426215387-6-16-2021-17-CC-GRES-C42VXN-20210616164949

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215387
Report Date: 06/16/2021
Date Signed: 06/16/2021 04:49:53 PM

COMPREHENSIVE INSPECTION

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:	HERRERA FCC AKA CHU CHU TRAIN DAYCARE		FACILITY NUMBER:	426215387
ADMINISTRATOR:	NORMA HERRERA/LEGAL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 922-3282
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93455
CAPACITY:	14	CENSUS: 8	DATE:	06/16/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	03:25 PM
MET WITH:	Norma Herrera		TIME COMPLETED:	04:50 PM

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 6/16/2021, at 3:25 PM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Required Inspection of the above Family Child Care Home (FCCH). LPA met with Licensee Norma Herrera and discussed the purpose of the inspection. Due to COVID-19 pandemic, LPA asked the pre screening questions prior to inspection. Licensee's responses indicate there was no COVID-19 exposure on site. LPA toured the interior and exterior of the home. This is a two storey home consists of 5 bedrooms and 4 baths. LPA observed 8 children and two assistants. The living room, a designated day care room, kitchen, dining area, hallways are accessible to children in care. The second floor and bedrooms located in the first floor are made inaccessible to children by child safety gate. The home courtyard and completely fenced back yard are used for outside activities. Age appropriate toys and equipment are observed in the day care area and outdoor area. The bathroom is observed to be clean and free of toxin. Kitchen knives, cleaning supplies and washing detergents are kept inaccessible to children. At 3:50 PM carbon monoxide and smoke detectors were tested and found functional. 2A10 BC fire extinguisher was serviced on 8/13/2020. Licensee stated there are no guns or ammunition at home. LPA did not observe any bodies of water. Continued on 809 C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021

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: HERRERA FCC AKA CHU CHU TRAIN DAYCARE	FACILITY NUMBER: 426215387
	VISIT DATE: 06/16/2021

NARRATIVE

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Required Licensing Forms are posted on the wall by the front door hallway. LPA randomly reviewed children's file and found complete. FCCH has current children's roster. FCCH conducts and documents Fire and disaster Drill every month, last drill was conducted on 6/9/2021.

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 the Safe Sleep Regulations and form LIC 9227 Individual Infant Safe Sleeping Plan. LPA reiterated that crib or play yards shall be free from all loose articles, and sleeping infant (0 -24 months) physical supervision and documentation every 15 minutes. LPA provided the web site address to obtain forms, review quarterly updates, review Title 22 & Health & Safety Codes is: https://www.cdss.ca.gov/inforesources/child-care-licensing.

Exit interview was conducted with Licensee .The home is in compliance of Title 22 Division 12 of California Code of Regulations and Health and Safety Code.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021

LIC809 (FAS) - (06/04)

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