566215425-1-9-2020-17-CC-LVIA-BKNRY7-20200109122553

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566215425
Report Date: 01/09/2020
Date Signed: 01/09/2020 12:26:15 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:	RODRIGUEZ FCC AKA LOS SOLESITOS DAY CARE		FACILITY NUMBER:	566215425
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 2	DATE:	01/09/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Claudia Rodriguez		TIME COMPLETED:	11:00 AM

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	Licensing Program Analyst (LPA), Laura Villanueva made an unannounced inspection in order to conduct an ANNUAL/RANDOM review and met with the licensee, Claudia Rodriguez. The purpose of the visit was discussed and a tour of the one story home was conducted inside and outside. Licensee uses the entire home and backyard for the child care. LPA toured these areas and found them free of hazards. Licensee stated that there were no firearms in the home. The home maintains a 2A10BC fire extinguisher purchased on 07/16/19. The home also maintains a working smoke and carbon monoxide detector that meet requirements. LPA observed a baby bouncer in the living room. LPA advised Licensee that baby bouncers are prohibited in licensed child care homes. Licensee placed the bouncer outside. There was a current facility roster present. Child files were reviewed. CPR/First Aid for licensee was current with an expiration date of 11/08/21. Licensee conducts emergency disaster drills. Last drill was conducted on 7/10/19. Licensee is current with SB792(Mendoza). Mandated Reporter Training was completed. 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

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura Villanueva	TELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020

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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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: RODRIGUEZ FCC AKA LOS SOLESITOS DAY CARE	FACILITY NUMBER: 566215425
	VISIT DATE: 01/09/2020

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LPA reviewed and provided information on Sudden Infant Death Syndrome (SIDS) Safe Sleep, Lead Poisoning Pamphlet, and a Child Care Program Winter 2019 Quarterly Update to Licensee.

Applicant was reminded that it is her responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov.

In the areas that were evaluated no deficiencies were cited under Title 22 Division 12.

Notice of Site Visit will be posted.

FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura Villanueva	TELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020

LIC809 (FAS) - (06/04)

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