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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444408153
Report Date: 07/29/2022
Date Signed: 08/10/2022 07:45:14 AM


Document Has Been Signed on 08/10/2022 07:45 AM - 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:LOPEZ, MARIAFACILITY NUMBER:
444408153
ADMINISTRATOR:MARIA LOPEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 761-2108
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 7DATE:
07/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Maria LopezTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Elizabeth Berumen conducted a 1 year inspection. LPA met with Licensee, Maria Lopez and explained the nature of today's inspection. Maria had a room addition (alteration) in her home. A fire inspection was granted and Maria updated her facility sketch. There were 7 day care children (2 infants 5 preschoolers) present during today's inspection. Licensee's Assistant, Sebastian Lopez.

Adults living in the home are, Licensee, husband (Camerino Lopez), sons (David and Sebastian, Camerino Lopez Jr. ) Licensee;s minor daughter who is 10 years old.
Licensee rents her converted garage to Mario and Gisela Garcia and their two minor children.
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.

Days and hours of operation are as follow: Monday to Friday 6:00 AM to 6:00 PM. LPA inspected parts of the facility in which family day care services are being provided and areas which children have access. The off limit area inside the home are three bedrooms and garage (converted to a room). Mario Garia, Gisela Garcia and two minor children. The home previously had 2 bedrooms; Licensee added a bedroom to the home. Updated facility sketch and fire approval is on file.



The bathroom used for children is clean. Off limit areas outside is the locked storage shed and fenced areas surrounding the day care play area; appears to be used as storage. Those areas are gated to prevent children from accessing the area. LPA observed sufficient materials, toys, and play equipment for the day-care children. The home appears clean and safe for the day-care children. Licensee owns the home.

LPA observed a fully charged 3A:40BC fire extinguisher. The carbon monoxide detector and smoke detector were tested and proved to be functioning. Medicines, cleaning products, hazardous and other toxic materials are inaccessible to children. Maria Lopez has locks on her kitchen and bathroom sinks. Licensee stated that there are no weapons in the home. LPA reminded licensee that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family child care homes.

LPA reviewed child care facility roster. LPA reviewed fire disaster drill log; last practiced fire drill was July 5, 2022. LPA reviewed 7 children files and two staff files.
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth BerumenTELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:
DATE: 07/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/29/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: LOPEZ, MARIA
FACILITY NUMBER: 444408153
VISIT DATE: 07/29/2022
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Licensee states that she talks to children and redirects them as form of discipline. Licensee understands that children's personal rights should not be violated, corporal punishment is not to be used. Licensee understands her capacity options and she understands that she cannot have more than fourteen children in the home at any time. Licensee does not transport the children.

LPA discussed the safe sleep regulations with the Licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the Licensee 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

Exit interview conducted and report was reviewed with the Licensee, Maria Lopez


No deficiency was observed during today's inspection.
A Notice of Site visit was posted at time of inspection and must remain posted for 30 days. Exit interview conducted with Maria Lopez.
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth BerumenTELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2022
LIC809 (FAS) - (06/04)
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