426215045-1-9-2020-17-CC-EBAY-BKNQJ5-20200109111211

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215045
Report Date: 01/09/2020
Date Signed: 01/09/2020 11:12:18 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:	CASTILLO FCC AKA LITTLE TOTS		FACILITY NUMBER:	426215045
ADMINISTRATOR:	DEBRA DAWN CASTILLO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 260-5245
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93455
CAPACITY:	14	CENSUS: 5	DATE:	01/09/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Debra Castillo		TIME COMPLETED:	10:30 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 January 9, 2020, Licensing Program Analyst (LPA) Elvin Baddley conducted a unannounced Annual/Random inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Debra Castillo, Licensee of the FCCH and explained the purpose of the inspection. LPA, in the company of the Licensee, toured the interior and exterior of the FCCH. The home’s kitchen, converted bedroom, attached restroom and side yard are used for child care services, while the remainder of the home is excluded from child care. At the time of the inspection five children are present. Required licensing forms/documents are posted in the FCCH. LPA observed operable smoke and carbon monoxide detectors in the FCCH. Each detector was tested. LPA observed a regulation fire extinguisher in the FCCH which was service on March 19, 2019. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The LPA reviewed the home’s fire/disaster drill log. The most recent fire/disaster drill occurring on September 5, 2019. The home was orderly and void of hazardous items. The bathroom used by the children was observed to be clean and free of toxins. Medication is stored in a kitchen cabinet on an elevated shelf and cleaning compounds are also stored in a kitchen cabinet on an elevated shelf. Toys, furniture and equipment observed in the FCCH are age appropriate. CONT. 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020

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: CASTILLO FCC AKA LITTLE TOTS	FACILITY NUMBER: 426215045
	VISIT DATE: 01/09/2020

NARRATIVE

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The side yard is enclosed by wooden fencing and has a number of play structures. Toys and play equipment observed in side yard are age appropriate and in satisfactory condition. No bodies of water were observed on site.

A sampling of the children records were reviewed. The records were current and complete. A current roster of children was reviewed by the LPA. The children noted in the roster were present and on site. The Licensee's records are also current and complete with Pediatric CPR and First Aid certifications expiring on July 18, 2021 (EMSA approved).

The Licensee stated no ammunition or firearms are stored on site.

The Licensee is not providing Incidental Medical Services (IMS). Policy was discussed. 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 a copies of “Child Care Providers Guide to Safe Sleep" and the “Effects of Lead Exposure." LPA was reminded of the responsibility to know the regulations for FCCH which can be accessed on-line at www.ccld.ca.gov.

In areas evaluated, no deficiencies observed.
LPA observed licensee post the Notice of Site visit.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020

LIC809 (FAS) - (06/04)

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