426213553-8-25-2022-17-CC-FVEZ-CHMM36-20220825091438

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426213553
Report Date: 08/23/2022
Date Signed: 08/25/2022 09:14:48 AM

Document Has Been Signed on 08/25/2022 09:14 AM - 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:	LOPEZ FCC AKA SONRISAS CHILDCARE		FACILITY NUMBER:	426213553
ADMINISTRATOR:	BERTA LOPEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 868-7915
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	14	CENSUS: 5	DATE:	08/23/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Berta Lopez		TIME COMPLETED:	01:25 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 8/23/22 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 Berta Lopez, Licensee of the FCCH and explained the purpose of the inspection. LPA, in the company of Licensee toured the interior and exterior of the FCCH. The home uses the following areas for daycare services; living room and extended play room, dinning room/kitchen, bathroom and backyard. LPA observed a small baby gate on the hallway of the home, making the bedrooms inaccessible to children in care. At the time of the inspection, there are five (5) children present being cared by Licensee. LPA notes that within 10-15 minutes from initiating inspection Assistant Edith Zaragoza de Lopez arrived from dropping off one (1) child at school. The home was clean and orderly and provides plenty of ventilation for all children present. Further, the home was void of hazardous items. Medication is stored in an elevated cabinet in the hallway which is secure and beyond the reach of children. Sharps are observed to be stored on top of the microwave and cleaning compounds were observed in an elevated cabinet in the kitchen and in the laundry room. LPA notes all areas are out of the reach of children. Toys, furniture and equipment within the FCCH are age appropriate. Required forms are predominantly posted on the wall. The FCCH has an open face heater that is not covered. LPA observed that open face fire heater is not used as it appeared to have a lot of dust. In addition, Licensee stated that the heater has not been used in years. LPA observed smoke and carbon monoxide detectors in the FCCH which were each tested at 11:05 AM and found to be operable. Likewise, the home has a regulation fire extinguisher which was serviced on 7/11/22. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The home maintains working telephone services. The backyard is made up of grass footing and is enclosed by a plastic baby gate. The fence’s entry/exit gates are secure. Toys and play equipment observed in backyard are age appropriate. No bodies of water are are observed. LPA observed one canine that is up to date with vaccines until 6/18/23. 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: 08/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022

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: LOPEZ FCC AKA SONRISAS CHILDCARE	FACILITY NUMBER: 426213553
	VISIT DATE: 08/23/2022

NARRATIVE

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LPA reviewed Licensee and children's records. LPAs notes that all children present during inspection are listed on the facility roster. LPA found children records to be completed with emergency cards and updated immunization's. LPA reviewed Licensee file and found that Mandated Reporter training certification was completed 4/26/22. LPA attempted to reviewed Licensee's Pediatric CPR and First Aid certifications. Licensee only had expired CPR/First-Aid card and stated that her certificate has been renewed but there is no record to review. LPA reviewed Assistant's file and found that assistant does not have AB1207. Per Licensee, assistant is waiting for the union to provide the training in Spanish. The Licensee informed LPA no firearms and ammunition are 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. 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.

Type B deficiency is being cited during today's visit. Licensee was provided a copy of their appeal rights.

A Notice of Site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee Berta Lopez. This inspection and review of report was conducted in Spanish.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 08/25/2022 09:14 AM - It Cannot Be Edited

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/23/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416.5(b)(1)

Staffing Ratio and Capacity

(b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following: (1) Four infants; or This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review there were five (5) children being cared for by one adult (four which were infants younger than two (2) years old and one which was older than 3 yeras old) which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/30/2022
	Plan of Correction
1 2 3 4	Licensee agrees to submit a written summary explaining how she will ensure that when there is one adult present only, how capacities will be maintain. Licensee will submit written summary via email to francisca.velazquez@dss.ca.gov by 8/30/22.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022

LIC809 (FAS) - (06/04)

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