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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426214975
Report Date: 08/25/2022
Date Signed: 08/25/2022 01:11:53 PM


Document Has Been Signed on 08/25/2022 01:11 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:MORALES FCC AKA ST. JUDES DAY CAREFACILITY NUMBER:
426214975
ADMINISTRATOR:BERTHA MORALESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 740-2964
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:14CENSUS: 7DATE:
08/25/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Bertha MoralesTIME COMPLETED:
01:26 PM
NARRATIVE
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On August 25th, 2022 Licensing Program Analysts (LPA) Rosie Breault and Frank Pedroza conducted an unannounced Annual/Random inspection. LPAs met with licensee Bertha Morales and advised of nature and purpose of inspection. Prior to entry the facility, a Covid-19 pre-screening was conducted and licensee stating no exposure to Covid-19 is present. At the time of the inspection there were seven (7) children present and one (1) assistant. Licensee provided a tour of the facility both inside and out.

Licensee uses two (2) living rooms, dining room, kitchen, one (1) bathroom, and backyard for children in care. LPAs observed age appropriate toys, and equipment readily accessible to children. Licensee has required documents posted in a prominent place. LPAs did not observe any hazardous / toxins toxins accessible to children. Smoke and carbon monoxide detectors are in working order. Facility has current fire extinguisher with purchase date of 3/9/2022. Licensee advised no firearms or ammunition present in the home.

LPAs observed current facility roster, verification of emergency drill last conducted on 6/24/2022. A sampling of children and staff records was conducted. LPA observed facility staff was current on Pediatric CPR and Mandated Reporter. Licensee states no incidental medical services are being used. Children files were found to be current and complete.

No deficiences were cited during today's inspection.

CONTINUED ON LIC809C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/25/2022
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: MORALES FCC AKA ST. JUDES DAY CARE
FACILITY NUMBER: 426214975
VISIT DATE: 08/25/2022
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Home 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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/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 [facility representative] 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.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022
LIC809 (FAS) - (06/04)
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