406215685-1-13-2025-17-CC-MSAN-DCVVFK-20250113152402

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215685
Report Date: 01/13/2025
Date Signed: 01/13/2025 03:24:18 PM

Document Has Been Signed on 01/13/2025 03:24 PM - 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:	DIAZ FCC AKA WAYS OF ALOHA DAYCARE		FACILITY NUMBER:	406215685
ADMINISTRATOR/ DIRECTOR:	JESSICA DIAZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 471-5224
CITY:	PASO ROBLES	STATE: CA	ZIP CODE:	93446
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 6	DATE:	01/13/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:25 PM
MET WITH:	Jessica Diaz		TIME VISIT/ INSPECTION COMPLETED:	03:30 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 1/13/25, at 1:25 PM, Licensing Program Analyst (LPA) Matthew Sapien conducted an unannounced random inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Jessica Diaz, Licensee of the FCCH, and explained the nature and purpose of the inspection. The LPA, in the company of Licensee, toured the interior and exterior of the FCCH. The FCCH is a 3-bedroom and 2 bathroom single-story home. The FCCH utilizes a family room (converted day care room), dining room, one hallway bathroom, one guestroom (converted nursery), and backyard. The remainder of the home is excluded from childcare services (master bedroom, master bathroom, one guestroom, front yard, and garage). Importantly to note, excluded areas are made inaccessible via child safety gates and locks. At the time of the inspection, 9 children were present. The Licensee's mother (staff assistant) was also present during the visit (cleared and associated). LPA observed the FCCH to be orderly and clean. The hallway bathroom, utilized for childcare services, is clean, orderly, and free of toxins. Sharps, cleaning compounds, and personal medication were observed in a locked and elevated hallway cabinet. Additional cleaning supplies and sharps were observed in the kitchen area. The Licensee also possesses a First Aid Kit for the FCCH. LPA observed age-appropriate books, toys, and other furnishings throughout the interior of the FCCH (day care room and nursery). In the nursery, the LPA observed a few cabinets and storage compartments that contained infant supplies. LPA observed appropriate licensing forms and documents posted prominently to a bulletin board at the entryway of the FCCH. LPA observed smoke and carbon monoxide detectors in the hallway of the FCCH. At 2:45 PM, a smoke detector was tested, while at a 2:47 PM a carbon monoxide detector was tested. Both detectors were found to be operational. LPA also observed a regulation fire extinguisher in the FCCH, which was last serviced on 12/9/24. LPA reminded the Licensee to service or purchase a regulation fire extinguisher annually. LPA reviewed the FCCH's fire/disaster drill log. The most recent fire drill occurred on 11/18/24. Licensee informed LPA that the (CONT. 809-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2025

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: DIAZ FCC AKA WAYS OF ALOHA DAYCARE	FACILITY NUMBER: 406215685
	VISIT DATE: 01/13/2025

NARRATIVE

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FCCH conducts disaster drills every six months.

As previously stated, the backyard is accessible to children in care. The FCCH's outdoor areas are enclosed by secure wooden fencing and a cement wall throughout (FCCH is backed up to a neighboring school). The fence’s entry/exit points are secure. As is the case with the interior of the FCCH, the outdoor areas have age-appropriate play structures, toys, and other equipment throughout the area that can afford for robust childcare services. Licensee was reminded to replace toys and play equipment which start to degrade or are not in good repair. The footing of the exterior is made up of varying surfaces (natural grass and concrete pavement). The Licensee attested to LPA that children are always supervised when engaged in outside activity. LPA confirmed that the Licensee does not have any bodies of water on site. LPA observed one large dog on site. Licensee informed LPA that the dog’s vaccination records are up to date and that the dog has friendly and regular interactions with children in care.

LPA reviewed children's records. The records are current, complete, and possessed emergency contact information and immunization records, among other relevant licensing documents. The Licensee's records were also reviewed. The Licensee’s CPR/First Aid Training (EMSA approved), expiring on 11/13/26, and their Mandated Reporter Training, expiring on 7/20/25, is current and complete as are other relevant licensing documents and forms. Licensee was reminded to renew certifications and training prior to expirations. The Licensee informed LPA that there are no firearms or ammunition present within the FCCH.

The Licensee does not currently provide Incidental Medical Services (IMS) or administer medication to children in care. IMS policy was discussed. For IMS information see PIN 22-02CCP. 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) or (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.

LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage as an additional resource at:https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep

LPA also informed Licensee of the importance of checking for recalled infant devices on the United States (CONT. 809-C, Page 3)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2025

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: DIAZ FCC AKA WAYS OF ALOHA DAYCARE	FACILITY NUMBER: 406215685
	VISIT DATE: 01/13/2025

NARRATIVE

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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.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

During the exit interview, the LPA confirmed that there are no Registered Sex Offenders living in the facility when the LPA completed an RSO profile in FAS on today’s date, 1/13/25.

During today's visit, no deficiencies were issued. Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and the report was reviewed with the Licensee, Jessica Diaz.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2025

LIC809 (FAS) - (06/04)

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