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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426212955
Report Date: 11/21/2023
Date Signed: 11/21/2023 01:08:16 PM

Document Has Been Signed on 11/21/2023 01:08 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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:LOZANO FAMILY CHILD CAREFACILITY NUMBER:
426212955
ADMINISTRATOR:YIDA LOZANOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 681-1063
CITY:SANTA BARBARASTATE: CAZIP CODE:
93110
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
11/21/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Yida Lozano TIME COMPLETED:
01:30 PM
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On November 21 2023 Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced Required - 3 Year inspection at the above-mentioned Family Child Care Home (FCCH) . LPA met with Licensee Yida Lozano and informed them the purpose of the inspection. LPA in the company of the Licensee toured the interior and exterior of the FCCH. The FCCH uses the living room, dining room backyard and 1 bathroom for child care purposes. At the time of the inspection there were 9 children present.

LPA observed age appropriate furniture and equipment in the FCCH's interior. LPA observed that the Licensee keeps their sharps in an elevated surface in the kitchen beyond the reach of children. LPA observed all the cabinets to be secured with child proof locks. LPA observed cleaning compounds to be stored on a elevated surface in the hallway, beyond the reach of children in care. LPA observed the bathroom used for child care purposes to be clean and free of toxins.

LPA observed all required licensing forms and documents to be posted on a board next to the entry way of the FCCH. LPA observed multiple combination smoke and carbon monoxide detectors in the FCCH. The detectors were not tested due to the children napping at the time of the inspection. Licensee stated that they test the alarms frequently. The FCCH has a regulation fire extinguisher which was purchase 4/1/2023. LPA reminded Licensee to either service or purchase a regulation fire extinguisher annually.

The backyard is enclosed by a wooden fence. LPA observed the sides of the home to be blocked. LPA observed the backyard to have age appropriate toys, furniture and equipment. LPA observed 3 storage sheds that contained materials for children's use. LPA observed the outdoor area to be free of hazards.

A sampling of children's files were reviewed and found to be current and complete. LPA also reviewed assistant's filse which were also found to be current and complete. Licensee's records were also reviewed

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SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2023
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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LOZANO FAMILY CHILD CARE
FACILITY NUMBER: 426212955
VISIT DATE: 11/21/2023
NARRATIVE
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and found to be current. Licensee's Mandated Reporter Training (AB 1207 compliant) expires on 5/17/2025 and their Pediatric CPR/First Aid expires on 3/27/24. LPA reminded Licensee that it is their responsibility to maintain current training and certifications.

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 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.

LPA discussed the safe sleep regulations with licensee [or facility representative] 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 licensee [or facility representative] 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.

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/.


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SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2023
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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LOZANO FAMILY CHILD CARE
FACILITY NUMBER: 426212955
VISIT DATE: 11/21/2023
NARRATIVE
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Licensee [or facility representative] 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, 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 and report was reviewed with the Licensee Yida Lozano.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2023
LIC809 (FAS) - (06/04)
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