566202446-1-24-2024-17-CC-SMAZ-CZSUBA-20240124142600

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566202446
Report Date: 01/24/2024
Date Signed: 01/24/2024 02:26:06 PM

Document Has Been Signed on 01/24/2024 02:26 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	ALCARAZ FAMILY DAY CARE HOME		FACILITY NUMBER:	566202446
ADMINISTRATOR:	ALCARAZ, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 832-7120
CITY:	OXNARD	STATE: CA	ZIP CODE:	93033
CAPACITY:	14	CENSUS: 5	DATE:	01/24/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Maria Alcaraz		TIME COMPLETED:	02:40 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 January 24, 2024, Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced Required- 3 Year inspection. LPA met with licensee Maria Alcaraz and advised the purpose of the inspection. Licensee provided LPA a tour of the home inside and out. There were five children in care at the time of the inspection and two adults in the home. Licensee denies having guns/ammunition in the home. Licensee operates Mon- Fri from 6 AM- 5:30 PM. LPA observed required licensing documents mounted on the livingroom wall. Fire extinguisher 2A10BC mounted on the wall inside hallway, LPA observed it was last serviced 5/17/2023. Fire and carbon monoxide detectors were observed inside the home. LPA reminded Licensee to check alarms periodically to verify they are properly working. LPA asked for documentation of disaster and fire drills, Licensee states it has been close to 7 months since she has conducted a drill. Children in care have access to two living-rooms, one restroom, kitchen, and enclosed back yard and front patio. Fire place inside the living room is screened to prevent access by children. Kitchen knives are being kept in an inaccessible shelf. Children have access to toys that are age-appropriate inside and outside of the home. Back yard play area is enclosed and has age-appropriate structures. There are no bodies of water present at the time of inspection. During the tour, LPA did not observe any hazards/toxins items accessible to children in care. LPA reviewed five out of five children files. All children files were current. Licensee CPR/first aid is valid through 02/11/2025. Licensee was reminded a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter certification AB1207 every two years at www.mandatedreporterca.com. Licensee states she has not heard of that certificate before. LPA provided instructions on how to complete the training. Continued on 809-C

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ALCARAZ FAMILY DAY CARE HOME	FACILITY NUMBER: 566202446
	VISIT DATE: 01/24/2024

NARRATIVE

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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed 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. Licensee states she is not aware of 15-minute checks for infants while napping. LPA explained safe sleep regulations.

Licensee advised there were no children in care that required Incidental Medical Services. 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

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Continued on 809-C

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ALCARAZ FAMILY DAY CARE HOME	FACILITY NUMBER: 566202446
	VISIT DATE: 01/24/2024

NARRATIVE

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During the exit interview, the LICENSEE Maria Alcaraz, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

LPA provided the following resources to the Licensee:

- Copy of Title 22 Infant Safe Sleep Regulations 102425.

- Safe Sleep FAQ's.

- Infant Safe Sleep Chart.

- Copy of Individual Infant Sleeping Plan (LIC9227).

- Mandated Reporter Training handout with website information.

- Fire and Disaster Drill chart.

There were no deficiencies cited during todays inspection.

Two technical violations were issued:

- HSC: 1596.8662(b)(1) regarding mandated reporter training.

- CCR: 102417(g)(9)(A) regarding verification of fire and disaster drills.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted, appeal rights were given, and report was reviewed with Licensee Maria Alcaraz.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024

LIC809 (FAS) - (06/04)

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