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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215505
Report Date: 11/22/2024
Date Signed: 11/22/2024 02:43:22 PM

Document Has Been Signed on 11/22/2024 02:43 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:MEZA-LOZANO FAMILY CHILD CAREFACILITY NUMBER:
426215505
ADMINISTRATOR/
DIRECTOR:		MARIA MEZA & R. LOZANOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 623-2962
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
11/22/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:29 PM
MET WITH:Maria Meza and Rodolfo LozanoTIME VISIT/
INSPECTION COMPLETED:
02:57 PM
NARRATIVE
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On November 22, 2024 at 12:29PM, Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced Required - 3 Year inspection at the above-mentioned Family Child Care Home (FCCH). LPA met with licensees, Maria Meza and Rodolfo Lozano, and informed them the purpose of the inspection. At the time of the inspection 2 children were present.

LPA in the company of the licensees toured the interior and exterior of the FCCH. LPA observed the interior of the home to be clean and orderly. LPA observed plenty of children's equipment for children in the living room. LPA observed the living room to have a fire place that was covered and made inaccessible with furniture. LPA observed a crib with a pillow and a blanket and licensee informed LPA they do use it for napping the infant they care for. 1 Type B deficiency is being issued as a result on the attached LIC 809D. LPA observed the dining area to be accessible to children and to be free of hazards. LPA observed the kitchen to be made inaccessible to children via child proof gate. Licensee informed LPA they keep sharps and medication in an elevated kitchen cabinet's beyond the reach of children. LPA observed the stairs to be blocked off with a child proof gate. LPA observed the bathroom that is used for children to be clean and free of hazards.

LPA observed the outdoor patio to be completely enclosed. LPA observed plenty of shading and equipment for children in care. LPA observed the door leading to the garage to be secured.

The FCCH has a smoke and carbon monoxide detector which was tested at 1:00PM and found in working order. LPA observed the FCCH to have a regulation fire extinguisher which has not been serviced on 7/13/2023. LPA reminded Licensee to either service or purchase a regulation fire extinguisher annually. 1 Type B deficiency is being issued on the attached LIC 809D.
CONTINUED PAGE 2
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/22/2024
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 11/22/2024 02:43 PM - It Cannot Be Edited


Created By: Giovani Gonzalez On 11/22/2024 at 01:34 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: MEZA-LOZANO FAMILY CHILD CARE
FACILITY NUMBER: 426215505

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/22/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensees did not comply with the section cited above in not having their fire extinguisher servieced since 7/13/2023 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/29/2024
Plan of Correction
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Licensees will purchase or service a regulation fire extinshuisher no later than 11/29/2024. LIcensees will provide proof of complete to LPA via email at giovani.gonzalez@dss.ca.gov
Type B
Section Cited
CCR
102425(b)
Infant Safe Sleep
(b) Cribs or play yards shall be free from all loose articles and objects.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensees did not comply with the section cited above in having a crib with a blanket and pillow which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/29/2024
Plan of Correction
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Licensees will review safe sleep regulations and submit a statement that they understand them. Statement will be provided to LPA via email at giovani.gonzalez@dss.ca.gov.

LPA notes licensees removed items during the inspection.
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: 11/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/22/2024


LIC809 (FAS) - (06/04)
Page: 2 of 6
Document Has Been Signed on 11/22/2024 02:43 PM - It Cannot Be Edited


Created By: Giovani Gonzalez On 11/22/2024 at 01:34 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: MEZA-LOZANO FAMILY CHILD CARE
FACILITY NUMBER: 426215505

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/22/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review the licensees did not comply with the section cited above in neither having a current Mandated Reporter Training certificate which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/29/2024
Plan of Correction
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Licensees will complete Mandated Reporter Training and submit proof of completion to LPA via email at giovani.gonzalez@dss.ca.gov.
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: 11/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/22/2024


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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: MEZA-LOZANO FAMILY CHILD CARE
FACILITY NUMBER: 426215505
VISIT DATE: 11/22/2024
NARRATIVE
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LPA reviewed a sampling of the children's files which were found to be current and complete. LPA requested licensee for infant safe sleep logs, however licensee stated they are checking them however not documenting any checks. LPA reviewed licensees' Mandated Reporter Training certificate, which was last completed on 8/7/2023. LPA reminded applicants this must be renewed every 2 years. 1 Type B deficiency is being issued on the attached LIC 809D. LPA observed both licensees' Pediatric CPR/First Aid to have been completed on 3/19/2023. LPA reminded licensees it is their responsibility to ensure all training and certificates are current.

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.
CONTINUED PAGE 3
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024
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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: MEZA-LOZANO FAMILY CHILD CARE
FACILITY NUMBER: 426215505
VISIT DATE: 11/22/2024
NARRATIVE
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Licensees were reminded baby walkers, jumpers, bouncers, exersaucers, or any similar article are not permitted on the premises during day care hours.


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.

3 Type B deficiencies were 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 licensees Maria Meza. Appeal Rights were given.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024
LIC809 (FAS) - (06/04)
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