426214426-2-21-2020-17-CC-MKST-BLZRU6-20200221121925

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426214426
Report Date: 02/21/2020
Date Signed: 02/21/2020 12:19:36 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:	NAVARRO FCC AKA AMERICA'S CHILD DAY CARE		FACILITY NUMBER:	426214426
ADMINISTRATOR:	ADRIANA NAVARRO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 714-7464
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	14	CENSUS: 5	DATE:	02/21/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Adriana Navarro		TIME COMPLETED:	12:25 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 2/21/20 at 11:10am, Licensing Program Analyst (LPA), Melissa Stewart, conducted an unannounced Annual/Random inspection. Licensee's Assistant stated that Licensee was picking up a child and was not present in the home. Assistant permitted LPA to tour the home inside and out. All required forms are posted in a prominent location. At 11:14am, there were four (4) children (two being infants) supervised by Assistant. The family child care home operates in the living room, first bedroom and backyard of the home. LPA observed age appropriate toys, books and furnishings in the indoor activity area. The bathroom used by children was observed to be clean and free of toxins. Three bedrooms are off limits and are made inaccessible by child proof door knob locks or child safety gate during operating hours. All hazardous items are stored inaccessible to children in care. Outdoors, LPA observed playhouse, grass and toys. The backyard is completely fenced; there are no bodies of water. Licensee arrived at 11:32am bringing one kindergartener with her. Carbon monoxide and smoke detectors were tested and operational. LPA observed the 2 A10 BC fire extinguisher which was serviced on 10/29/19. Licensee completes and documents emergency drills. The most recent drill was held on 12/5/19. Licensee stated there are is a gun that is locked and secured in the home. Licensee is Pediatric CPR and first aid certified through 2/9/21. 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: NAVARRO FCC AKA AMERICA'S CHILD DAY CARE	FACILITY NUMBER: 426214426
	VISIT DATE: 02/21/2020

NARRATIVE

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Assistant's Pediatric CPR and First Aid expired on 12/16/19. Licensee and Assistant have met SB 792 immunization requirement. Mandated Reporter Training per AB 1207 was completed by Licensee on 3/25/18. LPA informed Licensee that the online training is now available in Spanish at www.mandatedreporterca.com. Facility roster and a sample of children's records were reviewed and found complete. 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. LPA provided “Effects of Lead Exposure” brochure to be distributed to all families. 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. LPA guided Licensee through the process of signing up to receive important updates from Community Care Licensing Division via email.

See LIC 809-D for cited deficiency in accordance with the California Code Regulations Title 22, Division 12 and/or Health and Safety Code. Appeal rights provided.

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)

Page: 2 of 3

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: NAVARRO FCC AKA AMERICA'S CHILD DAY CARE	FACILITY NUMBER: 426214426
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/21/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/31/2020 Section Cited	1 2 3 4 5 6 7	Additional health and safety training- Day care center directors and licensees of family day care homes shall ensure that at least one staff member who has a current course completion card in pediatric first aid and pediatric CPR ....shall be onsite at all times when children are present at the facility... This requirement is not met as evidenced by:
	8 9 10 11 12 13 14	Based on review of Assistant's CPR card which expired on 12/16/19, Licensee failed to ensure that the requirement listed above was met. Licensee reported that she contacted Life's Breath CPR and First Aid training in 11/19 and was informed that the next Spanish language class would be in 2020.	8 9 10 11 12 13 14	Licensee called Life's Breath in 1/2020 and was informed that the Spanish language trainer was on maternity leave.
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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 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 appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

LIC809 (FAS) - (06/04)

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