<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215308
Report Date: 09/28/2021
Date Signed: 09/28/2021 10:56:16 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 09/28/2021 10:56 AM - 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:ARELLANO FCC AKA GROWING STEPSFACILITY NUMBER:
426215308
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
09/28/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Carmen ArellanoTIME COMPLETED:
11:00 AM
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
On September 28, 2021, at 9:15 AM, Licensing Program Analyst (LPA) S. Mendoza-Ceja conducted an unannounced Required 1/Comprehensive Inspection. LPA met with Licensee Carmen Arellano prior to entry to the home, LPA conducted a risk assessment for COVID-19. LPA observed Licensee Carmen Arellano providing care to 5 children. Licensee escorted LPA through the home. The home was observed to be clean, orderly, and appropriately furnished for young children. LPA observed the COVID-19 posters, parent rights poster, emergency disaster plan/emergency drill log, license and other documents posted for review. The last fire drill conducted was on 05/27/2021. Licensee Carmen Arellano stated the children have access to the living room, dinning area, restroom, backyard and front yard. Licensee stated the bedrooms and garage are off limits to day care children. LPA inspected the doors to the bedrooms and garage which are locked. There is no access to the garage from inside the home. Licensee stated she conducts temperature checks and risk assessment of the children upon arrival following the guidelines of COVID-19. The required 2A10 BC fire extinguisher was serviced on 11/03/2020. Licensee is reminded the 2 A10 BC fire extinguisher needs to be serviced or replaced yearly. There is carbon monoxide detector and smoke detector were tested and operational. LPA discussed firearms and ammunition, Licensee stated there are no guns and ammunition in the home or bodies of water on the premises. LPA did not observe any bodies of water on the premises.

LPA reviewed five children's files and were found to be complete. The review of records revealed Licensee has been documenting the infant sleep chart every 15 minute for infants. Licensee has also completed Individual Infant Sleeping Plan (LIC9227) with the parents. LPA reviewed and provided handouts for Regulation 102425 and discussed infant care with Licensee, including Individual Infant Sleeping Plan (LIC9227) and Sleeping Chart. Licensee Carmen Arellano completed the Child Abuse Mandated Reporter Training on 02/05/2020 and is required to complete the training every two years. Licensee Carmen Arellano has current Child, Infant and Adult CPR and First Aid (expires 02/27/2023).
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2021
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 2
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: ARELLANO FCC AKA GROWING STEPS
FACILITY NUMBER: 426215308
VISIT DATE: 09/28/2021
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
26
27
28
29
30
31
32
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.


No deficiencies were observed during the inspection. An exit interview was conducted with Licensee.

Failure to post the "Notice of Site Visit" for 30 days may result in a $100.00 civil penalty,
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2