566212416-1-5-2022-17-CC-BCES-CADT7V-20220105132921

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566212416
Report Date: 01/05/2022
Date Signed: 01/05/2022 01:29:29 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:	MAGANA-MENDEZ FCC		FACILITY NUMBER:	566212416
ADMINISTRATOR:	ALICIA MENDEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 814-7167
CITY:	OXNARD	STATE: CA	ZIP CODE:	93036
CAPACITY:	14	CENSUS: 3	DATE:	01/05/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Alicia Mendez		TIME COMPLETED:	01:45 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	On January 5, 2022 at 11:50AM, Licensing Program Analyst (LPA) Betzayra Cervantes made an unannounced visit to conduct a Required - 1 Year Inspection. LPA met with licensee Alicia Mendez 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. LPA in the company of the Licensee toured the interior and exterior of the facility. At 1:05 PM, Licensee's assistant joined the inspection and the licensee had to step out to pick up a child from school. There were three children in care at the time of the inspection. The home is a three bedroom, three bath single story home. All adults in the home are fingerprint cleared. The licensee uses the living room, dining room, kitchen, one bathroom, and front yard for the daycare. Licensee has a child safety gate blocking off access to the bedrooms and two bathrooms. The children's play area was observed free of hazards and appropriate toys and furnishings are accessible to children in care. LPA observed that outdoor areas are fully enclosed. LPA observed a full size trampoline in the front yard with a child safety net around it. Licensee was advised to stay within the manufacturers requirements for the trampoline. LPA advised licensee that she must provide visual supervision at all times while the children are playing outside in the trampoline. Licensee has a secured fence in the front yard and age appropriate toys for children in care, found in good condition and free of hazards. LPA observed that the backyard has one detached studio and a separate dwelling which is located on the same property, both of which are excluded from childcare services. LPA also observed a wooden fence and a separate entrance in the back, preventing children from having access. LPA observed two dogs located in an inaccessible area on the back of the property. Licensee reported that the dog's vaccinations are up to date. LPA observed the home to be orderly. No bodies of water were observed on site. No toxins nor hazards are accessible to children in care. Detergents and cleaning compounds are stored out of reach of children. The bathroom to be used for children in care was observed to be clean and sanitary. LPA observed a dual carbon monoxide/smoke alarm detector which was tested and found to be operable. A regulation 2A10BC fire extinguisher was observed in the kitchen with a service date of 3/1/21. Licensee is reminded to service or purchase the fire extinguisher yearly. CONTINUED ON 809-C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra Cervantes	TELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:	DATE: 01/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2022

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: MAGANA-MENDEZ FCC	FACILITY NUMBER: 566212416
	VISIT DATE: 01/05/2022

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Licensee's Pediatric First Aid/CPR certificate is valid until 03/07/22. Licensee last completed an emergency disaster drill on 10/20/2021. AB1207 Mandated Reporter Training Certificates are current with an expiration date of 07/30/2022. The Licensee states that there are no firearms in the home.

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's assistant, Catalina Gomez.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra Cervantes	TELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:	DATE: 01/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2022

LIC809 (FAS) - (06/04)

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