426215014-2-10-2020-17-CC-MKST-BLNPVA-20200210103849

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215014
Report Date: 02/10/2020
Date Signed: 02/10/2020 10:38:55 AM

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:	REYES FAMILY CHILD CARE		FACILITY NUMBER:	426215014
ADMINISTRATOR:	GRICELDA REYES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 868-6189
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	14	CENSUS: 7	DATE:	02/10/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Griselda Reyes		TIME COMPLETED:	10:45 AM

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 2/10/20 at 9:45am, Licensing Program Analyst (LPA), Melissa Stewart, conducted an unannounced annual/random inspection and met with Licensee, Griselda Reyes. The purpose of the inspection was explained. Licensee accompanied LPA on a tour of the home, inside and out. At the time of inspection, there were 7 children actively engaged in indoor activities supervised by one assistant and Licensee. All required forms are posted in a prominent location. This facility is accredited by the National Association of Family Child Care Homes and is a Community Action Campaign of Santa Barbara Head Start provider. The family child care home operates in the living room, enclosed porch and backyard of the home. LPA observed changing table, nap cots, 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. The kitchen is off limits and is made inaccessible by child safety gates. All hazardous items are stored inaccessible to children in care. Licensee stated there are no guns or ammunition in the home. Outdoors, LPA observed the outdoor classroom which contains activity centers including sand box, play house, dress up, and "mud kitchen." The backyard is completely fenced; there are no bodies of water. Carbon monoxide and smoke detectors were tested and operational. LPA observed the 2 A10 BC fire extinguisher which was serviced on 5/2/19. Licensee completes and documents emergency drills. The most recent drill was held on 1/17/20. 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: 02/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2020

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: REYES FAMILY CHILD CARE	FACILITY NUMBER: 426215014
	VISIT DATE: 02/10/2020

NARRATIVE

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Licensee and Assistant are Pediatric CPR and first aid certified 3/16/21 and have met SB 792 immunization requirement. Mandated Reporter Training per AB 1207 was completed by Licensee on 1/31/20 and by Assistant on 1/29/20. Facility roster and a sample of children's records were reviewed and found complete. Licensee provides and documents that families of children in care have received the “Effects of Lead Exposure” brochure.

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. 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. Licensee stated that she receives important updates from Community Care Licensing Division via email.

In the areas evaluated, no deficiency cited.

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: 02/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2020

LIC809 (FAS) - (06/04)

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