426215494-6-4-2021-17-CC-GRES-C3P4AD-20210604185545

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215494
Report Date: 06/04/2021
Date Signed: 06/04/2021 06:55:50 PM

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 FAMILY CHILD CARE		FACILITY NUMBER:	426215494
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 6	DATE:	06/04/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Patricia Castillo		TIME COMPLETED:	04:00 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 6/4/2021 at 2:45 PM Licensing Program Analysts, (LPAs) Gigi Reyes and Francisca Velazquez conducted an unannounced Required Annual and Change of Capacity inspection. LPAs met with Licensee, Patricia Castillo. Due to COVID-19 pandemic, LPAs asked the pre screening questions before entering the home. Licensee's responses indicate there was no COVID-19 exposure on site. LPAs toured the interior and exterior of the home. LPAs observed 6 napping children. Living room, dining area and backyard are accessible to children. The second story of the home is off limit and is made inaccessible by a child safety gate. The bathroom used by children was observed to be clean and free of toxins. All hazardous items are stored inaccessible to children in care. Licensee stated there are no guns or ammunition in the home. Nobodies of water was observed. Smoke and carbon monoxide detectors are present. 2A10 BC Fire extinguisher was last serviced on 11/09/2020. Backyard is completely fenced. Attached garage is off limit and a portion of it was converted into a living space with the City approval. LPAs randomly reviewed children's records and found complete. Licensee conducts and documents fire and disaster drill. Licensee has met SB 792 immunization requirement. Mandated Reporter Training per AB 1207 was completed on 6/8/2020. CPR and First Aid expires on 9/5/2021. Continued on LIC 809 C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021

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: CASTILLO FAMILY CHILD CARE	FACILITY NUMBER: 426215494
	VISIT DATE: 06/04/2021

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Licensee is not providing Incidental Medical Services (IMS). 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

LPAs reviewed with Licensee the Safe Sleep Regulation. 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), Title 22 & Health & Safety Codes which can be accessed on-line athttps://www.cdss.ca.gov/inforesources/child-care-licensing

On 3/15/2021, Licensee applied for Large Family Child Care Home (FCCH) License. Fire Safety Inspection Clearance was granted on 4/28/2021. Home meets Title 22 Division 12 for Large Family Child Care Home, license was granted on 6/4/2021.

Exit interview was conducted with Licensee/applicant, Patricia Castillo. Notice of Site Visit was posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021

LIC809 (FAS) - (06/04)

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