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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215494
Report Date: 10/18/2024
Date Signed: 10/18/2024 04:22:06 PM

Document Has Been Signed on 10/18/2024 04:22 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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CASTILLO FAMILY CHILD CAREFACILITY NUMBER:
426215494
ADMINISTRATOR/
DIRECTOR:		PATRICIA CASTILLOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 264-1790
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
10/18/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Patricia Castillo TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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On October 18, 2024 Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced Required - 3 Year inspection at the abovementioned Family Child Care Home. LPA met with Licensee Patricia Castillo and informed them the purpose of the inspection. At the time of the inspection 6 children and 1 assistant were present.

LPA in the company of the Licensee toured the interior and exterior of the home. LPA observed the living room to be clean and orderly. LPA observed plenty of children's equipment and the living room to be free of hazards. LPA observed a crib the in the living room which was free of loose objects. LPA observed the dining area to be free of hazards. LPA observed the kitchen area to be accessible to children. LPA observed all lower kitchen cabinets to be secured with child proof locks or to be free of hazards. LPA observed sharps to be stored in the pantry that is secured with a child lock. Licensee stated they keep medication stored upstairs. LPA observed the upstairs area to be made inaccessible to children via a child proof gate. LPA observed the bathroom to be used for child care purposes to be clean and free of hazards.

LPA observed the backyard to be completely enclosed. LPA observed the backyard to to have sufficient space for children's activities. LPA observed the back yard to be free of hazards. LPA observed the sides of the home to be made inaccessible to children with a mesh gates.

The FCCH has a combination smoke and carbon monoxide detector which was tested at 2:04PM and found in working order. LPA observed the FCCH to have a regulation fire extinguisher which was serviced on 10/16/2024. LPA reminded Licensee to either service or purchase a regulation fire extinguisher annually.

LPA reviewed children's records which were found to be complete. LPA observed Safe Sleep 15 - minute checks for the infant to be current (last entry 10/18/2024).LPA reminded Licensee that it is their responsibility to ensure that children's records are complete. LPA reviewed assistant's file however it was found to be incomplete. 1 Type B deficiency is being issued on the attached LIC 809D. LPA observed Licensee's and assistant's Mandated Reporter Training to be current (Licensee completed 8/20/2024).
CONTINUED PAGE 2
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2024
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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Document Has Been Signed on 10/18/2024 04:22 PM - It Cannot Be Edited


Created By: Giovani Gonzalez On 10/18/2024 at 03:34 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CASTILLO FAMILY CHILD CARE
FACILITY NUMBER: 426215494

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.1(d)
Personnel Records
(d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation,record review, the licensee did not comply with the section cited above in 1 out of 1 assistants, in not having all immunizations, certifications or information readily available for review which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/25/2024
Plan of Correction
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Licensee will provide LPA a copy of assistants complete file via email at giovani.gonzalez.@dss.ca.gov.
LPA provided licensee with LIC 311D.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ana Tolentino
LICENSING EVALUATOR NAME:Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 10/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/18/2024


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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CASTILLO FAMILY CHILD CARE
FACILITY NUMBER: 426215494
VISIT DATE: 10/18/2024
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Further, Licensee's CPR/First Aid was completed on 5/24/2023. LPA reminded Licensee that it is their responsibility to ensure all training and certifications are current. The last emergency drill was conducted on 7/8/2024. Licensee stated there are not fire arms in the home.

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.

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 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.

Incidental Medical Services (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 was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
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SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CASTILLO FAMILY CHILD CARE
FACILITY NUMBER: 426215494
VISIT DATE: 10/18/2024
NARRATIVE
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During the exit interview, the Licensee, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

1 Type B deficiency was issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Patricia Castillo. Appeal Rights were given.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2024
LIC809 (FAS) - (06/04)
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