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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566213664
Report Date: 02/04/2020
Date Signed: 02/04/2020 04:56:26 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:SEGURA - TERAN FCC AKA I CARE FOR YOUR KIDSFACILITY NUMBER:
566213664
ADMINISTRATOR:SEGURA, KENIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 205-3662
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:14CENSUS: 2DATE:
02/04/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Kenia SeguraTIME COMPLETED:
05:00 PM
NARRATIVE
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Licensing Program Analyst, (LPA) Michael Avila made an unannounced visit for the purpose of conducting an Annual/Random inspection. LPA Avila met with Licensee Kenia Segura and discussed the nature and purpose of the visit. A tour of the home was conducted. No toxins nor hazards were observed accessible to children in care. LPA also observed a gate in front of the fireplace. The home maintains a 2A10BC fire extinguisher with a service tag dated 2/03/2020. The home maintains a smoke detector and carbon monoxide monitor that meet the statutory requirements.

Outdoor space was fully fenced with adequate play equipment for children in care. Licensee maintains a current roster of children enrolled and conducts fire and disaster drills. The last fire drill was conducted on 02/04/2020. All adults have obtained a criminal record clearance. Licensee's assistant is current with her pediatric CPR/First-aid with an expiration of 11/07/2021. Licensee's pediatric CPR/First-Aid expires on 03/15/2021. Safe sleep guidelines was discussed with Licensee. LPA Avila reminded Licensee information about Safe Sleep along with Title 22 Regulations can be found on the Department's website at www.ccld.ca.gov.

Licensee is compliant with SB 792 (Mendoza) requirements. Children records reviewed had immunization records and notification of parents rights. Licensee stated that there are no children on medication currently.
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.

No deficiencies were issued during this facility visit.

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2020
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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