426215873-9-13-2021-17-CC-FVEZ-C6TQW4-20210913123118

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215873
Report Date: 09/13/2021
Date Signed: 09/13/2021 12:31:24 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:	CAMARENA FAMILY CHILD CARE		FACILITY NUMBER:	426215873
ADMINISTRATOR:	NORA A CAMARENA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 621-2428
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	14	CENSUS: 4	DATE:	09/13/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Nora Camarena		TIME COMPLETED:	12:35 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	On 9/13/21, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced Required Inspection of the facility. Prior to entering the facility, LPA conducted pre-screening COVID-19 questionnaire and based on Licensee’s responses it was determined that the facility is safe and free from any COVID-19 exposures. LPA meet with Nora Camarena, Licensee of the facility and explained the purpose of the inspection. LPA in the company of the Licensee, toured the interior and exterior of the home. This is a two story home with four (4) bedrooms, two in a half (2.5) bathrooms. Licensee stated that day care room, dining room, bathroom and backyard are accessible to the children in care. While the whole second floor, living room and kitchen are made inaccessible by baby gates. During the time of the inspection, Licensee and assistant Irene Barba were caring for four (4) children, one (1) child is Licensee's own child. LPA observed required forms posted on the closet door by the entrance of the facility. LPA observed both smoke and carbon monoxide detectors in the ceiling of the facility. Detectors were not tested by Licensee due to two (2) infants napping during inspection. The home has a regulation fire extinguisher which was serviced on 9/14/20. LPA reminded Licensee that fire extinguisher needs to be either service or purchase annually. The home maintains working telephone services. LPA observed a fireplace in the living room that is covered and inaccessible to children in care. LPA observed all cleaning supplies and toxins are stored in the kitchen under the sink and on the top counter of the kitchen, more cleaning supplies are also located in the laundry room and garage. All areas are inaccessible to children by small gates or safety latches. LPA observed that Licensee stores sharps on top of her kitchen counter and are inaccessible to children in care. The facility is orderly, clean and has ventilation for child care services. The restroom used for children was found to be clean and orderly and has plenty of hand soap, paper towels. Medication in the facility is stored in a high cabinet in the kitchen and are inaccessible to children. Toys and equipment observed in the facility are age appropriate. CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021

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: CAMARENA FAMILY CHILD CARE	FACILITY NUMBER: 426215873
	VISIT DATE: 09/13/2021

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Licensee stated that children have access to the backyard. Licensee shared that when children play outdoors, they are always supervised by an adult. LPA observed plenty of gross motor activities and plenty of shade for the children in care. LPA observed a Jacuzzi that is not used and is inaccessible to children in care. LPA observed that Jacuzzi did not have water and is not being used by Licensee and her family at all. No other bodies of water were observed on site.

Licensee stated there are guns and ammunition in the facility. LPA observed that guns are stored in a locked safe that requires a key to open, safe is located in the closet of the master bedroom on the second floor. Per Licensee, Spouse is the only one who has access to the key to open the safe. LPA observed that ammunition is stores in a separate smaller safe that requires a code to be able to open the safe. Per Licensee, only Spouse knows the code to open this safe as well.

A sampling of the children's record was reviewed and found to have current and up to date with emergency information cards and personal rights. The Licensee's records indicate Mandated Reporter training certificate expired 1/17/21. LPA reminded Licensee that AB1207 must be updated every two years, Licensee agrees to update her AB1207 certificate this week. Licensee’s CPR and First Aid certifications expires on 7/4/23. Licensee is current with all immunization's.

The Licensee is not providing 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 discussed COVID 19 guidance and best practices with the Licensee. Licensee was reminded that it is Licensee's responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov. LPA and Licensee discussed safe sleep regulations. LPA provided a copy of new Safe Sleep Regulations and LIC 9227 Individual Infant Sleep Plan for Licensee to review.

In areas evaluated, there were no deficiencies cited during today's visit.

LPA provided Licensee with Notice of Site visit (LIC 9213) which was posted by the Licensee.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021

LIC809 (FAS) - (06/04)

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