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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215708
Report Date: 06/24/2019
Date Signed: 06/24/2019 05:04:38 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:VAZQUEZ FCC AKA LOVE DROP CHILD CAREFACILITY NUMBER:
426215708
ADMINISTRATOR:ITXEL VAZQUEZ-ALVARADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 478-4106
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:14CENSUS: 8DATE:
06/24/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Itxel Vazquez-AlvaradoTIME COMPLETED:
05:10 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
Licensing Program Analysts (LPAs) Gigi Reyes and Melissa Stewart conducted an unannounced inspection. The home was toured inside and out. Licensee and two assistants were present with a total of 8 children, two being infants. Staff records were reviewed. Licensee stated that her assistant (S1) does not have a record of immunizations.

A hard copy of Child Care Providers Guide to Safe Sleep was provided to the licensee. Additional resources-
http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep. Licensee was provided with information on the hazards of lead exposure to provide to each parent and all new parents who enroll.

Deficiency cited today under Health and Safety Code. Appeal Rights explained and provided to Licensee.

LPA observed licensee post notice of site visit.

continued 809-D
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2019
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: VAZQUEZ FCC AKA LOVE DROP CHILD CARE
FACILITY NUMBER: 426215708
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/24/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/01/2019
Section Cited
HSC
1597.622(a)(1)
1
2
3
4
5
6
7
Employees or volunteers at family day care home; immunization requirements; records; exemptions- a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles.
1
2
3
4
5
6
7
During the inspection, Licensee provided a written statement from staff #1 declining the influenza vaccination. Licensee stated that staff #1 will not provide care to day care children until proof of immunizations has been submitted. Licensee stated that she will provide proof of immunizations to LPA via photo on or before 7/1/19.
8
9
10
11
12
13
14
This requirement was not met per Licensee's statement that staff #1 does not have proof of immunizations.

This poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2