566215804-8-31-2020-17-CC-FVEZ-BSZLMZ-20200831085333

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566215804
Report Date: 08/27/2020
Date Signed: 08/31/2020 08:53:56 AM

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:	VILLEGAS FAMILY CHILD CARE		FACILITY NUMBER:	566215804
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 7	DATE:	08/27/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:18 PM
MET WITH:	CARMEN CECILIA VILLEGAS		TIME COMPLETED:	02:20 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 August 27, 2020 at 1:18 PM, Licensing Program Analysts (LPA) Francisca Velazquez conducted a case management visit and met with Licensee, Carmen Cecilia Villegas. Licensee requested to increase the capacity from small license (8 children) to large license (14 children). Due to COVID-19 and California Department of Public Health guidelines of social distancing, a tele-inspection was conducted via FaceTime in Spanish. LPA with the assistance of Licensee toured the home inside and outside together. This home is a 3 bedroom, 2 bathroom, living room, dining room, kitchen and back yard. The main day care areas are the living room, dining room, one bedroom, kitchen and one bathroom. LPA observed all required documents posted including COVID-19 resources in the facility. LPA observed that all electrical plugs in the children areas had covers. LPA observed plenty of child furniture and activities accessible to children. Licensee stated that while she cooks she places a small gate so children will not enter the kitchen but normally children do have access to her kitchen. LPA observed that all lower cabinets in the kitchen have safety locks making them inaccessible to the children. LPA observed that knives are stored on top of shelve making them inaccessible to children. LPA observed that bedrooms that are inaccessible to children are locked from the inside of the bedroom and require a key to be able to open them making them inaccessible to children. LPA observed a large back yard that is completely fenced with plenty of outdoor activities for children. LPA did not observe any bodies of water and Licensee stated that there are no guns and/or ammunition in the home. The fire clearance was granted on 08/17/20 by the Ventura County Fire Department. The carbon monoxide and smoke detector were tested at 1:45 PM and were functioning at the time of the visit. Licensee is current with her CPR and First Aid which expires on 5/2021. LPA discussed AB1207 Child Abuse Mandated Reporter Training with Licensee and emailed her a link and explained that training is now available in Spanish. CONT.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2020

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: VILLEGAS FAMILY CHILD CARE	FACILITY NUMBER: 566215804
	VISIT DATE: 08/27/2020

NARRATIVE

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LPA discussed the following information with applicant and provided written information via email: Sudden Infant Death Syndrome/Safe Sleep guidelines, Shaken Baby Syndrome, and provided resources for COVID-19 guidelines for her to post around her facility. LPA notified Licensee of the upcoming mandatory Lead Training in September. The “Effects of Lead Exposure” brochure is to be distributed to all families at time of enrollment. It is the Applicant's responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov. LPAs informed applicant that she can subscribe to receive Provider Information Notices (PINs) from Community Care Licensing Division via www.ccld.ca.gov

An exit interview was conducted with Licensee, Carmen Cecilia Villegas via FaceTime in Spanish. . A copy of this report was reviewed and provided to the Licensee for her review and signature via email. Licensee agreed to receive a copy of report via email and will reply to email once she receives, reads and understands complete report. LPA requested Licensee return a signed copy of report by mail to our office.

The home meets Title 22 Division 12 requirements for a large Family Child Care home license. Licensee understands that LPA will forward this report to upper management for approval of change of capacity license. Furthermore, Licensee understands that her change of capacity license will not be effective until proper upper management gives final approval. LPA will communicate with Licensee once change of capacity has been approved and will give Licensee an exact date of when her large license will be effective.

A Notice of Site Visit was forwarded to the Licensee for posting (LIC 9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required may result in a $100.00 civil penalty.

On August 27, 2020 at 3:02 PM, LPA received approval from LPM Mueller to move forward with change in capacity. LPA communicated with Licensee that approval was received and Large Family Child Care License is effective as of 08/27/20.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2020

LIC809 (FAS) - (06/04)

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