566200911-5-23-2019-17-CC-LVIA-BCFSJP-20190523135528

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566200911
Report Date: 05/23/2019
Date Signed: 05/23/2019 01:55:36 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:	ARIAS FAMILY CHILD CARE		FACILITY NUMBER:	566200911
ADMINISTRATOR:	ARIAS, R. 98		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 985-0557
CITY:	OXNARD	STATE: CA	ZIP CODE:	93035
CAPACITY:	14	CENSUS: 4	DATE:	05/23/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Rosemary Arias		TIME COMPLETED:	02:00 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	Licensing Program Analyst (LPA) Laura Villanueva made an unannounced Random Annual visit to the home. Met with Licensee, Rosemary Arias and explained the purpose of the visit. A tour of the one story home was made both inside and outside. The Licensee uses the play room, family room, dining room, hall bathroom, and kitchen for the child care. The regulation fire extinguisher was serviced on 8/24/18. Licensee is reminded to either service or purchase a regulation fire extinguisher every year. The smoke/carbon monoxide detectors were observed. The Licensee uses the back yard for the day care and it is completely enclosed by fences with gates. There are age appropriate toys and equipment. LPA reviewed the children roster. The last fire drill was conducted on 2/26/19. LPA reviewed children's records. Licensee's First Aid/CPR certificate is valid through 06/27/19. Licensee states that she does not have any guns/weapons on the property. LPA reviewed SB 792 (Child Care Employee and Volunteer: Immunization and Tuberculosis Requirements). Licensee is current with requirement. Mandated reporter training will be completed by June 23, 2019. Incidental Medical Services (IMS) policy was discussed. Licensee is not providing IMS at the present time. 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 Continued on LIC 809C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura Villanueva	TELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019

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: ARIAS FAMILY CHILD CARE	FACILITY NUMBER: 566200911
	VISIT DATE: 05/23/2019

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Licensee is reminded that she is responsible for knowing the regulations for a Family Child Care Home and that Licensing information can be accessed online at www.ccld.ca.gov.

LPA reviewed and provided Licensee with Guide to Infant Safe Sleep, Poisonous Plants poster, Lead Poisoning Flyer, and Child Care Quarterly Update-Winter 2019.

No deficiencies were cited during today's visit.

The LIC 9213 (Notice of Site visit) was posted during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura Villanueva	TELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019

LIC809 (FAS) - (06/04)

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