406216132-5-23-2023-17-CC-FVEZ-CS4UCH-20230523152757

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406216132
Report Date: 05/23/2023
Date Signed: 05/23/2023 03:28:15 PM

Document Has Been Signed on 05/23/2023 03:28 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:	LOEZA FAMILY CHILD CARE		FACILITY NUMBER:	406216132
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 3	DATE:	05/23/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Maria Loeza		TIME 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 05/23/2023 at 1:00 PM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced One Year Required Inspection of the Family Child Care Home (FCCH) and a change of capacity inspection. LPA met with Maria Loeza, licensee of the FCCH and explained the purpose of the inspection. LPA notes COVID Pre-screening questions were asked of licensee prior to the inspection. The licensee's responses suggest the FCCH is void of COVID positive cases. At the time of the inspection, LPA observed three (3) children on site during this inspection. There are four (4) adults that live in the home and four (4) adults have received fingerprint clearance. LPA, in the company of Licensee toured the interior and exterior of the FCCH. This home is a single-story home consisting of living room, dining room, kitchen, three (3) bedrooms, two (2) bathrooms, laundry room and outdoor yard. The FCCH’s living room, dining area, kitchen, one (1) bathroom in the hallway, master bedroom and outdoor yard are accessible for childcare services. Meanwhile, two (2) bedrooms, one (1) bathroom located in master bedroom and laundry room inaccessible to children in care. LPA notes, bedrooms, bathroom, and laundry room are made inaccessible to children in care by means of door safety knobs. The FCCH was observed to be clean and orderly. The FCCH has ventilation to afford for the children’s comfort. In the kitchen, LPA observed sharps are stored in an elevated cabinet. Medication for the family is stored in another elevated cabinet in the kitchen. LPA observed cleaning compounds are stored in an elevated cabinet in the laundry room that is also inaccessible to children in care. LPA notes all areas are inaccessible to children in care. The bathroom used for childcare is clean and free of toxins. LPA observed toys, furniture, and equipment in the FCCH are age appropriate and in good condition. Required forms are predominantly posted on the entrance of the FCCH. LPA observed a smoke and carbon monoxide detectors in the FCCH that were tested at 2:30PM and was found to be operable. Cont 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2023

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: LOEZA FAMILY CHILD CARE	FACILITY NUMBER: 406216132
	VISIT DATE: 05/23/2023

NARRATIVE

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The FCCH has a regulation fire extinguisher on site which was serviced on 06/17/2022. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The FCCH maintains working telephone services. The Licensee informed LPA no firearms or ammunition are stored on site.

LPA and licensee toured the outdoor yard. Licensee informed that when children are outdoors, a temporary gate is placed to ensure that the outdoor area is enclosed. Licensee explained that the gate cannot be permanently up because the rental complex does not allow it. When children are outdoors, play area is completely fenced and secured. LPA observed children yard has plenty of natural shading to afford the children in care. Children have access to filtered water by means of individual water cups. LPA observed one (1) shed that is locked and inaccessible to children in care. LPA observed there are of outdoor toys that are age appropriate and in good conditions. LPA observed there are no bodies of water on site.

LPA reviewed children's records. The records are current, complete, and possessed emergency contact information and immunization records. LPA reviewed 15-minute sleep logs and found them to be current. A review of the FCCH's fire drill log shows the last drill occurred on 04/28/2023. The Licensee's records were reviewed. Licensee’s pediatric CPR and First Aid certification expires on 03/08/2025. Licensee’s Mandated Reporter training certificate expired on 03/30/2023. Licensee was not informed that this certificated needed to be renewed every two years. Licensee agrees to update her Mandated Reporter training certificate this week.

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

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at.... CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2023

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: LOEZA FAMILY CHILD CARE	FACILITY NUMBER: 406216132
	VISIT DATE: 05/23/2023

NARRATIVE

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https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an for additional resource. LPA also informed Licensee 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.

On 04/18/2023, the Licensee submitted documentation for a FCCH change of capacity. The Licensee is seeking to change the FCCH’s capacity from 8 (Small FCCH) to 14 (Large FCCH). The San Luis Obispo County Fire Department granted a fire clearance following an inspection completed at FCCH on 05/16/2023. LPA reviewed control of property (mortgage deed).

The home meets Title 22 of CCR requirements for a Large Family Child Care license effective today. Effective date of license is today May 23, 2023.

A Notice of Site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, Maria Loeza in Spanish due to Spanish being licensee’s primary language.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2023

LIC809 (FAS) - (06/04)

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