566207006-2-8-2023-17-CC-SMAZ-CNUT2P-20230208132104

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566207006
Report Date: 02/08/2023
Date Signed: 02/08/2023 01:21:13 PM

Document Has Been Signed on 02/08/2023 01:21 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	AYALA FAMILY CHILD CARE		FACILITY NUMBER:	566207006
ADMINISTRATOR:	MARIA AYALA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 984-7180
CITY:	OXNARD	STATE: CA	ZIP CODE:	93035
CAPACITY:	14	CENSUS: 0	DATE:	02/08/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Maria Ayala		TIME COMPLETED:	01:36 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 February 8, 2023 at 12:15 PM, Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced Required- 1 Year inspection. LPA met with licensee Maria Ayala and advised her of the purpose for the inspection. Together with the licensee, LPA toured the home inside and outside. At the time of inspection there were 0 children in care and no other adults present. No bodies of water were observed at the time of inspection.

Licensee states she currently has 4 children enrolled, but they only come once in a while. LPA observed the required licensing documents on a poster board. The home was observed to be clean and free of hazardous/toxic items. There were sufficient age-appropriate toys and play structures inside and outside. The bathroom that is used by the children in care was observed to be clean and free of toxic/hazardous items. The backyard is fully fenced and free of hazards.

A dual carbon monoxide/smoke detector was observed in the hallway. Licensee tested the alarm and found it to be functioning. A regulatory 2A10BC fire extinguisher was observed to have been last serviced on 2/7/2022, LPA reminded licensee that the extinguisher needs to be serviced or purchased yearly. Licensee states she will have her husband service it soon.

Licensee's CPR and First Aid training is valid until 11/15/2024. AB 1207 Mandated Reporter Training certificate is valid until 07/22/2023. Licensee last completed an emergency disaster drill on 11/08/2022. A sampling of children records were reviewed.

Continued on 809-C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: AYALA FAMILY CHILD CARE	FACILITY NUMBER: 566207006
	VISIT DATE: 02/08/2023

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
26
27
28
29
30
31
32

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/inspection-process.

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.

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.

No deficiencies cited during this visit. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed in Spanish with the licensee, Maria Ayala.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana Martinez	TELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2