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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566212445
Report Date: 03/21/2022
Date Signed: 03/21/2022 11:46:46 AM

Document Has Been Signed on 03/21/2022 11:46 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:VARELA FCC AKA MAMA BEAR DAYCAREFACILITY NUMBER:
566212445
ADMINISTRATOR:MARIA VARELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 654-1426
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
03/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:41 AM
MET WITH:Maria VarelaTIME COMPLETED:
12:00 PM
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On March 21, 2022 at 10:41AM, Licensing Program Analyst (LPA) Betzayra Cervantes made an unannounced visit to conduct a Required - 1 Year Inspection. LPA met with licensee Maria Varela and explained the purpose of the inspection. 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. The licensee is dual licensed for foster care and a copy of this certificate was provided to the LPA. License #56280963. Currently there are two foster siblings in the home ages 3 and 8. Licensee was caring for three children at the time of the inspection, two of which are foster children.

The home is a 3 bedroom, 2 bathroom, single story home. The licensee uses the living room which is the main playroom, dining room, and one bathroom for the daycare. In the living room, LPA observed two (2) screened fireplaces, making it inaccessible to children in care. The 3 bedrooms and one bathroom are off limits and made inaccessible to children in care and are locked with a key. LPA observed a child safety gates at the entrance of the kitchen, which is off limits. The backyard is off limits to children in care and licensee stated that there is a park nearby that is used for outdoor recreation. Licensee stated that she has four (4) dogs inside the home. Licensee reported that the dog's vaccinations are up to date. All adults in the home are fingerprint cleared.

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 functioning smoke alarm and carbon monoxide detector. LPA did not observe any toxins/hazardous items accessible to children. A regulation 2A10BC fire extinguisher was observed on the kitchen with a service date of 6/10/2021. Licensee is reminded to service or purchase the fire extinguisher yearly.

CONTINUED ON 809-C

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Betzayra Cervantes
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2022
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: VARELA FCC AKA MAMA BEAR DAYCARE
FACILITY NUMBER: 566212445
VISIT DATE: 03/21/2022
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Licensee's Pediatric First Aid/CPR certificate is valid until 9/30/2022. Licensee last completed an emergency disaster drill on 12/16/2021. All required forms including Notification Of Parent's Rights are prominently posted for parent's or authorized representatives to view. A roster of children in care was observed current and complete. A sampling of children records were reviewed and found current and complete.

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. Exit interview was conducted with licensee, Maria Varela. A copy of this report was reviewed and provided to the licensee. Inspection and report was conducted in Spanish.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

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

DATE: 03/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022
LIC809 (FAS) - (06/04)
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