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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566209542
Report Date: 07/28/2022
Date Signed: 07/28/2022 02:21:35 PM


Document Has Been Signed on 07/28/2022 02:21 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:ANGULO FCC AKA MY LITTLE KIDS DAYCAREFACILITY NUMBER:
566209542
ADMINISTRATOR:PATRICIA ANGULOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 642-9262
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:14CENSUS: 14DATE:
07/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Patricia AnguloTIME COMPLETED:
02:40 PM
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On July 28, 2022 at 12:50 PM Licensing Program Analyst's (LPA's) Laura Villanueva and Susana Martinez conducted an unannounced annual inspection. LPA's met with licensee Patricia Angulo and advised her of the reason of inspection. Prior to entering the home LPA's conducted COVID-19 screening questions, all answers indicated no COVID-19 risks. At the time of the inspection there were 14 children in care and one (1) assistant. LPA's and licensee toured the home together inside and out. Licensee has a two story home with four (4) bedrooms, two (2) bathrooms, and a backyard. Licensee primarily uses the downstairs room, the downstairs bathroom, dining room, and backyard for day-care. The kitchen and living-room are off limits and have a gate to prevent access to these rooms. The fireplace in the living-room is screened and inaccessible. LPA's observed a gate at the bottom of the stairs preventing children from accessing the second floor.

LPA's observed the home to be free of hazardous/ toxic items. There are plenty of age-appropriate toys, learning materials, and structures for the children in care. Licensee has the required documents posted at the entrance of the facility. LPA's observed a carbon monoxide and smoke detector mounted on the in the entrance hallway. A 2A10BC fire extinguisher was observed to have been serviced on 1/4/2022. Licensee was reminded to purchase or service the fire extinguisher every year.

A sampling of children's files were reviewed and found to be complete and up to date. Licensee's Mandated Reporter Training Certificate is current with an expiration date of 3/11/2023. LPA's also observed the licensee's First Aid/ CPR certification to be current with an expiration date of 9/14/2022. Licensee provided verification of disaster and fire drills with the last one being conducted on 7/14/2022.

Continued on 809-C
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2022
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: ANGULO FCC AKA MY LITTLE KIDS DAYCARE
FACILITY NUMBER: 566209542
VISIT DATE: 07/28/2022
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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.

Incidental Medical Services (IMS) policy was discussed. Licensee is not caring children requiring IMS at the moment. 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

No deficiencies were cited during this visit. 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 and report was reviewed in Spanish with the licensee, Patricia Angulo.

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
LIC809 (FAS) - (06/04)
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