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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426213887
Report Date: 07/19/2022
Date Signed: 07/19/2022 01:35:27 PM


Document Has Been Signed on 07/19/2022 01:35 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:SOTO FAMILY CHILD CAREFACILITY NUMBER:
426213887
ADMINISTRATOR:MARIA SOTOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 348-3517
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:14CENSUS: 6DATE:
07/19/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Blanca MaldonadoTIME COMPLETED:
01:45 PM
NARRATIVE
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Due to COVID-19 pandemic, LPA asked the pre-screening questions prior to inspection. Licensee's responses indicate there was no COVID-19 exposure on site.

On 7/19/2022, at 9:03 AM, Licensing Program Analyst (LPA) Martina Jimenez conducted an unannounced Required Annual Inspection. LPA met with Blanca Maldonado, Assistant and Urbano Soto, licensee's husband. The assistant and licensee's husband stated that the licensee has been absence from the FCCH since Saturday, July 16, 2022. Licensee went to Jalico to visit her father, and is due to return on July 20, 2022.
The purpose of the visit was discussed with the assistant and together we toured the inside and outside of the home. LPA observed 5 children and 1 infant in care at the time of the inspection.

The main day care areas are kitchen, dining room, family room, bathroom and unpermitted enclosed patio. LPA observed children were in the enclosed patio area with the assistant. The assistant stated the children use the enclosed patio for activities, eating and napping. LPA observed a children's table, chairs, toys, games, books, pacNplay, and blankets in the enclosed patio. Interviews conducted with the assistant, licensee's husband, and children in care determined that meals, snacks and napping occur in the enclosed.

At 9:49 am, LPA observed in the children's bathroom and kitchen, oral rinse, personal hygiene items, and a knife accessible to children in care. LPA observed the day care area to be clean and orderly. LPA observed age appropriate books, toy, games, tables and chairs. LPA observed the off-limits areas which include the four (4) bedrooms one (1) bathroom and garage secured with a safety gate and doorknob covers making the off-limits areas inaccessible to children in care. The backyard is completely fenced. . LPA observed age appropriate toys, bikes, play structure and playhouses. No bodies of water were observed.

THIS REPORT CONTINUES ON LIC 809C & LIC 809D
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:
DATE: 07/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/19/2022
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: SOTO FAMILY CHILD CARE
FACILITY NUMBER: 426213887
VISIT DATE: 07/19/2022
NARRATIVE
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Assistant stated that there are no weapons/ammunition in the home. Assistant stated she does not hold a foster family license. LPA reviewed the facility roster. The fire extinguisher was observed and was serviced September 27, 2021. There is a functioning carbon monoxide detector and smoke alarm that were tested at 9:52 am, in the home, that meets statutory requirements. The immunization's for the licensee and assistant required per SB 792, were not available at the time of the inspection. The last Safety drill conducted and documented was on February 11, 2022. Assistant is current with CPR and First Aid which expires January 8, 2023. Licensee and assistant have not completed the Mandated Reporter Training required per AB 1207

Licensee is not providing Incidental Medical Services. 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: htttp://www.ada.gov/childqanda.htm

LPA reviewed with Licensee the Safe Sleep Regulation. LPA reviewed the handout "A Child Care Provider's Guide to Safe Sleep" (PIN 20-24-CCP-SP), What is Carbon Monoxide, and Effects of Lead Exposure. LPA provided a Handout for Reporting Child Abuse and Neglect Training provided online at www.ccld.ca.gov.

The assistant 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), Title 22 & Health & Safety Codes which can be accessed on-line athttps://www.cdss.ca.gov/inforesources/child-care-licensing

Today’s visit was conducted in Spanish by LPA Jimenez

Today, deficiency cited under Title 22 Division 12 Appeal rights given in Spanish.


Upon receipt of this report, licensee shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report LIC 809 and LIC 809 D.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/19/2022 01:35 PM - 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: SOTO FAMILY CHILD CARE
FACILITY NUMBER: 426213887

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPAs observed in the children's bathroom and kitchen, oral rinse, personal hygiene, and a knife accessible to children in care, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/20/2022
Plan of Correction
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Licensee will email photos of the oral rinse, personal hygiene items and knife inaccessible to children in care by July 20, 2022, via email:

Martina.Jimenez@dss.ca.gov
Type A
Section Cited
CCR
102417(a)
Operation of A Family Child Care Home
(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interviews with the assistant and licensee's husband who stated that the licensee has been absence from the FCCH since Saturday, July 16, 2022. Licensee went to Jalico to visit her father, and is due to return on July 20, 2022, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/20/2022
Plan of Correction
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Licensee will submitted a written statement on how will prevent future incidents, how licensee shall be present in the home and licensee's temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day by 7/20/2022, via email:

Martina.Jimenez@dss.ca.gov

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 MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:
DATE: 07/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/19/2022
LIC809 (FAS) - (06/04)
Page: 3 of 5


Document Has Been Signed on 07/19/2022 01:35 PM - 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: SOTO FAMILY CHILD CARE
FACILITY NUMBER: 426213887

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPAs observation, interview, and record review, revealed that the licensee and assistant have not completed the Mandated Reporter Training required per AB 1207, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/26/2022
Plan of Correction
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Licensee will submit verification of completed mandated reporter training certificate for licensee and assistant to CCLD by 7/26/2022, via email: Martina.Jimenez@dss.ca.gov
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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LPAs observation, interview, and record review revealed that Licensee and Assistant, Blanca Maldonado, did not have verification of immunization's, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/26/2022
Plan of Correction
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Licensee will submit verification of Blanca Maldonado's immunization to CCLD by 7/26/2022, via email: Martina.Jimenez@ds.ca.gov

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 MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:
DATE: 07/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/19/2022
LIC809 (FAS) - (06/04)
Page: 4 of 5


Document Has Been Signed on 07/19/2022 01:35 PM - 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: SOTO FAMILY CHILD CARE
FACILITY NUMBER: 426213887

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102423(a)(2)
Personal Rights
(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interviews with the assistant and children, the licensee did not comply with the section cited above in that Licensee is using the enclosed patio for the purpose of napping and meal/snacks, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/26/2022
Plan of Correction
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Licensee will move the eating and napping area to the inside of the home. Licensee will submitted photos of corrections and submit a written statement on how licensee will prevent future incidents from happening in the future to LPA Jimenez, via email:

Martina.Jimenez@dss.ca.gov by 7/26/22.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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 MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:
DATE: 07/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/19/2022
LIC809 (FAS) - (06/04)
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