<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215176
Report Date: 03/13/2020
Date Signed: 03/13/2020 10:20:05 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:ABONCE FAMILY CHILD CAREFACILITY NUMBER:
426215176
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
03/13/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:26 AM
MET WITH:Micaela AbonceTIME COMPLETED:
10:25 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
A Required - 1 Year Inspection was conducted by LPA S. Mendoza-Ceja who met with Licensee Micaela Abonce who was providing care to five children (includes her two children). Also present was licensee's husband Francisco. LPA toured the inside of the home which was observed to be clean and orderly. The day care children have access to the kitchen area, living room (primary day care area), bedroom, restroom and outside patio. Licensee stated there are no firearms, ammunition or bodies of water. At 9:50 AM, Licensee provided LPA with the children's records including the child care roster which was current. LPA also reviewed the fire drill log which revealed the last drill was conducted on 01/06/2020. The last fire Extinguisher was tagged with service date 01/06/2020. At 10:00 AM LPA inspected the outside play area.

There is a smoke and carbon monoxide detector which were tested and funcitonal. LPA reviewed and provided handouts in Spanish “A Child Care Provider’s Guide to Safe to Sleep, Effects of Lead Exposure, and Reporting Child Abuse and Neglect Training for Mandated Reporters and Others”. LPA discussed the AB1207 Child Abuse Mandated Reporter Training. Licensee Micaela Abonce and her husband both have current Pediatric CPR and First Aid (expires 10/23/2021).

LPA discussed the requirement for care providers/employees, including volunteers to obtain immunization against Influenza, Pertussis, and Measles. LPA reviewed verification for Licensee and her husband. LPA also advised, each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year or obtain a sign statement declining the influenza vaccination.

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: http://www.ada.gov/childqanda.htm

No deficiencies were observed at the visit. The Notice of Site Visit was posted for review.
FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN $100.00 CIVIL PENALTY.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
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 1