426215866-7-30-2020-17-CC-FVEZ-BRZSGU-20200730135232

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215866
Report Date: 07/30/2020
Date Signed: 07/30/2020 01:52:46 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:	CORREA FAMILY CHILD CARE		FACILITY NUMBER:	426215866
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 11	DATE:	07/30/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:38 AM
MET WITH:	Esperanza Correa		TIME COMPLETED:	09:27 PM

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At 8:38 AM, Licensing Program Analyst (LPA) Francisca Velazquez conducted a case management visit and met with Esperanza Correa, 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. Licensee had 11 children total and had two assistants caring for the children. LPA with the assistance of Licensee toured the home inside and outside. This is a two story home which consist of 4 bedrooms and two bathrooms on the upper floor and one bedroom two bathrooms, living room, dining room and kitchen on the lower floor along with a backyard that is completely fenced. The main day-care areas are living room, dining room, bathroom on hallway and backyard. LPA observed a gate located at the bottom of the stairway making the entire second floor completely inaccessible to the children. LPA observed two gates on both kitchen doors making it inaccessible to the children and observed that knives are stored in an upper cabinet not accessible to children. LPA also observed doorknob cover on bedroom located in first floor making bedroom and one bathroom inaccessible to all children. LPA observed that bathroom accessible to children is clean and toxin free.

The fire clearance was granted on 07/23/2020. The carbon monoxide detector and smoke alarm were tested at 9:17 AM and were functioning at the time of the visit. Licensee is current with CPR and First Aid which expires 08/13/21. LPA and Licensee discussed Mandated Reporter Training and Licensee confirmed that she is completing her AB1207 tomorrow.

Continued

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2020

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: CORREA FAMILY CHILD CARE	FACILITY NUMBER: 426215866
	VISIT DATE: 07/30/2020

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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

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 Child Care License.
The license is effective today 07/30/2020.

An exit interview was conducted with Esperanza Correa via FaceTime. A copy of this report was reviewed and provided to Licensee. Licensee agreed to receive a copy of report via email and voiced understanding that the read/delivered receipt confirmation from email will be in lieu of her signature once she received the report. LPA requested Licensee provide a signed copy of report.

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: 07/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2020

LIC809 (FAS) - (06/04)

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