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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426213578
Report Date: 01/18/2022
Date Signed: 01/18/2022 03:09:36 PM

Document Has Been Signed on 01/18/2022 03:09 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:ARREDONDO FAMILY CHILD CAREFACILITY NUMBER:
426213578
ADMINISTRATOR:SILVIA ARREDONDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 349-7743
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 1DATE:
01/18/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:58 PM
MET WITH:Silvia ArredondoTIME COMPLETED:
03:15 PM
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Due to COVID-19 pandemic, LPA asked the pre-screening questions prior to inspection. Licensee's responses indicate there was no COVID-19 exposure on site.

Licensing Program Analyst (LPA) Martina Jimenez conducted a Comprehensive Required Visit and met with Silvia Arredondo, Licensee, the purpose of the inspection was discussed and together they toured the inside and outside of the home.

LPA observed 1 child playing in the day-care room at the time of the inspection. The day care areas, include the living room, family room, kitchen, dining room, day-care room, and hallway bathroom. The 3 bedrooms, 1 bathroom and garage of the home are off limits to children in care. The are 3 bedrooms 1 bathroom, and garage were secured with a gates and chain link locks on the doors and hallway, making them off limits to children. The knives, cleaning supplies and medications are stored out of children reach. The bathroom was found clean and free of toxins.

The carbon monoxide and smoke detectors were tested at 1:44 PM and were found operational at the time of the inspection. The fire extinguisher was serviced April 21, 2021. The last fire drill conducted and documented was August 8,2021.

The children's records were reviewed. The children's roster was found complete and updated. Licensee is current with CPR and First Aid which expires October 23, 2022.
This Report Continues on LIC 809C and LIC 809D
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 01/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/18/2022
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: ARREDONDO FAMILY CHILD CARE
FACILITY NUMBER: 426213578
VISIT DATE: 01/18/2022
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Licensee is current with immunization requirements per SB 792. Licensee completed the Mandated Reporter training per AB 1207 on August 7, 2020. All required State forms were posted on the consumer board.

Licensee stated that there are no guns or ammunition in the home. No bodies of water were observed. Licensee stated she does not have a foster care license.

Licensee is not providing Incidental Medical Services. 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



LPA reviewed the handout "A Child Care Provider's Guide to Safe (PIN 20-24 CCP) Safe Sleep Plan, and Effects of Lead Exposure. LPA provided a Handout for Reporting Child Abuse and Neglect Training provided on line at www.ccld.ca.gov.

Licensee was reminded that it is her responsibility to know the regulations for Family Child Care Home and was advised to review Quarterly Updates and Provider Information Notices (PINs), Title 22 & Health & Safety Codes which can be accessed on-line athttps://www.cdss.ca.gov/inforesources/child-care-licensing

The inspection visit was conducted in Spanish and report was translated in Spanish by LPA Jimenez. Today, no deficiency cited under Title 22 Division 12, Spanish Appeal rights given. 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: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2022
LIC809 (FAS) - (06/04)
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