426215045-7-21-2023-17-CC-EBAY-CTXPHD-20230721111947

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215045
Report Date: 07/21/2023
Date Signed: 07/21/2023 11:20:33 AM

Document Has Been Signed on 07/21/2023 11:20 AM - 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:	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: 0	DATE:	07/21/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Debra Castillo		TIME COMPLETED:	11:30 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 7/21/23, at 8:45 AM , Licensing Program Analyst (LPA) Elvin Baddley conducted a unannounced One Year Required inspection of the abovementioned Family Child Care Home (FCCH). The inspection is also to address the request to use the backyard area for child care services. 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 no children are present. 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, sharps and cleaning compounds are stored on elevated shelves in kitchen cabinets. Toys, furniture and equipment observed in the FCCH are age appropriate. LPA observed a fire extinguisher (2A10BC) in the home which was purchased 6/19/23. LPA reminded Licensee of the responsibility to service or purchase a regulation fire extinguisher annually. The home has numerous combination smoke/carbon monoxide detectors. A combination smoke/carbon monoxide detector was tested in the home at 9:20 AM and found to be operable. 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. The FCCH's backyard is enclosed and the footing in the area is varied. The backyard has a jacuzzi which is locked on all sides. The backyard also has two water fountains. Rocks are placed at the base of the water fountains which leaves the water at the base under two inches. Licensee was informed to ensure direct supervision of the children while they are in the backyard area. Although no were children are on site, LPA reviewed a sampling of children's records. Records reviewed (CONT. LIC 809-C, Page 2)

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: 07/21/2023

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
26
27
28
29
30
31
32

were complete and contained Licensing required documentation. A current roster of children was reviewed by the LPA. The Licensee's records are also current and complete with Pediatric CPR and First Aid certifications expiring on 7/14/23 (EMSA approved). Licensee informed LPA firearms are stored in the home. LPA reviewed storage of the aforementioned and notes firearms are inaccessible and in an excluded area of FCCH.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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) or (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.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS on 7/21/23.

As noted the backyard was inspected. The backyard is suitable for child care and now include for child care services at the FCCH.

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

Exit interview conducted and report was reviewed with the Licensee Debra Castillo.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin Baddley	TELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2