406207483-3-19-2025-17-CC-SLOS-DEWQ9X-20250319115904

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406207483
Report Date: 03/19/2025
Date Signed: 03/19/2025 11:59:15 AM

Document Has Been Signed on 03/19/2025 11:59 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	JAZO FAMILY CHILD CARE		FACILITY NUMBER:	406207483
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 6	DATE:	03/19/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:40 AM
MET WITH:	Mireya Jazo		TIME VISIT/ INSPECTION COMPLETED:	12:15 PM

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On 3/19/25, at 10:40 AM, Licensing Program Analysts (LPAs) Shane Loftus and Cynthia Alvarez conducted an Annual/Random Inspection of the facility. LPAs met with Mireya Jazo, Licensee of the facility and explained the purpose of the inspection. LPAs, in the company of the Licensee, toured the interior and exterior of the facility. The home’s living room, kitchen, bathroom and front yard are used for childcare, while the home’s three bedrooms and backyard are excluded. At the time of the inspection 6 children are present.

LPAs observed the home to be orderly and free of toxins. LPAs observed that there is a baby gate making the bedrooms inaccessible to children in care. LPAs observed that the children do not have any access to the back outdoor yard. LPAs observed the bathroom used for care was clean and free of toxins. LPAs observed two open face heaters in the play area that are covered. In the living room, LPAs observed a fireplace that is covered and secured with a plastic screen as well as large furniture. LPAs observed sharps are stored in an elevated cabinet in the kitchen. LPAs observed cleaning compounds are stored under the sink of the bathroom and kitchen in locked cabinets. Licensee stated that household medications are stored in Licensee's bedroom that is inaccessible to children in care. Toys, furniture, and equipment in the facility are age appropriate.

LPAs observed required licensing forms and documents post on the wall of the living room in the facility. LPAs observed a smoke detector on the ceiling of the kitchen and carbon monoxide located in the hallway of the home. Both smoke detector and carbon monoxide detector were tested at 10:50 AM and were found to be operational. LPAs observed a regulation fire extinguisher in the kitchen area that was serviced 1/17/2025. LPAs reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPAs note the last fire/disaster drill was conducted on 1/27/25.

Continued 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: JAZO FAMILY CHILD CARE	FACILITY NUMBER: 406207483
	VISIT DATE: 03/19/2025

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The front yard is enclosed by wooden fencing and has plenty of shade for the children in care. LPAs observed toys and play equipment that is age appropriate. Licensee reported children are taken on walks to nearby park. LPAs advised Licensee to always practice active supervision when children are taken out of the home. LPAs observed no bodies of water on site. Additionally, Licensee informed LPAs no firearms or ammunition are stored on site.

LPAs reviewed a sampling of the children records. All records reviewed are current and contains complete emergency contact information. LPAs also reviewed the infant’s files and verified the licensee keeps a napping log in 15 minute intervals. LPAs reviewed the Licensee's file and found it to be current with Pediatric CPR and First Aid certifications expiring on 3/2/26 and Mandated Reporter training expiring on 10/18/26.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPAs 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. LPAs also informed licensee [or facility representative] 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.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: JAZO FAMILY CHILD CARE	FACILITY NUMBER: 406207483
	VISIT DATE: 03/19/2025

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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPAs completed the RSO profile in FAS.

No deficiencies are cited during today's inspection. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee, Mireya Jazo.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025

LIC809 (FAS) - (06/04)

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