426213266-7-28-2022-17-CC-FVEZ-CGRRC5-20220728125347

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426213266
Report Date: 07/28/2022
Date Signed: 07/28/2022 12:53:52 PM

Document Has Been Signed on 07/28/2022 12:53 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:	RODRIGUEZ FCC AKA FIESTA DAY CARE		FACILITY NUMBER:	426213266
ADMINISTRATOR:	RODRIGUEZ, SILVIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 614-0214
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY:	14	CENSUS: 2	DATE:	07/28/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Silvia Rodriguez		TIME COMPLETED:	01:00 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 7/28/22, at 10:30 AM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced One Year Required Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Silvia Rodriguez, Licensee of the FCCH and explained the purpose of the inspection. LPA notes COVID pre-screening questions were asked of Licensee prior to the inspection. Licensee's responses suggest the FCCH is void of COVID positive cases. At the time of the inspection, LPA observed two (2) children on site. LPA, in the company of Licensee, toured the interior and exterior of the FCCH. This is a two (2) story home with three (3) bedrooms and two in a half (2.5) bathrooms. The FCCH’s living room, dinning room, day-care room, half bathroom and outdoor yard used for childcare services. While the kitchen, laundry room, garage, the whole second floor are not used for child care services. LPA observed a baby gate located on the bottom step of the stairs. LPA observed another baby gate making the kitchen inaccessible to children in care. Laundry room and garage each have a door safety knob. In the outdoor yard, a chain fence is around the garden area, making that area inaccessible to children in care. The FCCH was observed to be clean and orderly. The FCCH has ventilation to afford for the children’s comfort. LPA observed a fireplace that is covered and secured. The FCCH was void of hazardous items. Medication is stored in the Licensee's bedroom that is off limits to children in care. Sharps are stored in an elevated cabinet in the kitchen. Cleaning compounds in the FCCH are stored in the laundry room or garage. LPA notes all areas are inaccessible to children in care. The bathroom used for child care is clean and free of toxins.Toys, furniture and equipment in the FCCH are age appropriate. Required forms are predominantly posted on the wall of the FCCH. LPA observed smoke and carbon monoxide detectors in the FCCH. The detectors were tested at 11:25 AM and found to be operable. The FCCH has a regulation fire extinguisher on site which was service on 8/26/21. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022

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: RODRIGUEZ FCC AKA FIESTA DAY CARE	FACILITY NUMBER: 426213266
	VISIT DATE: 07/28/2022

NARRATIVE

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The FCCH has working telephone services.

The backyard has cement and grass play area that enclosed by wood fencing. The fence’s entry/exit gates are secure. Shade is provided by means of a canopies. Toy’s furniture and play equipment observed in backyard area are age appropriate and in satisfactory condition. Licensee is reminded to replace toys and equipment in the outdoor area when items start to degrade or are not in good repair. LPA has part of her yard made inaccessible to children by means of a gate. LPA observed two sheds in the outdoor yard, both sheds were locked and inaccessible to children in care. LPA observed no bodies of water on site.

LPA reviewed children's records. The records are current, complete and possessed emergency contact information and immunization records. At the moment, Licensee does not have any infant age children enrolled but Licensee is up to date with the safe sleep regulations. A review of the FCCH's fire drill log shows the last drill occurred on 6/27/22. The Licensee's records are also current and complete with pediatric CPR and First Aid certifications expiring on 10/15/23. Licensee’s Mandated Reporter training certificate is valid until 7/7/24. Licensee is reminded to renew certifications and training prior to expirations. The Licensee informed LPA no firearms or ammunition are 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 an for additional resource. CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022

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: RODRIGUEZ FCC AKA FIESTA DAY CARE	FACILITY NUMBER: 426213266
	VISIT DATE: 07/28/2022

NARRATIVE

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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.

A Notice of Site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, Silvia Rodriguez.

Today’s inspection and review of report was conducted in Spanish due to Spanish being the Licensee’s primary language.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022

LIC809 (FAS) - (06/04)

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