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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426213656
Report Date: 03/06/2020
Date Signed: 03/06/2020 12:02:59 PM

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:LEON FCC AKA CECY'S CHILD CAREFACILITY NUMBER:
426213656
ADMINISTRATOR:CECILIA LEONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 343-7985
CITY:GUADALUPESTATE: CAZIP CODE:
93434
CAPACITY:14CENSUS: 4DATE:
03/06/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:42 AM
MET WITH:Cecilia LeonTIME COMPLETED:
12:12 PM
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On 03/06/2020 at 11:42am, Licensing Program Analysts (LPAs) Christian Patterson and Martina Jimenez made an unannounced inspection to the facility for the purpose of conducting a Required 1-year inspection. LPAs met with Licensee Cecilia Leon and explained the purpose of the visit. There were 4 children present. A tour of the home was made both inside and outside. Licensee uses the living room and bathroom for the day care. The bedrooms and kitchen are off-limits/locked. The regulation fire extinguisher was purchased on 07/17/19. Licensee is reminded to either service or purchase a regulation fire extinguisher every year. The carbon monoxide detector and smoke detector were observed to be functional. Licensee uses the backyard, which is completely enclosed with a fenced. Licensee has two dogs, one big and one small, which are kept in a separate fenced area of the backyard inaccessible to children. LPAs did not observe any bodies of water. Licensee stated that there are no firearms/ammunition in the facility. LPAs observed that there are age appropriate toys and equipment both inside and outside. LPAs reviewed a sampling of children's records. Children's records were observed to be complete. Immunization records were complete for all adults in the facility. Licensee's First Aid/CPR certificates are valid until 09/05/2021. Licensee will complete AB 1207 Mandated Reporter Training once it is available in Spanish. A fire/disaster drill was completed on 02/04/2020.

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
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
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: LEON FCC AKA CECY'S CHILD CARE
FACILITY NUMBER: 426213656
VISIT DATE: 03/06/2020
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Licensee is reminded that they are responsible for knowing the regulations for a Family Child Care Home and that Licensing information can be accessed online at www.ccld.ca.gov. LPA reviewed the handouts "AB 1207 Mandated Reporter Training brochure, A Child Care Provider's Guide to Safe Sleep, and the Effects of Lead Exposure".

There were no deficiencies cited today. The LIC 9213 (Notice of Site visit) was posted during today's visit.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
LIC809 (FAS) - (06/04)
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