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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215708
Report Date: 01/16/2020
Date Signed: 01/16/2020 02:32:41 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: 6DATE:
01/16/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Ixtel Vazquez-AlvaradoTIME COMPLETED:
02:35 PM
NARRATIVE
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Licensing Program Analyst (LPA), Melissa Stewart, conducted an unannounced annual/random inspection. The purpose of the inspection was explained to Licensee's assistant who was supervising four (4) children, one of whom was an infant. Assistant informed LPA that Licensee was picking up school age children. The home was toured inside and out. All required forms are posted in a prominent location. Licensee, Itxel Vazquez-Alvarado, arrived at 1:38pm with two additional children.

The family child care home operates in the living room, dining room and backyard of the home. LPA observed age appropriate toys, books and furnishings in the indoor activity area. The bathroom used by children was observed to be clean and free of toxins. Offlimits bedrooms and bathrooms are located through double doors and are made inaccessible by child safety locks. All hazardous items are stored inaccessible to children in care. Carbon monoxide and smoke detectors were tested and operational. LPA observed the 2 A10 BC fire extinguisher which was last serviced on 1/2/19. Licensee was reminded to service or replace the fire extinguisher yearly. Licensee stated there are no guns or ammunition in the home. Outdoors, LPA observed grass, small climbing structure, scooters and toys. The backyard is completely fenced; there are no bodies of water.

Licensee completes and documents emergency drills. The most recent drill was held on 10/22/19. Facility roster and a sample of children's records were reviewed and found complete. Continued on 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020
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 3
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
VISIT DATE: 01/16/2020
NARRATIVE
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Licensee and Assistant are Pediatric CPR and first aid certified through 11/23/21. Licensee and assistant have met SB 792 immunization requirement. AB1207 Mandated Reporter Training was completed by Licensee on 2/12/18 and by Assistant on 6/10/19. Licensee was reminded to re-new Mandated Reporter training every two years.

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: www.ada.gov/childqanda.htm

LPA reviewed and provided Licensee with Safe to Sleep brochure. LPA provided “Effects of Lead Exposure” brochure to be distributed to all families. 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) which can be accessed on-line at www.ccld.ca.gov.

See LIC 809-D for cited deficiencies in accordance with the California Code Regulations Title 22, Division 12 and/or Health and Safety Code.

An exit interview was conducted and Plans of Corrections were reviewed and developed with the Licensee. A copy of this report and appeal rights were discussed and left with Licensee, Itxel Vazquez-Alvarado, whose signature on this form confirm receipt of these documents.

LPA observed Licensee post the Notice of Site visit.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: 01/16/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/22/2020
Section Cited

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Operation of a Family Child Care Home-....Safety precautions shall include but not be limited to:.... The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshal.
This requirement is not met as evidenced by:
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Based on LPA observation of the service tag dated 1/2/19, Licensee failed to ensure that the fire extingusher was serviced annually. This poses a potential risk to the health and safety of children in care.
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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: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 01/16/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/16/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3