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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426214426
Report Date: 02/05/2025
Date Signed: 02/05/2025 01:58:40 PM

Document Has Been Signed on 02/05/2025 01:58 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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:NAVARRO FCC AKA AMERICA'S CHILD DAY CAREFACILITY NUMBER:
426214426
ADMINISTRATOR/
DIRECTOR:
ADRIANA NAVARROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 714-7464
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
02/05/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Adriana Navarro TIME VISIT/
INSPECTION COMPLETED:
02:05 PM
NARRATIVE
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On February 5, 2025 Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced Required - 3 Year inspection at the above-mentioned Family Child Care Home (FCCH). LPA notes at the time of arrival, licensee Adriana Navarro, was picking up a child and LPA met with the assistant present. LPA notes the licensee arrived at 11:10AM. At the time of the inspection there were 3 children present.

LPA in the company of the licensee toured the interior of the FCCH. LPA notes the home is currently using the living room and 1 bathroom for child care purposes. LPA observed the living room to have sufficient space and ventilation for children. LPA observed the living room to be free of hazards. LPA observed children napping and observed an infant napping in a crib with a blanket. 1 Type B deficiency is being issued as a result. Licensee explained that it was their understanding Safe Sleep regulations applied to infants under 12 months. LPA explained to licensee it applies to all infants(children under 24 months). LPA observed the kitchen to be accessible to children and that all lower kitchen cabinets to be secured or free of hazards. LPA notes sharps are stored in an elevated kitchen cabinet beyond the reach of children in care. LPA observed the home to store cleaning compounds in the laundry room that is secured with a latch that is beyond the reach of children in care. LPA reminded licensee in order for areas to be considered inaccessible the doors must be secured when children are present. LPA observed the bedrooms to be made inaccessible to children with child proof locks. LPA observed the bathroom used for children to be clean and free of hazards. LPA observed an area under construction and observed the area to be secured with a door that is locked with a latch that is beyond the reach of children in care. LPA notes the construction had been reported to Community Care Licensing prior to today's inspection.

Licensee explained to LPA the backyard is currently not being used for child care purposes due to the construction. LPA notes the children do not have any access to the backyard.

LPA observed the required postings to be located in the living room. A smoke and carbon monoxide detector was tested at 11:33 AM and found in working order. LPA observed the FCCH to have a fire extinguisher that
CONTINUED PAGE 2
Ana TolentinoTELEPHONE: (805) 562-0347
Giovani GonzalezTELEPHONE: (805) 722-5132
DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 02/05/2025 01:58 PM - It Cannot Be Edited


Created By: Giovani Gonzalez On 02/05/2025 at 12:52 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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: 02/05/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(b)
Infant Safe Sleep
(b) Cribs or play yards shall be free from all loose articles and objects.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview , the licensee did not comply with the section cited above in having the infant present napping in a crib with a blanket which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/12/2025
Plan of Correction
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Licensee will review Safe Sleep regulation and FAQs provided by LPA and submit a statement that they reviewed and understand the regulations. Statement will be provided to LPA via email at giovani.gonzalez@dss.ca.gov no later than 2/12/25
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 record review and interview, the licensee did not comply with the section cited above in not having a having a current certificate which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/12/2025
Plan of Correction
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Licensee will complete and submit an updated Mandated Reporter certificate to LPA no later than 2/12/25 via email at giovani. gonzalez@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:Ana Tolentino
TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME:Giovani Gonzalez
TELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:
DATE: 02/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/05/2025


LIC809 (FAS) - (06/04)
Page: 2 of 7
Document Has Been Signed on 02/05/2025 01:58 PM - It Cannot Be Edited


Created By: Giovani Gonzalez On 02/05/2025 at 12:52 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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: 02/05/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.1(d)
Personnel Records
(d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above in licensee not being able to locate file/documents for their assistant which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/12/2025
Plan of Correction
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Licensee will provide a copy of assistant's complete file to LPA via email at giovani.gonzalez@dss.ca.gov no later that 2/12/25.
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:Ana Tolentino
TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME:Giovani Gonzalez
TELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:
DATE: 02/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/05/2025


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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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: NAVARRO FCC AKA AMERICA'S CHILD DAY CARE
FACILITY NUMBER: 426214426
VISIT DATE: 02/05/2025
NARRATIVE
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satisfies regulation, to be serviced on 6/27/24. LPA reminded licensee to either service or purchase a regulation fire extinguisher annually. LPA notes the home does have firearms/ammunition and that it is stored in accordance to regulation.

LPA reviewed children's records which were found to be current and complete. LPA reminded licensee that it is their responsibility to ensure that children's records are complete. LPA observed licensee's Mandated Reporter Training to be expired (completed 12/9/21). 1 Type B deficiency was issued as a result. Further, licensee's CPR/First Aid was completed on 1/4/2025. LPA reminded licensee that it is their responsibility to ensure all training and certifications are current. The last emergency drill was conducted on 12/4/2024. LPA notes the licensee could not provide assistant's complete file. 1 Type B deficiency was issued as a result.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days 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 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.

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SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Giovani GonzalezTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2025
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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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: NAVARRO FCC AKA AMERICA'S CHILD DAY CARE
FACILITY NUMBER: 426214426
VISIT DATE: 02/05/2025
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the licensee Adriana Navarro , confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

3 Type B deficiencies were issued during today's inspection. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Adriana Navarro.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Giovani GonzalezTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2025
LIC809 (FAS) - (06/04)
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