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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566209645
Report Date: 12/01/2021
Date Signed: 12/01/2021 02:54:33 PM

Document Has Been Signed on 12/01/2021 02:54 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:PEREA-SALAS FAMILY CHILD CAREFACILITY NUMBER:
566209645
ADMINISTRATOR:ARCELI PEREA-SALASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 278-0997
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
12/01/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Araceli Perea-SalasTIME COMPLETED:
03:10 PM
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On December 1, 2021 at 1:00 PM, Licensing Program Analysts (LPAs) Betzayra Cervantes and Michael Mathew made an unannounced visit to conduct a Required - 1 Year Inspection. LPA met with licensee Araceli Perea-Salas and explained the purpose of the inspection. Prior to entering the facility, LPA conducted a COVID-19 risk assessment. All answers indicated no exposure to COVID-19. LPAs in the company of the Licensee toured the interior and exterior of the facility. There were seven children in care at the time of the inspection.

The home is a four bedroom, three bath, two story home. The licensee uses the living room, kitchen, dining room, family room, one bedroom, one bathroom and backyard for the childcare. The three bedrooms, two bathrooms and garage are off limits and are inaccessible to children in care. LPA observed a child safety gate at the base of the stairs, making the upstairs inaccessible. LPA observed a fireplace with a glass screen preventing children from having access. There are age appropriate toys and day-care equipment in the home. The back yard has age appropriate toys and materials in good condition and free of hazards. The bathroom to be used for children in care was observed to be clean and sanitary. LPA observed that outdoor areas are fully enclosed. Licensee states that she has one small dog which is kept in a separate locked area from the daycare. Licensee reported that the dog's vaccinations are up to date.

LPA did not observe any toxins/hazardous items accessible to children. A regulation 2A10BC fire extinguisher was observed in the kitchen with a service date of 09/14/2021. Licensee is reminded to service or purchase the fire extinguisher yearly. LPA did not have licensee test dual smoke and carbon monoxide detectors in the home given that 6 children were napping. Licensee's Pediatric First Aid/CPR certificate is valid until 07/11/22. Licensee stated that she was in the process of completing her Mandated Reporter Training when LPA arrived. LPA advised to submit proof of completion by end of business today to remain in compliance. Licensee last completed a fire drill on 11/2/2021.

(CONT. 809-C)

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Betzayra Cervantes
LICENSING EVALUATOR SIGNATURE: DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/01/2021
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: PEREA-SALAS FAMILY CHILD CARE
FACILITY NUMBER: 566209645
VISIT DATE: 12/01/2021
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LPA observed the home to be orderly. No bodies of water were observed on site. Licensee states that there are no firearms and ammunition in the home. No toxins nor hazards are accessible to children in care. Detergents and cleaning compounds are stored out of reach of children.

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 with the licensee, Araceli Perea-Salas.

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Betzayra Cervantes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
LIC809 (FAS) - (06/04)
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