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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215554
Report Date: 07/20/2022
Date Signed: 07/20/2022 04:43:03 PM


Document Has Been Signed on 07/20/2022 04:43 PM - 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:MEJIA FAMILY CHILD CAREFACILITY NUMBER:
426215554
ADMINISTRATOR:FELICIA M. MEJIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 757-3923
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:14CENSUS: 10DATE:
07/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Felicia M. Mejia TIME COMPLETED:
04:55 PM
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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.

On 7/20/2022, at 1:15 PM, Licensing Program Analyst (LPA) Martina Jimenez conducted an unannounced Required Annual Inspection. LPA met with Felicia Mejia, Licensee, and Chase Soto, Assistant, the purpose of the visit was discussed with the Licensee and together we toured the inside and outside of the home. LPA observed 8 children napping in the garage, 1 child napping in the living room and 1 infant napping in the bedroom at the time of the inspection.

Licensee stated that children have been napping in the garage since February 1, 2018, because licensee received documentation from The City of Lompoc and Lompoc Fire Department stating the facility had been cleared for day-care and the garage was inspected by both departments. LPA advised the licensee that none of the documents stated that the garage was cleared for children to eat or nap in the garage. The licensee will follow up with The City of Lompoc and Lompoc Fire Department for clarification, as well as documentation for the clearance on the garage.

The main day care areas are living room, dining room, kitchen, 1- bedroom, garage/playroom and bathroom. LPA observed the day care area to be clean and orderly. LPA observed age appropriate books, toy, games, tables and chairs. LPA observed the off-limits areas which include the 2 bedrooms and 1 bathrooms. The backyard is completely fenced. LPA observed age appropriate toys, bikes, play structure and playhouses.

No bodies of water were observed. Licensee stated that there are no weapons/ammunition in the home. Licensee stated she does not hold a foster family license. Sampling of children's records were reviewed. The fire extinguisher was observed and was serviced June 8, 2022. There is a functioning carbon monoxide detector and smoke alarm that meets statutory requirements, per license were tested per licensee on March 23, 2022, and functioning at that time Licensee is current with immunization required per SB 792. The last Safety drill was conducted June 3, 2022. Licensee is current with CPR and First Aid which expires January 30, 2023. Licensee completed the Mandated Reporter Training on July 6, 2023, that is required per AB 1207.


This Report Continues on LIC 809C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:
DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/20/2022
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: MEJIA FAMILY CHILD CARE
FACILITY NUMBER: 426215554
VISIT DATE: 07/20/2022
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detector and smoke alarm that meets statutory requirements, per license were tested per licensee on March 23, 2022, and functioning at that time Licensee is current with immunization required per SB 792. The last Safety drill was conducted June 3, 2022. Licensee is current with CPR and First Aid which expires January 30, 2023. Licensee completed the Mandated Reporter Training on July 6, 2023, that is required per AB 1207.

Licensee is not providing Incidental Medical Services. 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: htttp://www.ada.gov/childqanda.htm

LPA reviewed the handout "A Child Care Provider's Guide to Safe Sleep" (PIN 20-24-CCP) What is Carbon Monoxide and Effects of Lead Exposure. LPA provided a Handout for Reporting Child Abuse and Neglect Training provided online at www.ccld.ca.gov.



There were no deficiencies cites at this time. LPA observed licensee post the Notice of Site visit FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2022
LIC809 (FAS) - (06/04)
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