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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566210937
Report Date: 11/28/2022
Date Signed: 05/04/2023 04:49:46 PM


Document Has Been Signed on 05/04/2023 04:49 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:MANRIQUE'S FAMILY CHILD CAREFACILITY NUMBER:
566210937
ADMINISTRATOR:DEBRA MANRIQUEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 607-1718
CITY:OXNARDSTATE: CAZIP CODE:
93035
CAPACITY:14CENSUS: 4DATE:
11/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Debra ManriqueTIME COMPLETED:
11:40 AM
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On November 28, 2022 at 9:50 AM, Licensing Program Analyst (LPA) Susana Martinez and Licensing Program Manager (LPM) George Mingle conducted an unannounced annual inspection. LPA conducted COVID-19 screening questions prior to entering the facility. LPA and LPM met with licensee Debra Marique and advised the purpose of the inspection. Licensee provided LPA and LPM a tour of the home inside and outside. At the time of the inspection there were 4 children in care. Licensee was present with her daughter- assistant, and son during this inspection.

The two story home uses the downstairs bathroom, living room, and backyard for care. All required documents were observed to be mounted on the wall at the entrance of the home. A safety gate was observed at the entrance to the stairs. The kitchen was observed to be off-limits with children's safety gates. A fire extinguisher was observed to be serviced on 10/5/2022, Licensee was reminded to service or purchase a regulation fire extinguisher every year. A functional dual carbon monoxide and smoke detector were observed mounted on the ceiling. Licensing provides natural disaster drills. Last drill was conducted on November 3, 2022. Children have sufficient age-appropriate toys and learning material.

The outdoor play area was observed to be fully fenced and was free of toxins/hazardous items. No bodies of water were observed. Licensee provides lunch and snacks to the children in care. LPA reviewed children's records which were reviewed to be complete. Licensee first aidcertificate is valid through 2/6/2024 and assistants expires on 2/5/2024. Licensee's mandated reporter training was completed on 12/7/2021. Assistants mandated reported certificate expires on 12/7/2023.

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/process.

Continued on 809-C

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:
DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/28/2022
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: MANRIQUE'S FAMILY CHILD CARE
FACILITY NUMBER: 566210937
VISIT DATE: 11/28/2022
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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. LPA observed a safe sleep log being documented for infants in care every 15 minutes.

Licensee advised there were no children in care that required Incidental Medical Services. 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

There were no deficiencies cited during today’s inspection.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door 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 with the licensee Debra Manrique.

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Susana MartinezTELEPHONE: 805-689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2022
LIC809 (FAS) - (06/04)
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