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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566208994
Report Date: 10/10/2019
Date Signed: 10/10/2019 02:23:43 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:LARIOS FAMILY CHILD CAREFACILITY NUMBER:
566208994
ADMINISTRATOR:TERESA LARIOSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 487-5031
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:14CENSUS: 6DATE:
10/10/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Teresa LariosTIME COMPLETED:
02:30 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
THIS IS AN AMENDED REPORT FROM THE ORIGINAL DATED 10/10/2019. Licensing Program Analysts (LPA's) Betzayra Cervantes and Michael Avila made an unannounced visit for the purpose of conducting an Annual/Random facility inspection. LPA's met with licensee Teresa Larios and discussed the nature and purpose of the visit. Together a tour of the facility was conducted by LPA's and licensee both inside and outside. The licensee uses the living room, dining room, kitchen, one bedroom, one restroom, and back yard for day care. There were six children in care at the time of the visit.

A 2A10BC fire extinguisher was observed in the kitchen with a last service date of 10/20/2018. A functioning smoke and monoxide detector was observed. A roster of children in care was observed current and complete. Last emergency drill was conducted on 09/09/2019. No toxins nor hazards were observed accessible to children. Licensee has a small dog in the back yard which is licensed and vaccinated. LPA's reminded Licensee she is responsible to provide care and supervision at all times when children are in care to include when the children are playing with pets at the facility. The backyard is fully enclosed with a gated fence. No bodies of water were observed on the property.

A sample of children's files were reviewed and found to be complete. Licensee's CPR/First-Aid is current until 10/01/2021. LPA's illustrated the Community Care Licensing Website to Licensee to include viewing the Safe Sleep video (in Spanish). LPA reminded Licensee it is her responsibility to be aware of all child care regulations which can be accessed at www.ccld.ca.gov.

Incidental Medical Services (IMS) currently has no children with IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

No deficiencies were cited 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 MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra CervantesTELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2019
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 1