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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215742
Report Date: 03/30/2022
Date Signed: 03/30/2022 05:02:03 PM


Document Has Been Signed on 03/30/2022 05:02 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:CABRERA FCC AKA NADIA'S DAYCAREFACILITY NUMBER:
426215742
ADMINISTRATOR:ELIA CABRERAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 287-9131
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:14CENSUS: 14DATE:
03/30/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Elia CabreraTIME COMPLETED:
05:15 PM
NARRATIVE
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On 3/30/22, at 1:00 PM Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced Required inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Elia Hernandez Cabrera, Licensee of the FCCH and explained the nature and purpose of the inspection. LPA notes five (5) children are on site and Licensee reported Assistant, Nadia Hernandez Cabrera was picking up children from the local elementary schools and would be arrive with nine (9) school-age children. At 2:50 PM, assistant arrived with nine (9) school age children. There the total amount of children present in the facility were 14.

LPA, in the company of the Licensee, toured the exterior and interior of the FCCH. The home’s daycare room, kitchen and dining area, bathroom and outdoor yard are used for child care services, while the bedrooms, and garage are excluded from services. LPA notes that all bedroom doors were closed but did not have a lock to make the rooms inaccessible. Licensee stated that children do not go into bedroom and LPA explained that an actual barrier needs to be in place to ensure the children do not have access to the bedrooms. Licensee stated that she has safety door knobs. Licensee added during inspection. At 2:06 PM, LPA observed a bouncer located in the outdoor yard of the facility. At 2:09 PM, LPA observed another bouncer in the daycare room of the facility. Licensee removed both bouncers from the daycare room during today's inspection.

The FCCH is orderly and has ventilation to afford for the children’s comfort and safety. Medication in the FCCH is stored in an elevated cabinet in the kitchen. Sharps are stored in an elevated cabinet in the kitchen. Cleaning compounds were observed to be stored in an elevated shelve in the kitchen, and in the garage, both areas are inaccessible to children in care. All areas were observed to be inaccessible to children in care. Toys, furniture and equipment observed in the FCCH are age appropriate.

Required forms are posted on the FCCH living room wall. The FCCH has smoke and carbon monoxide detectors which were tested at 3:42 pm and found to be operable. The FCCH has a regulation fire extinguisher which was serviced 4/2/21. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill documentation. CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:
DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/30/2022
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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Document Has Been Signed on 03/30/2022 05:02 PM - It Cannot Be Edited

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: CABRERA FCC AKA NADIA'S DAYCARE
FACILITY NUMBER: 426215742

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/30/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [LPA's observations], the licensee did not comply with the section cited above in that LPA observed an shed that was not locked contains items that pose a potential risk to children. LPA observed a BBQ pit with the propane tank attached in an area that is accessible to children in care and LPA observed that the sides of the outdoor yard do not have a fence or gate to make the items stored in that are off-limits which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/06/2022
Plan of Correction
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Licensee will ensure that the shed is always locked. Licensee agrees to move the BBQ and propane tank to an area that is off-limits to the children. Licensee stated that Spouse will add fences or gates to the sides of the outdoor yard to ensure these area are inaccessible to children in care.
Type B
Section Cited
CCR
102417(g)(10)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (10) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [LPA observation], the licensee did not comply with the section cited above in that LPA observed two baby bouncers, one in the outdoor play are and one in the daycare room of the facility which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/06/2022
Plan of Correction
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Licensee will ensure to no longer use baby bouncers in the facility. On 3/30/22, Licensee removed two bouncers from the facility and placed in the garage during this inspection. LPA provided resource of items that are prohibited in the licensee's home. Licensee agrees to post the resource in the day care room as a remindar that certain items are not allowed in the facility.

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: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:
DATE: 03/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/30/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/30/2022 05:02 PM - It Cannot Be Edited

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: CABRERA FCC AKA NADIA'S DAYCARE
FACILITY NUMBER: 426215742

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/30/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [record review], the licensee did not comply with the section cited above in that both Licensee and Assistant do not have Mandated Reported certificate which poses/posed a potential health, safety or personal rights risk to persons in care. Licensee reported that both Licensee and Assistant have not taken the Mandated Reporter Training.
POC Due Date: 04/06/2022
Plan of Correction
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Licensee and Assistant agree to complete Mandated Reporter Training by 4/6/22 and submit proof to LPA Velazquez via email at francisca.velazquez@dss.ca.gov

Mandated Reporter Training Website mandatedreporterca.com
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:
DATE: 03/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/30/2022
LIC809 (FAS) - (06/04)
Page: 3 of 10


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: CABRERA FCC AKA NADIA'S DAYCARE
FACILITY NUMBER: 426215742
VISIT DATE: 03/30/2022
NARRATIVE
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The last drill was completed on 1/26/22.

The outdoor play yard is completed fenced. LPA notes that the side yard has miscellaneous items that may be harmful for children. Licensee stated that the children do not use the sides of the home, however there was no clear barrier making the area off limits to the children in care. At 2:04 PM, LPA observed a shed in the outdoor play area that was not locked. LPA observed gardening supplies, paint and other construction material that could be dangerous to the children in care. LPA observed a BBQ pit with propane tank attached in the outdoor play area. LPA reminded Licensee that shed must always be locked, BBQ pit cannot have the propane tank attached, and the side yard in the facility must have an actual barrier, ensuring the side yard areas are off-limits to children in care. Licensee stated that she will make sure the shed is always locked and she will ask her Spouse to place fences on the side of the outdoor play yard. Once the side gates are added, Licensee will place the BBQ pit and propane tanks in the off-limit area of the outdoor yard. LPA notes that the yard affords plenty of shade for the children. Toys, furniture and equipment observed in the yard are age appropriate. LPA observed no bodies of water on site.


A sampling of the children's records were reviewed. The records are current, complete and possessed emergency contact information. The Licensee's records were also reviewed and found to be incomplete. Licensee’s Pediatric CPR and First (EMSA approved) expires 9/26/22. LPA found that Licensee and Assistant did not have Mandated Reporter certificates. Licensee stated that she has not been able to take the course and stated that she was told that only Licensee needed Mandated Reporter certificate. LPA clarified that all adults who directly work with the children need to have Mandated Reporter certificate.

The Licensee notes no firearms or ammunition are stored on site.

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: http://www.ada.gov/childqanda.htm
CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022
LIC809 (FAS) - (06/04)
Page: 9 of 10
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: CABRERA FCC AKA NADIA'S DAYCARE
FACILITY NUMBER: 426215742
VISIT DATE: 03/30/2022
NARRATIVE
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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

A notice of site visit was given and must remain posted for 30 days.

Exit interview and report was reviewed with the licensee, Elia Hernandez Cabrera. This inspection and review of report was conducted in Spanish due to Spanish being the primary language of the licensee.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022
LIC809 (FAS) - (06/04)
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