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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215930
Report Date: 03/09/2020
Date Signed: 03/09/2020 11:35:03 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:ALMANZA FCC AKA OSITO'S DAYCAREFACILITY NUMBER:
566215930
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
03/09/2020
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Arcelia AlmanzaTIME COMPLETED:
11:45 AM
NARRATIVE
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Licensing Program Analyst (LPA) Michael Avila made a PRELICENSING inspection to the home. LPA Avila met with Applicant Arcelia Almanza and discussed the nature and purpose of the visit. A tour of the 2 story 4 bedroom house was conducted by LPA Avila who was accompanied by Applicant. No Firearms are stored on the premises. The bedroom will be off limits. There is a community swimming pool which is fenced with a self latching gate. A regulation 2A10BC fire extinguisher was observed mounted on the wall with a purchase receipt dated 01/13/2020. Applicant is reminded to service or purchase the fire extinguisher yearly. The smoke and carbon monoxide detector was found to be operational. Applicant’s 1st Aid/CPR certificates are valid until 01/08/2022. Applicant completed the 8-hour Preventative Health and Safety training. LPA informed applicant that she will need parents to sign a waiver for the liability insurance if she doesn't have it. LPA discussed with Licensee a packet of updated samples of state required forms to be kept in the children's file, required forms to be posted and forms that need to be maintained at the FCCH. Control of property was verified via LPA's review of a grant deed. LPA reviewed SB 792 the requirement for care providers/employees, including volunteers to obtain immunization against Influenza, Pertussis, and Measles. LPA advised the Flu Vaccine may be completed yearly between August 1 - December 1, or complete a waiver.

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

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. Also, Applicant was reminded that baby walkers, jumpers, bouncers, exersaucers, or any similar article are not permitted on the premises during day care hours. LPA Avila discussed Safe Sleep with Licensee and provided pamphlets on Safe Sleep by the National Institute of Child Health and Human Development. Application for a Family Child Care Home has been approved, effective today 03/09/2020
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Michael AvilaTELEPHONE: (805) 722-5133
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020
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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