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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426213224
Report Date: 01/26/2023
Date Signed: 01/26/2023 12:30:10 PM


Document Has Been Signed on 01/26/2023 12:30 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:TORRES FAMILY CHILD CAREFACILITY NUMBER:
426213224
ADMINISTRATOR:SARA TORRESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 938-7512
CITY:ORCUTTSTATE: CAZIP CODE:
93455
CAPACITY:14CENSUS: 5DATE:
01/26/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Sara TorresTIME COMPLETED:
12:40 PM
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On January 26, 2023 at 10:40 AM Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced One (1) Year Required inspection. LPA asked pre- screening questions related to COVID- 19 and licensee’s responses indicate there are no COVID 19 exposures on site. LPA met with licensee, Sara Torres and Licensee's spouse Jose Torres and daughter Carmella Torres. LPA discussed the purpose of the inspection. There were 5 children present during the inspection.

LPA in the company of Licensee toured the interior and exterior of the day care. Family Child Care Home (FCCH) uses living room, family room, dining room, bathroom and fenced backyard for day care. Off limit areas are garage and kitchen and bedrooms. LPA observed required licensing forms are posted in the wall. LPA observed smoke and carbon monoxide detectors in the FCCH. The fire extinguisher was purchased in 7/14/2022. Licensee was reminded that fire extinguisher should be serviced every year or to purchase a new one. Home conducts and documents fire and disaster drill, every month last drill was conducted on 12/12/2022. Bathroom was observed to be free of toxins. Hazardous items and cleaning materials are kept inaccessible to day care children. The backyard is enclosed with appropriate fence. No bodies of water were observed on site. Licensee stated there are no guns or ammunition in the home.

LPA Reyes reviewed facility file, Pediatric CPR and First Aid expires on 12/2023. Licensee took Mandated Reported Training certificate which will expire on 6/16/2023. FCCH has current roster of children in care. A sampling of children records were reviewed and found to be current. Infants in care have Individual Safe Plan on file, Licensee's assistant checks and documents napping infants every 15 minutes.
Continued on LIC 809C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2023
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: TORRES FAMILY CHILD CARE
FACILITY NUMBER: 426213224
VISIT DATE: 01/26/2023
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Licensee does not provide Incidental Medical Services (IMS). IMS policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Home 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.

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.

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 an additional resource. LPA 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
Licensee was reminded that all adults 18 year old 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.

No deficiencies were cited during the inspection.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights were given and explained.
Exit interview conducted and report was reviewed with the licensee, Sara Torres
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC809 (FAS) - (06/04)
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