566211148-10-30-2024-17-CC-AZES-DAJPAB-20241030110828

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566211148
Report Date: 10/30/2024
Date Signed: 10/30/2024 11:08:38 AM

Document Has Been Signed on 10/30/2024 11:08 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	ZAVALA'S FAMILY CHILD CARE		FACILITY NUMBER:	566211148
ADMINISTRATOR/ DIRECTOR:	ROCIO ZAVALA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 890-7814
CITY:	OXNARD	STATE: CA	ZIP CODE:	93036
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 6	DATE:	10/30/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:10 AM
MET WITH:	Rocio Zavala		TIME VISIT/ INSPECTION COMPLETED:	11:35 AM

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On October 30, 2024 at 09:10 AM, Licensing Program Analyst (LPA) Aaliyah Zendejas made an unannounced visit to conduct an Annual / Random Inspection. LPA met with licensee, Rocio Zavala, and explained the purpose of the inspection. LPA and licensee toured the interior and exterior of the home. Licensee was caring for 4 children at the time of the inspection with the help of two assistants. 2 other children came in during visit.

The home is a 5 bedroom, 3 bathroom, 2 - story home. The licensee uses the playroom, one bathroom, and the enclosed outdoor backyard for child care. All bedrooms, 2 bathrooms, garage and kitchen are off limits and are inaccessible to children in care. Licensee has a secured fence in the backyard. LPA observed a secured baby gate blocking access for children to the upstairs portion of the home. All adults in the home are fingerprint cleared. A regulation 2A10BC fire extinguisher was observed with a service date of September 4, 2024. Licensee is reminded to service or purchase the fire extinguisher yearly. Licensee states that there are no firearms and ammunition in the home.

Kitchen is kept out of reach of children by a door preventing children to enter. Licensee currently provides meals for children in care. The bathroom to be used for children in care was observed to be free of hazardous items. LPAs observed a carbon monoxide and smoke alarm detector within the playroom which was tested at 09:32 AM and was found to be in working condition.

LPAs reviewed four out of four children files. All children files were current. LPA observed documentation for infant safe sleep 15 minute checks readily available within facility. Licensee CPR/first aid is valid through 03/12/2026. Licensee was reminded a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter certification AB1207 every two years at www.mandatedreporterca.com Licensee’s mandated reporter certification is valid through 06/02/2025.

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Lissete Gonzalez	TELEPHONE: (805) -56-0400
Aaliyah Zendejas	TELEPHONE: (805) 722-5133
	DATE: 10/30/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ZAVALA'S FAMILY CHILD CARE	FACILITY NUMBER: 566211148
	VISIT DATE: 10/30/2024

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Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries 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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPAs 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. LPAs 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. Licensee does currently have infants in care.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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SUPERVISOR'S NAME: Lissete Gonzalez	TELEPHONE: (805) -56-0400
LICENSING EVALUATOR NAME: Aaliyah Zendejas	TELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ZAVALA'S FAMILY CHILD CARE	FACILITY NUMBER: 566211148
	VISIT DATE: 10/30/2024

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During the exit interview, the LICENSEE, Rocio Zavala, confirmed that there are no Registered Sex Offenders living in the facility and LPAs completed the RSO profile in FAS.

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.

Exit interview conducted and report was reviewed with the licensee, Rocio Zavala.

SUPERVISOR'S NAME: Lissete Gonzalez	TELEPHONE: (805) -56-0400
LICENSING EVALUATOR NAME: Aaliyah Zendejas	TELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

LIC809 (FAS) - (06/04)

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