426213553-2-21-2020-17-CC-MKST-BLZQ4J-20200221105024

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426213553
Report Date: 02/21/2020
Date Signed: 02/21/2020 10:50:30 AM

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:	LOPEZ FCC AKA SONRISAS CHILDCARE		FACILITY NUMBER:	426213553
ADMINISTRATOR:	BERTA LOPEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 925-1885
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	14	CENSUS: 4	DATE:	02/21/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Berta Lopez		TIME COMPLETED:	11:00 AM

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 2/21/20 at 10:05am, Licensing Program Analyst (LPA) Melissa Stewart, conducted an unannounced Required- 1 year inspection and met with Licensee, Berta Lopez, whose primary language is Spanish. Licensee's Assistant provided translation of the inspection and this report. The purpose of the inspection was explained and the home was toured inside and out. All required forms are posted in a prominent location. At the time of inspection, there were 4 children supervised by one assistant and Licensee. The family child care home operates in the living room, dining area and backyard of the home. LPA observed age appropriate toys, books, craft supplies and furnishings in the indoor activity area and covered patio. The bathroom used by children was observed to be clean and free of toxins. Three bedrooms are off limits and are made inaccessible to children by a child safety gate. All hazardous items are stored inaccessible to children in care. Licensee stated there are no guns or ammunition in the home. Outdoors, LPA observed playhouse, toys, grass, and sand box. The backyard is completely fenced; there are no bodies of water. Carbon monoxide and smoke detectors were tested and operational. LPA observed the 2 A10 BC fire extinguisher which was serviced on 5/8/19. Licensee was reminded to service or replace the fire extinguisher yearly. Licensee completes and documents emergency drills. The most recent drill was held on 1/13/20. Licensee is Pediatric CPR and first aid certified through 2/18/21. Continued on 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

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: LOPEZ FCC AKA SONRISAS CHILDCARE	FACILITY NUMBER: 426213553
	VISIT DATE: 02/21/2020

NARRATIVE

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Licensee and Assistant have met SB 792 immunization requirement. Mandated Reporter Training per AB 1207 was completed by Licensee on 12/18/19. Licensee reported that Assistant completed the online training with Licensee as the on line training was only available in English at that time. LPA requested the Assistant set up an account at www.mandatedreporterca.com and complete the training in order to receive a certificate of completion in Assistant's name. Facility roster and a sample of children's records were reviewed and found complete. LPA reviewed the log signed by parents of children in care verifying that they have received information regarding the Effects of Lead Exposure. Licensee stated that there are no children enrolled who require medications at this time.

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: www.ada.gov/childqanda.htm

LPA reviewed and provided Licensee with Safe to Sleep brochure. Licensee was reminded that it is her responsibility to know the regulations for Family Child Care Home and was advised to review Quarterly Updates and Provider Information Notices (PINs) which can be accessed on-line at www.ccld.ca.gov. Licensee stated that she receives important updates from Community Care Licensing Division via email.

In the areas evaluated, no deficiency cited.

LPA observed Licensee post the Notice of Site visit.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

LIC809 (FAS) - (06/04)

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