406215867-9-13-2021-17-CC-MKST-C6TRE8-20210913125707

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215867
Report Date: 09/13/2021
Date Signed: 09/13/2021 12:57:14 PM

Document Has Been Signed on 09/13/2021 12:57 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	VARGAS FCC AKA SOLECITOS DAY CARE		FACILITY NUMBER:	406215867
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 0	CENSUS: 3	DATE:	09/13/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Josefina Vargas		TIME COMPLETED:	01:00 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 9/13/2021 at 11:20am, Licensing Program Analyst (LPA) Melissa Stewart conducted a Facility Risk Assessment for COVID19 with Licensee, Josefina Vargas prior to entering the home. All answers indicated no exposure to COVID19. The purpose of the visit, Required 1 year inspection, was explained. Licensee stated that she had just come inside with the children. Licensee put on a face covering. LPA explained that current California Department of Public Health (CDPH) guidance requires persons two (2) years of age and older to wear a face covering indoors despite vaccination status and that young children should be taught and encouraged to wear a face covering while indoors. Child care services are provided in one room located to the right as you pass through the entry way and living room of the home. The children's activity area has a half door making the rest of the home inaccessible to children in care. LPA observed the required documents posted inside the indoor activity area. Licensee has a child sized table and chairs, play kitchens, a variety of toys and books and cots for rest time. There were three (3) children present. The bathroom is located in the hallway near the three (3) bedrooms which are kept locked during day care hours. The bathroom was observed to be clean. LPA observed Lysol disinfecting spray on top of the toilet accessible to children. Licensee removed the spray and placed it out of reach of children. Licensee stated that she always escorts children to and from the bathroom. Licensee reported that the dining room, front room and kitchen are off limits as children remain in the indoor activity room and are escorted to the bathroom when indoors. Kitchen knives are stored on a shelf in a cabinet out of reach of children. LPA observed a bottle of bleach under the kitchen sink without a lock. Licensee stated that she usually stores all cleaning products in the garage. LPA observed the outdoor activity area which is accessible via a door from the indoor activity room. There are a variety of toys and the activity area is enclosed by a fence making the rest of the backyard inaccessible. The garage door is located on one side of the children's outdoor activity area. At time of inspection, the garage door was shut, but not locked. Licensee reported that she is always outside supervising the children. Continued on 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Melissa K Stewart
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: VARGAS FCC AKA SOLECITOS DAY CARE	FACILITY NUMBER: 406215867
	VISIT DATE: 09/13/2021

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
26
27
28
29
30
31
32

Licensee stated there are no guns or ammunition in the home. The smoke and carbon monoxide detector was tested at 12pm and found to be operational. LPA observed the 2 A10 BC fire extinguisher with a purchase date of 11/27/2020. Licensee was reminded to service or replace the fire extinguisher yearly.

Licensee has current Pediatric CPR and first aid expiring on 8/21/2023. Licensee has met SB 792 immunization requirement and completed Mandated Reporter Training per AB 1207 on 8/10/2021. Facility roster and a sample of children's records were reviewed and found complete.

Infant Safe Sleep Regulation section 102425 was discussed. LPA provided PIN 20-24-CCP and Individual Infant Sleep Plan (LIC9227) in both English and Spanish. LPA provided a sample Infant Sleep Log for 15 minute checks of all children under the age of two (2) years. Licensee reported that the “Effects of Lead Exposure” brochure is distributed to all families at time of enrollment. LPA advised Licensee that Title 22, Division 12 regulations for Family Child Care Homes and California Department of Public Health COVID-19 guidelines for child care programs can be accessed on-line at www.cdss.ca.gov. COVID19 Information for San Luis Obispo County can be found atwww.emergencyslo.org/en/covid19.aspx. Licensee stated that she is subscribed to receive Provider Information Notices (PINs) from Community Care Licensing Division via email.

Incidental Medical Services (IMS) policy was discussed. Licensee stated that there are no children enrolled who require medications at this time. 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: www.ada.gov/childqanda.htm

In the areas evaluated today, no deficiencies were cited.

A copy of this report and appeal rights were discussed and left with Licensee, Josefina Vargas, whose signature on this form confirm receipt of these documents.

LPA provided a Notice of Site Visit (LIC 9213) to be posted. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Melissa K Stewart
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2