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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426214028
Report Date: 11/12/2024
Date Signed: 11/12/2024 02:50:24 PM

Document Has Been Signed on 11/12/2024 02:50 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:PEREZ FCC AKA PATTY'S DAY CAREFACILITY NUMBER:
426214028
ADMINISTRATOR/
DIRECTOR:		PATRICIA PEREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 720-0773
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
11/12/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Patricia PerezTIME VISIT/
INSPECTION COMPLETED:
03:05 PM
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On 11/12/24, at 1:00 PM, Licensing Program Analyst (LPA) Matthew Sapien conducted an unannounced Annual Random inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Patricia Perez, Licensee of the FCCH, and explained the nature and purpose of the inspection. The LPA, in the company of Licensee, toured the interior and exterior of the FCCH. The FCCH is a 5-bedroom and 3-bathroom two-story house. The downstairs portion of the home contains an entry room, kitchen, dining area, living room, office space (converted playroom), one bathroom, and laundry room. The upstairs portion of the home contains five bedrooms and five bathrooms. The FCCH only utilizes the first story of the home: living room, playroom, kitchen, dining room, one bathroom, and backyard. The remainder of the home is excluded: 5 upstairs bedrooms, 2 upstairs bathrooms, garage (converted studio living area), laundry room, and front yard. Importantly to note, each area that is excluded is made inaccessible by child safety gates and locks. At the time of the inspection, the Licensee's husband, son, and staff assistant were present (all cleared and associated). Nine children were present.

LPA observed the FCCH to be orderly and clean. The bathroom, utilized for childcare services, is clean and free of toxins. Each bathroom cabinet contains items that aren't hazardous to children in care. Sharps were observed in an elevated kitchen cabinet. Personal medication was also observed in an additional kitchen cabinet out of reach of children in care. Additionally, cleaning compounds and supplies were observed in the laundry room which is an excluded area. The Licensee also informed the LPA that the FCCH possesses a First Aid Kit.

LPA observed age-appropriate books, toys, and other furnishings throughout the interior of the FCCH (living room and playroom).

LPA observed appropriate licensing forms and documents posted prominently to a wall in the entry of the FCCH. (CONT. 809-C, Page 2)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE: DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/12/2024
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: PEREZ FCC AKA PATTY'S DAY CARE
FACILITY NUMBER: 426214028
VISIT DATE: 11/12/2024
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LPA observed smoke and carbon monoxide detectors throughout the FCCH. During the time of the visit, the detectors were not tested due to children in care napping. The Licensee verbally attested that the smoke and carbon monoxide detectors are in working order.

LPA also observed a regulation fire extinguisher in the FCCH, which was last purchased on 4/14/24. LPA reminded the Licensee to service or purchase a regulation fire extinguisher annually. LPA reviewed the FCCH's fire/disaster drill log. The most recent fire drill occurred on 11/12/24. Licensee informed LPA that the FCCH conducts disaster drills every six months.

As noted at the beginning of the report, the backyard is accessible to children in care. The FCCH's backyard is enclosed by secure wooden fencing throughout. The fence’s entry/exit points are secure. As is the case with the interior of the FCCH, the outdoor area has age-appropriate toys, play structures, and other equipment throughout the area that can afford for robust childcare services. Licensee was reminded to replace toys and play equipment which start to degrade or are not in good repair. The footing of the exterior is made up of varying surfaces (concrete pavement and artificial turf). LPA observed four locked sheds in the backyard that contain household supplies, childcare supplies, and yard work equipment. Prior to children playing in the backyard, the Licensee attested that they make sure the area is clean and safe for children in care. The Licensee also attested to LPA that children are always supervised when engaged in outside activity. LPA confirmed that the Licensee does not have any bodies of water on site. LPA observed 4 larger dogs present in the backyard of the FCCH. Licensee informed LPA that each dog has friendly interactions with children in care. The dog's vaccinations are up to date according to the Licensee.



LPA reviewed children's records. The records are current, complete, and possessed emergency contact information and immunization records, among other relevant licensing documents. The Licensee's records were also reviewed. The Licensee’s CPR/First Aid Training (EMSA approved), expiring on 7/16/25, is current and complete as are other relevant licensing documents and forms. Licensee was reminded to renew certifications and training prior to expirations. The Licensee informed LPA that there are no firearms or ammunition present within the FCCH.

The Licensee does not currently administer medication or provide Incidental Medical Services (IMS) to children in care. IMS policy was discussed. For IMS information see PIN 22-02CCP. 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 (CONT. 809-C, Page 3)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: PEREZ FCC AKA PATTY'S DAY CARE
FACILITY NUMBER: 426214028
VISIT DATE: 11/12/2024
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(voice) or (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 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.

Licensee 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.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility when the LPA completed a RSO profile in FAS on 11/12/24.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and report was reviewed with the Licensee, Patricia Perez.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024
LIC809 (FAS) - (06/04)
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