426214426-7-19-2021-17-CC-FVEZ-C53V36-20210719160413

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426214426
Report Date: 07/19/2021
Date Signed: 07/19/2021 04:04:41 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: 8	DATE:	07/19/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:36 PM
MET WITH:	Adriana Navarro		TIME COMPLETED:	04:15 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 7/19/2021 at 2:36 PM, Licensing Program (LPA) Analyst Francisca Velazquez and Licensing Program Manager (LPM), Maria Mueller conducted a required Inspection of the facility. Prior to entering the facility, LPA completed COVID-19 pre-screening questionnaire with Licensee and based on Licensee's responses it was determined that facility did not have COVID-19 exposures. LPA and LPM met with Adriana Navarro Licensee of the facility and explained the purpose of the inspection. LPA and LPM in the company of License toured the interior and exterior of the facility. This home consists of (four) 4 bedrooms, two (2) bathrooms, playroom and backyard. Licensee stated that children in care have access to the playroom, nap room bathroom and backyard. At the time of inspection eight (8) children were present. LPA and LPM observed a clean home with plenty of activities for the children in care. The bathroom used for care is clean and free of toxins. LPA and LPM observed cleaning compounds stored in a high cabinet in the kitchen. In addition, Licensee stated that more cleaning supplies and toxins are stored in the laundry room that is locked and inaccessible to children in care. LPA observed that all low cabinets in the kitchen are free of toxins. LPA observed knives, sharps are stored in a high cabinet in the kitchen and are inaccessible to children in care. Licensee stated that medication that is used by her family is stored in her bedroom and also in a high cabinet in the kitchen and both are not accessible to the children in care. Toys, furniture and equipment in the facility are age appropriate. Licensee uses the back yard as an outdoor play area. LPA and LPM observed that backyard is completely fenced. Licensee stated that when children play outdoors, children are always supervised by Licensee. LPA and LPM observed locked sheds in the backyard. Licensee stated that the shed has gardening items. LPA and LPM reminded Licensee that shed should always be locked and inaccessible to children in care. 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: 07/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2021

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: 07/19/2021

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LPA and LPM observed required licensing forms and documentation posted on the wall of the playroom. LPA and LPM observed smoke detector and carbon monoxide detector in the hallway of the facility. Both smoke and carbon monoxide detector were tested at 3:20 PM and were both operational. LPA observed a regulation fire extinguisher by the playroom that was serviced on 6/24/21. LPA and LPM reminded Licensee to either service or purchase a regulation fire extinguisher annually. LPA and LPM reviewed the facility emergency drill log. Last drill facility conducted was 6/2/21. LPA and LPM reminded Licensee that emergency drills need to be completed and documented every six (6) months.

There is a firearm in the facility that is secure. There are no ammunitions in the facility.

LPA and LPM reviewed a sampling of the children records. All records reviewed are current and contains complete emergency card information. Facility has a current roster of children enrolled in the facility. LPA and LPM reviewed Licensee's Pediatric CPR and Frist-aid certification which expires 2/6/2023 and Mandated Reporter training certificate which expires 10/13/22.

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 and LPM discussed COVID-19 guidance and best practices with the Licensee. During the time of inspection Licensee had face covering on. Licensee stated that she continues to follow all COVID-19 guidance. LPA and LPM discussed safe sleep regulations with Licensee. Licensee currently has two (2) infants enrolled for care. Licensee stated that she is aware of the new safe sleep regulations and is documenting 15 minutes check for all infants and also has LIC 9217 (Individual Infant Sleep Plan) for all infants.

There were no Title 22 deficiencies cited during this visit.

LPA provided Licensee with LIC 9213 (Notice of site visit). Licensee posted LIC 9213 prior to LPA and LPM leaving the facility.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2021

LIC809 (FAS) - (06/04)

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