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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215504
Report Date: 09/27/2021
Date Signed: 09/27/2021 04:19:49 PM

Document Has Been Signed on 09/27/2021 04:19 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:ALBARRAN FAMILY CHILD CAREFACILITY NUMBER:
426215504
ADMINISTRATOR:ANTONIA ALBARRANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 354-0712
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 8DATE:
09/27/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Antonia AlbarranTIME COMPLETED:
04:25 PM
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On 9/27/21, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced Required Inspection of the facility. Prior to entering the facility, LPA conducted pre-screening COVID-19 questionnaire and based on Licensee’s responses it was determined that the facility is safe and free from any COVID-19 exposures. Licensee also took LPA’s temperature and conducted COVID-19 pre-screening questionnaire prior to allowing LPA to walk. LPA meet with Antonia Albarran, Licensee of the facility and explained the purpose of the inspection. LPA in the company of the Licensee, toured the interior and exterior of the home. This is a three (3) bedroom, two (2) bathroom home. Licensee stated that children have access to the daycare area with additional daycare room, kitchen, bathroom and outdoor classroom. Off limit areas include living room, bedrooms and garage which are made inaccessible by a small gate at the beginning of the living room. During the time of the inspection, Licensee was caring for eight (8) children, one (1) child was leaving as LPA arrived at the facility. During inspection, Licensee was caring for seven (7) along with Assistant, Stephanie Albarran.

LPA observed required forms posted in the facility. LPA observed as smoke and carbon monoxide detector in the hallway of the facility. Detectors were not tested by Licensee due to children napping in the facility. Licensee stated that she is required to check and documents her detectors once a month since she contracts with Community Action Partnership of San Luis Obispo County’s Migrant Head Start Program. LPA observed that the last drill was logged on 9/6/21 and smoke and carbon monoxide were tested and functional. The home has a regulation fire extinguisher which was serviced 1/14/21. LPA reminded Licensee that fire extinguisher needs to be either service or purchase annually. The home maintains working telephone services.

CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2021
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 3
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: ALBARRAN FAMILY CHILD CARE
FACILITY NUMBER: 426215504
VISIT DATE: 09/27/2021
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LPA observed that the facility is orderly, clean and has ventilation for child care services. LPA observed one fireplace in the facility that is made inaccessible to children in care by a gate. LPA observed a small gate by the kitchen, making the living room, bedrooms and garage inaccessible to children in care. LPA observed stored sharps on top of the refrigerator in the kitchen that are not accessible to children in care. LPA observed all cleaning supplies and toxins are stored in the garage and under the sink of the kitchen and both areas are inaccessible to children in care. Medications in the facility are stored in a high cabinet in the kitchen and are off-limits to children in care. LPA observed that bathroom used for children is clean and orderly and has plenty of hand soap, paper towels and hand washing visual poster for the children in care. Toys and equipment observed in the facility are age appropriate.

Licensee stated that children have access to the backyard. LPA observed that back yard is completely fenced. Licensee stated that when children are outdoors, children are always supervised by an adult. LPA observed plenty of shade and gross motor activities for children in care. In addition, Licensee has a whole outdoor classroom set up with learning areas identified. Licensee shared that they try to spend as much time as possible outdoors when the weather permits. No bodies of water were observed on site. Licensee stated there are no guns and ammunition in the facility.

A sampling of the children's record was reviewed and found to have current and up to date with emergency information cards and personal rights. Licensee’s records were reviewed and found to be current and up to date. Licensee CPR/First Aid certifications expires 8/21/23. Licensee’s AB1207 certificate expires 2/19/22. LPA reminded Licensee that AB1207 must be updated every two years for every individual that works with children. Assistant records were reviewed and found to be current. Assistant’s CPR/First-Aid certificate expires 2/25/22 and AB1207 expires 4/18/22. Licensee and Assistant are current with all immunization.



The Licensee is not providing 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

CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021
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: ALBARRAN FAMILY CHILD CARE
FACILITY NUMBER: 426215504
VISIT DATE: 09/27/2021
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LPA discussed COVID-19 guidance and best practices with the Licensee. During this inspection, Licensee wore a face mask. Licensee stated that the facility is following all COVID-19 guidance. Licensee was reminded that it is Licensee's responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov. LPA and Licensee discussed safe sleep regulations. Licensee shared that at the moment she does have infant age children enrolled for services and is keeping a 15 minute log documenting the infant's sleep. Licensee shared that she has received training regarding the new safe sleep regulations

In areas evaluated, there were no deficiencies cited during today's visit. This inspection and report was reviewed in Spanish due to Spanish being the Licensee's primary language.

LPA provided Licensee with Notice of Site visit (LIC 9213) which was posted by the Licensee.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021
LIC809 (FAS) - (06/04)
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