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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215379
Report Date: 06/12/2024
Date Signed: 06/12/2024 04:15:07 PM

Document Has Been Signed on 06/12/2024 04:15 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:GONZALEZ FCC AKA MONIQUE DAYCAREFACILITY NUMBER:
426215379
ADMINISTRATOR/
DIRECTOR:		MONICA GONZALEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 264-5939
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
06/12/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Monica GonzalezTIME VISIT/
INSPECTION COMPLETED:
04:25 PM
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On June 12, 2024 at 1:45 PM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Triennial inspection at above the Family Child Care Home (FCCH). LPA met with Licensee, Monica Gonzalez, and assistant/daughter, Diana Gonzalez. LPA discussed he purpose of the inspection. FCCH operates from Monday to Friday, from 6 AM to 5 PM.

During the inspection, LPA and Licensee toured the inside and outside of the home. LPA observed 8 children, 4 of them were napping in the living room. The required licensing forms were posted at the day care area. FCCH was free of hazardous items at the time of the inspection. FCCH utilizes living room, 1 bathroom, dining area and the fenced backyard. The backyard is enclosed by 8-foot bricks and wood fencing.

Bathroom for children’s use is free of toxins. Smoke and carbon monoxide detectors were observed, the regulation fire extinguisher was purchased 4/18/2024. Age-appropriate toys, book, and equipment were observed inside the home. LPA did not observe any bodies of water. Licensee stated there are no guns nor ammunition in the home.

Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2024
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: GONZALEZ FCC AKA MONIQUE DAYCARE
FACILITY NUMBER: 426215379
VISIT DATE: 06/12/2024
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LPA reviewed the facility file and found that the Pediatric CPR and First Aid certificate expires 6/8/2025, while Mandated Reporter training expired and renewed only the General Training on 4/1/2024. LPA reminded Licensee that it is their responsibility to renew the required training every two years. Children's records were reviewed and found complete. Licensee stated that she does not have current liability insurance for her FCCH. LIC 282, notifying parents that FCCH does not carry liability insurance is on file.

Licensee check and logs sleeping infant every 15 minutes. The Individual Safe Sleep Plan is filled out for infants 0-12 months old. FCCH conducts and logs the fire and disaster drills every month, last drill was conducted on 5/13/2024. Control of Property was also reviewed.

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.

Continued on LIC 809 C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: GONZALEZ FCC AKA MONIQUE DAYCARE
FACILITY NUMBER: 426215379
VISIT DATE: 06/12/2024
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LPA discussed the safe sleep regulations with licensee 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, Monica Gonzalez 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 is not providing Incidental Medical Services (IMS). 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/.

Licensee, Monica Gonzalez was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

No deficiencies were cited. Technical Violation was issued.



A notice of site visit was given to Licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with licensee, Monica Gonzalez and assistant, Diana Gonzalez

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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