064201

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426213224
Report Date: 06/16/2021
Date Signed: 06/17/2021 06:42:04 AM

COMPREHENSIVE INSPECTION

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:	TORRES FAMILY CHILD CARE		FACILITY NUMBER:	426213224
ADMINISTRATOR:	SARA TORRES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 938-7512
CITY:	ORCUTT	STATE: CA	ZIP CODE:	93455
CAPACITY:	14	CENSUS: 8	DATE:	06/16/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Sara Torres		TIME COMPLETED:	02:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 6/16/2021, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Required Annual inspection and met with Licensee, Sara Torres and assistant, Jose Torres. Due to COVID-19 pandemic, LPA asked the pre screening questions before the inspection, Licensee's responses indicate no COVID-19 exposure on site. Upon arrival in the home, LPA observed Family Child Care Home implements the COVID 19 mitigation plan. COVID 19 resources are posted, Licensee takes everyone's temperature before entering the home, mini sink for hand washing by the front door, children over the age of two were wearing face mask. LPA toured the home inside and out. There were 8 children present, one (1) being infant , two (2) school age children and five (5) children whose age ranged from 3 to 5 years old. The home was clean, orderly and free of hazardous items. The home uses living room, family room, dining area and back yard for day care. Three bedrooms and kitchen are made inaccessible to children by child safety gate. Garage is off limits. The bathroom is observed to be clean and free of toxin. The back yard is enclosed with wooden fence, age appropriate toys and equipment were observed. At 12:45 PM, carbon monoxide and smoke detectors were tested and found functional. 2A10 BC fire extinguisher was purchased on 8/15/2020. Home conducts and documents Fire and Disaster drill every month, last drill was conducted on 6/9/2021. Continued on 809 C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021

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 2

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: TORRES FAMILY CHILD CARE	FACILITY NUMBER: 426213224
	VISIT DATE: 06/16/2021

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Licensee stated there are no guns or ammunition at home. LPA did not observe any bodies of water.
Medication and cleaning compounds are stored in the FCCH's kitchen which is in an excluded area and outside the reach of children. LPA observed appropriate toys and equipment in the day care area. Required licensing forms are posted on the wall of family room.

Facility file was reviewed. Pediatric CPR for Licensee and Assistant are current and due for renewal on 12/2021. Licensee and assistant have complete record of required immunization.
LPA reviewed children records. The records were complete, children's roster is current .

The Licensee is not providing Incidental Medical Services (IMS). Policy was discussed. 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: www.ada.gov/childqanda.htm

LPA reviewed and provided Licensee with the Safe Sleep Regulations and form LIC 9227 Individual Infant Safe Sleeping Plan. LPA reiterated that crib or play yards shall be free from all loose articles, and sleeping infant (0 -24 months) physical supervision and documentation every 15 minutes. LPA provided the web site address to obtain forms, review quarterly updates, review Title 22 & Health & Safety Codes is: https://www.cdss.ca.gov/inforesources/child-care-licensing.

Exit interview was conducted with Licensee. During today's inspection, there was no deficiency cited.
THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2