<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566207599
Report Date: 02/07/2020
Date Signed: 02/07/2020 01:53:34 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:ORTIZ FCC AKA OCEAN STAR FAMILY DAY CARE, INCFACILITY NUMBER:
566207599
ADMINISTRATOR:CELIA ORTIZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 208-2136
CITY:PORT HUENEMESTATE: CAZIP CODE:
93041
CAPACITY:14CENSUS: 6DATE:
02/07/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Celia OrtizTIME COMPLETED:
01:05 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) Jill Laxo conducted an unannounced annual inspection and met with Licensee Celia Ortiz. The purpose of the inspection was discussed with the Licensee and together toured the home inside and out. This is a large family child care facility. During today's inspection the Licensee was caring for six children.

The facility is a single story home, the day care is primarily conducted in the converted classroom/playroom and fenced side and backyards. Detergents and cleaning products are located outside in a storage room. Medications are in a locked pantry in the kitchen. There are no bodies of water on the property. Licensee states there are no firearms in the home. Fire extinguisher is a 2A10BC was last serviced 09/03/2019. The home has working smoke and carbon monoxide detectors in the kitchen and playroom. The family room fire place is screened and locked. Licensee has all required forms posted in the playroom for parents to view. The home is clean and orderly with comfortable accommodations offering safe toys and play equipment for children in care. The last emergency drill was conducted on 01/29/2020. Licensee has current children's roster. Children's file were reviewed and all contain required licensing forms. Licensee has current CPR/First Aid with expiration date of 04/22/2019. AB1207 Mandated Reporter Training certificate completed 11/28/2019.

CONTINUED ON 809-C
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020
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: ORTIZ FCC AKA OCEAN STAR FAMILY DAY CARE, INC
FACILITY NUMBER: 566207599
VISIT DATE: 02/07/2020
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
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

A Guide to Safe Sleep and Effects of Lead Exposure brochures were provided.



No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Jill M Hazelhofer-LaxoTELEPHONE: (805) 635-5097
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2