426215759-7-29-2020-17-CC-FVEZ-BRYTSN-20200729145926

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215759
Report Date: 07/29/2020
Date Signed: 07/29/2020 02:59:54 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:	GUTIERREZ FAMILY CHILD CARE		FACILITY NUMBER:	426215759
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	07/29/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:08 PM
MET WITH:	Noehmi Gutierrez		TIME COMPLETED:	02:05 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	At 1:08 PM, Licensing Program Analysts (LPA) Francisca Velazqeuz conducted a case management visit and met with Nohemi Gutierrez, Licensee. Licensee requested to increase her capacity from small license (8 Children) to large license (14 children). Due to COVID-19 and California Department of Public Health guidelines of social distancing, a tele-inspection was conducted via FaceTime. LPA with the assistance of Licensee toured the mobile home together inside and outside which has 3 bedrooms and 1 bathroom. LPA observed four children present for care during our tele-inspection. The main day-care areas are living room, one bedroom, dining room, hallway bathroom, patio area in front of her home along with a car port on the side of the mobile home. LPA observed that patio area is completely fenced and car port is completely fenced as well. There are doorknob covers for both rooms that are inaccessible to the children. LPA observed that bathroom is clean and toxin free and low shelves have safety latches on them. LPA observed a clean and orderly kitchen, knives are stored in an upper cabinet that are inaccessible to children, stove has safety knobs and all lower shelves have safety latches making them inaccessible to the children in care. The fire clearance was granted on 07/10/2020. The carbon monoxide detector and smoke alarm were tested at 1:45 PM and were functioning at the time of the visit. Licensee is current with CPR and First Aid which expires 03/16/2021. The Mandated Reporter Training has been completed and AB1207 is valid until 6/3/2022. Continued...

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2020

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: GUTIERREZ FAMILY CHILD CARE	FACILITY NUMBER: 426215759
	VISIT DATE: 07/29/2020

NARRATIVE

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LPA reviewed the handouts on "A Child Care Provider's Guide to Safe Sleep and The Effects of Lead." LPA provided a Handout for Reporting Child Abuse and Neglect Training provided on line at: www.ccld.ca.gov. The inspection visit was conducted in Spanish and report was translated in Spanish by LPA Velazquez.

The home meets requirements for a large Family Childcare license.
The license will be effective today 07/29/2020.

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 Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2020

LIC809 (FAS) - (06/04)

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