426213578-3-7-2023-17-CC-MJIZ-CPPSFG-20230307125020

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426213578
Report Date: 03/07/2023
Date Signed: 03/07/2023 12:50:28 PM

Document Has Been Signed on 03/07/2023 12:50 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 CARE		FACILITY NUMBER:	426213578
ADMINISTRATOR:	SILVIA ARREDONDO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 349-7743
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 17	CENSUS: 1	DATE:	03/07/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Silva Arrendondo		TIME COMPLETED:	01:00 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	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. On 03/07/2023 at 10:05 A.M. Licensing Program Analyst (LPA), Martina Jimenez, conducted an unannounced Annual Required Inspection and met with Silvia Arredondo, Licensee, and Cassandra Diaz, daughter. The purpose of the inspection was explained, and together the home was toured inside and out. All required forms are posted in a prominent location. LPA observed 1 child playing in the backyard at the time of the inspection. The main day-care areas are the living room, family room, day-care room, dining room, kitchen and hallway bathroom. LPA observed age appropriate toys and books in the indoor activity area. The bathroom used by children was observed to be clean and free of toxins. The 3 bedrooms, 1 bathroom, and garage are secured with gates and chain locks making the off limits areas inaccessible to children in care. All hazardous items are stored inaccessible to children in care. LPA observed playhouses, play kitchen and small climbing structures, tricycles, tables and chair age appropriate for children. LPA observed 1 small dog in the backyard. The backyard is completely fenced. No bodies of water were observed. Licensee stated that there are no weapons/ammunition in the home. Licensee stated she does not hold a foster family license. The fire extinguisher was observed at 10: 50 AM to have been serviced 05/24/ 2022. Licensee was reminded to service or replace the fire extinguisher yearly. There is a functioning carbon monoxide detector and smoke alarm were tested at 11:07 AM, that meets statutory requirements. Licensee and assistant are current with immunization required per SB 792. The last Safety drill was conducted 01/09/2023. Licensee and assistant are current with CPR and First Aid which expires 10/21/2024. Continued on LIC 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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: ARREDONDO FAMILY CHILD CARE	FACILITY NUMBER: 426213578
	VISIT DATE: 03/07/2023

NARRATIVE

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The Mandated Reporter Training was completed on 8/19/2022. Facility roster and a sample of children's records were reviewed at 11:10 AM.

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: www.ada.gov/childqanda.htm

LPA reviewed and provided Licensee with Safe to Sleep (PIN 20-24-CCP-SP), LIC 9227, Safe Sleep Chart, and "What is Lead." LPA provided “Effects of Lead Exposure” brochure to be distributed to all families. LPA provided a Handout for Reporting Child Abuse and Neglect Training provided online 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) which can be accessed on-line at www.ccld.ca.gov.

The inspection visit was conducted in Spanish and report was translated in Spanish by LPA Jimenez. There were no deficiencies cites at this time. LPA observed licensee post the Notice of Site visit 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: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

LIC809 (FAS) - (06/04)

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