426213266-8-28-2024-17-CC-JMEZ-D8KV49-20240828160557

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426213266
Report Date: 08/28/2024
Date Signed: 08/28/2024 04:06:13 PM

Document Has Been Signed on 08/28/2024 04:06 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
SANTA BARBARA CC RO, 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: 3	DATE:	08/28/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:27 PM
MET WITH:	Silvia Rodriguiz		TIME COMPLETED:	04:25 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 8/28/2024, at 1:27 PM, Licensing Program Analyst (LPA) Joaquin Mendez 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. At the time of the inspection, LPA observed three (3) 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 three (3) bathrooms. The FCCH’s living room, dining room, day-care room, downstair bathroom and outdoor backyard are 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 pet dog’s area, making that area inaccessible to children in care. LPA observed license and immunization for two (2) dogs and one (1) cat.

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.

continue on LIC809C pg2

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 682-7647
LICENSING EVALUATOR NAME: Joaquin Mendez	TELEPHONE: (805) 951-0654
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

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 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RODRIGUEZ FCC AKA FIESTA DAY CARE	FACILITY NUMBER: 426213266
	VISIT DATE: 08/28/2024

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

·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 and were not tested due to children’s nap time.

· The FCCH has a regulation fire extinguisher on site which was service on 6/10/24. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually.

· 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 canopy.
· 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, first shed was locked and inaccessible to children in care.
· Second shed has a door handle and has supplies for the daycare such as toys, small chairs, and activities for 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 time of inspection, Licensee does have infant age children enrolled but Licensee is up to date with the safe sleep regulations.
Continue on LIC809C pg3

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 682-7647
LICENSING EVALUATOR NAME: Joaquin Mendez	TELEPHONE: (805) 951-0654
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

LIC809 (FAS) - (06/04)

Page: 3 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RODRIGUEZ FCC AKA FIESTA DAY CARE	FACILITY NUMBER: 426213266
	VISIT DATE: 08/28/2024

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

·A review of the FCCH's fire drill log shows the last drill occurred on 8/22/24.
· The Licensee's records are also current and complete with pediatric CPR and First Aid certifications expiring on 9/02/25.
· Licensee’s Mandated Reporter training certificate is valid until 7/06/2026. Licensee is reminded to renew certifications and training prior to expirations.
· The Licensee informed LPA no firearms or ammunition are stored on site.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Licensee, was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee, Silvia Rodriguez 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, 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.

The Licensee Silvia Rodriguez is not providing Incidental Medical Services (IMS). IMS policy was discussed. For IMS information see PIN 22-02-CCP. 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
Continue on LIC809C pg4

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 682-7647
LICENSING EVALUATOR NAME: Joaquin Mendez	TELEPHONE: (805) 951-0654
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

LIC809 (FAS) - (06/04)

Page: 4 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RODRIGUEZ FCC AKA FIESTA DAY CARE	FACILITY NUMBER: 426213266
	VISIT DATE: 08/28/2024

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

publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee, Silvia Rodriguez was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE, Silvia Rodriguez confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given to Licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the licensee, Silvia Rodriguez. The inspection visit was conducted in Spanish as is preferred language to Licensee Silvia Rodriguez and report was translated in Spanish by LPA Mendez.

During today's inspection no deficiencies were cited. A technical advisory LIC9102 was issued (S1 was missing documents in file). See attachment for reference. LPA observed licensee post the Notice of Site visit.

FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 682-7647
LICENSING EVALUATOR NAME: Joaquin Mendez	TELEPHONE: (805) 951-0654
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

LIC809 (FAS) - (06/04)

Page: 5 of 5