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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426210326
Report Date: 02/27/2025
Date Signed: 02/27/2025 03:47:56 PM

Document Has Been Signed on 02/27/2025 03:47 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:BARBOSA FCC AKA HOME SWEET HOME DAYCAREFACILITY NUMBER:
426210326
ADMINISTRATOR/
DIRECTOR:		JENIFER BARBOSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 736-8441
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
02/27/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:57 PM
MET WITH:Jenifer BarbosaTIME VISIT/
INSPECTION COMPLETED:
04:03 PM
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On February 27, 2025, at 1:57 PM, Licensing Program Analysts (LPAs) Elizabeth George and Bill Billones conducted an unannounced Annual/ Random Inspection at the above-mentioned family child care home (FCCH). LPAs met with Licensee Jenifer Barbosa and explained the purpose of the inspection. LPAs, in the company of the Licensee, toured the interior and exterior of the FCCH. At the time of the inspection 5 children were present along with licensee’s husband and daughter whom assist in the care of the children.

Children have access to the day care rooms, family room, bathroom, dining room and kitchen. While the 2nd floor and garage are completely inaccessible to children in care. Stairs are made inaccessible to children in care by a locked gate at the base of the stairwell. The home was orderly and clean with proper ventilation for all children in care. The bathroom used for care is clean and free of toxins. LPAs reminded licensee to double check drawers in the morning before day care opens to move any items labeled “keep out of reach of children’. LPAs observed a fireplace in the living room that is covered and made inaccessible to children. LPAs observed that sharps and knives are stored in the kitchen above the refrigerator inaccessible to children in care. LPAs observed cleaning compounds are stored under kitchen sink in a locked cabinet. Toys, furniture and equipment in the facility are age appropriate.

LPAs observed required licensing forms and documents posted by the entrance of the facility. LPAs note licensee is missing PUB 394. LPAs provided form for licensee to post during visit. LPAs observed a dual smoke/carbon monoxide detector which was tested and found operable at 2:30 PM. LPAs observed a regulation fire extinguisher that was serviced 2/27/25. LPAs reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The most recent fire drill was conducted and documented on 12/1/24.

Continued on 809-C, Page 2
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2025
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 3
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: BARBOSA FCC AKA HOME SWEET HOME DAYCARE
FACILITY NUMBER: 426210326
VISIT DATE: 02/27/2025
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LPAs observed the backyard to be completely fenced. The FCCH was observed to have plenty of shade for the children in care. Toys and play equipment observed in backyard are age appropriate and in good conditions. LPAs observed one small dog in the home, licensee states vaccines are kept up to date. LPAs observed a small gate making one side yard inaccessible to children in care. LPAs observed no bodies of water on site. Licensee informed LPAs no firearms or ammunition are in the home.

A sample of children’s records was reviewed. All records reviewed are current. Facilities current roster of children was reviewed by the LPAs during inspection with all children present noted in the roster. Licensee could not provide infant sleep logs for one infant during inspection. LPAs discussed safe sleep with licensee and provided both the LIC9227, Infant Sleep Plan, and sample sleep logs. Pediatric CPR and First Aid certifications are current and expire on 6/5/25. Mandated Reporter Training Certification expires on 1/10/26. Assistants Mandated Reporter Certifications are all current. Staff records were reviewed and found to be complete. LPAs reminded licensee of the requirement to have a file for all assistants that help in the day care.

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 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.

Continued on 809-C, Page 3
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: BARBOSA FCC AKA HOME SWEET HOME DAYCARE
FACILITY NUMBER: 426210326
VISIT DATE: 02/27/2025
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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/.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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 Jenifer Barbosa, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted, appeals rights were provided, and report was reviewed with the licensee, Jenifer Barbosa.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
LIC809 (FAS) - (06/04)
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