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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406217238
Report Date: 03/18/2025
Date Signed: 03/18/2025 12:16:51 PM

Document Has Been Signed on 03/18/2025 12:16 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:GABINO GARCIA FAMILY CHILD CAREFACILITY NUMBER:
406217238
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/18/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Magdalena Gambino GarciaTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 3/18/2025, at 9:44 AM, Licensing Program Analyst (LPA) Joaquin Mendez conducted an announced Pre-licensing Inspection and met with Applicant, Magdalena Gabino Garcia. LPA informed Applicant of the nature and purpose of the inspection. The applicant informed the LPA of the intention to maintain operating hours of a Family Childcare Home (FCCH) from 6:00 AM to 7:00 PM, Monday- Saturday. The applicant also informed LPA of the intention to provide care for children 0 to 13 years of age. Applicant was informed changes in licensing hours and/or the ages of children supervised and cared for can be altered upon notifying CCLD in writing of the given modifications and/or changes. The applicant reports there five (5) adults that live in the home and five (5) adults have received criminal record clearance. LPA note that at the time of inspection there was the applicant and her son (Christopher Santiago Gabino) in the home.

LPA toured the interior and exterior of the residence with the Applicant. This is a single-story home with a basement that has been converted to two (2) spare bedrooms. The home consists of six (6) bedrooms, three (3) bathrooms, living room (furnished into daycare room), dining room, kitchen, detached garage, and back outdoor patio with yard. Applicant reported day care services will occur in the living room, one hallway bathroom (BR1), and the backyard patio. LPA observed doorknob covers preventing access to the four (4) bedrooms and second bathroom making them inaccessible to children in care. Additionally, the door to the basement with two (2) bedrooms and third bathroom had a doorknob cover preventing access. The detached garage was locked with a safety doorknob cover preventing access.

LPA observed that the living room (furnished into daycare) and one (1) bathroom, to have plenty of spacing and ventilation for the comfort of children in care. The bathroom was clean and orderly. LPA notes there are no toxins and dangerous items in the bathroom accessible to children in care.
· The living room has a fireplace made inaccessible to children in care with a metal gate screwed to the
Continue on LIC809C pg2
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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 5
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: GABINO GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 406217238
VISIT DATE: 03/18/2025
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concrete around the fireplace.
· The living room had a wall heater which is inaccessible with a mesh screen screwed onto it.
· The home has a carbon monoxide (10:14AM) and smoke detector (10:15AM) that were tested at the times noted in parenthesis and were operable.

· LPA notes, the applicant does have multiple sleep mats and a playpen to meet the children’s sleeping needs.

· LPA reminded the Applicant of the importance of monitoring infants and keeping up with the infant safe sleep plan and log.

· Knives and sharps are stored in an elevated locked cabinet in the kitchen.


· Family medicines are in an elevated locked cabinet in the kitchen and inaccessible.
· Dish soap and cleaning supplies are in a locked cabinet under the sink in the kitchen, inaccessible.
· LPA observed a required fire extinguisher (2A10BC) in the home in the dining room with a service date 11/22/2024. LPA reminded Applicant of the responsibility to service or purchase a regulation fire extinguisher annually.
· Applicant stated drinking water will be supplied by bottled water. Applicant states every child will be furnished their own individual cup.

LPA observed the backyard area to be fully fenced by wood.

· The playground is made up of varying surfaces (concrete pavement and grass areas for cushioning around the play area).

· Part of the area for daycare use is fenced off, preventing access to the rest of the back yard. In the fenced off area are BBQ and meat smokers. The applicant wants area to remain inaccessible.


· LPA notes no bodies of water were observed.
· Licensee informed LPA that children are always supervised when engaged in outdoor activities.

Applicant reported there are no guns and ammo in the home.
Continue on LIC809C pg3
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: GABINO GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 406217238
VISIT DATE: 03/18/2025
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LPA record review revealed all documents as noted below.
· Applicant completed FCCH orientation on 9/01/2024.
· Preventative Health training was complete on 11/07/2024.
· Pediatric CPR/First Aid (EMSA approved) and expires 10/2026.
· Applicant completed Mandated Reporter training which expires 9/07/2026.
· LPA observed tuberculosis records for all adults residing in the home.
· LPA reminded Applicant of obligation to maintain current training and certifications.
· Applicant does not have liability insurance for the license yet. LPA provided Applicant with Affidavit Regarding Liability Insurance form (LIC 282).

No prohibited equipment will be allowed or used in the home. No baby bouncers, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility.

Applicant 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.

Because the applicant Magdalena Gabino Garcia rents the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

APPLICANT Magdalena Gabino Garcia stated she will not provide Incidental Medical Services (IMS). 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/. http://www.ada.gov/childqanda.htm

Continue on LIC809C pg4

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: GABINO GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 406217238
VISIT DATE: 03/18/2025
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LPA reviewed with applicant Magdalena Gabino Garcia, the LIC 311D, Forms/Records to Keep in Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

LPA discussed the safe sleep regulations with applicant, 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. LPA also informed applicant 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 this date, March 18, 2025, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https:// www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication

Applicant, informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

The home meets Title 22 Division 12 requirements of a small FCCH license. Effective date of the license will
Continue on LIC809C pg5
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: GABINO GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 406217238
VISIT DATE: 03/18/2025
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be noted as the present March 18, 2025.

A notice of site visit was given to applicant Magdalena Gabino Garcia, and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the applicant, Magdalena Gabino Garcia in preferred language, Spanish.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
LIC809 (FAS) - (06/04)
Page: 5 of 5