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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215589
Report Date: 08/03/2021
Date Signed: 08/03/2021 12:27:46 PM

Document Has Been Signed on 08/03/2021 12:27 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:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
426215589
ADMINISTRATOR:GRACIELA GARCIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 310-0205
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 7DATE:
08/03/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Graciela Garcia TIME COMPLETED:
12:35 PM
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On 8/3/21, at 10:30 AM, Licensing Program Analyst (LPA) Francisca Velazquez conducted a Required Inspection of the facility. Prior to entering the facility, LPA completed COVID-19 pre-screening questionnaire with Licensee and based on Licensee's responses it was determined that facility did not have COVID-19 exposures. LPA met with Graciela Garcia, 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 facility. This home consists of three (3) bedrooms, two (2) bathroom, two (2) living rooms, kitchen, garage and backyard. Licensee stated that children have access to the one (1) living room right when you walk into the home, one (1) bathroom and backyard while all bedrooms, garage and second living room are off limits to children with safety latches on the doors. Licensee stated that children only pass through the second living room to get the backyard and children are always accompanied by an adult. At the time of the inspection seven (7) children are present along with Assistant, Carlos Gonzalez, Licensee’s son.

The home was orderly and clean with proper ventilation for all children in care. The bathrooms used for care was clean and free of toxins with hand washing poster for the children. All cabinets in the bathroom have safety latches. LPA observed a fire place in the living room that is covered and made inaccessible to children. In addition, the fire place is located in the second living that is not accessible to children in care. LPA observed kitchen is off limits by two small gates making the kitchen inaccessible to children in care. LPA observed that sharps and knives are stored in the kitchen on top of the refrigerator and also on top of the counter, both areas are inaccessible to children in care. Cleaning compounds are also stored under the sink in the kitchen and in the garage both areas are inaccessible to children in care. LPA observed a small gate making the laundry area and garage inaccessible to children in care. Licensee stated that household medications are stored in the bedroom of the facility that are inaccessible to children in care. Toys, furniture and equipment in the facility are age appropriate.
CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/03/2021
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: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 426215589
VISIT DATE: 08/03/2021
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LPA observed required licensing forms and documents post on the entrance of the facility. LPA observed smoke detector and carbon monoxide detector located on the ceiling of the living room. Both smoke detectors were tested and found to be operating at 10:39 AM. LPA observed a regulation fire extinguisher that was serviced 10/7/20. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill log. The most recent fire drill conducted and documented on 7/7/2021.

LPA observed that the backyard is completely fenced and offers plenty of shade for the children in care. LPA observed plenty of gross motor activities and identified learning areas for children in care. Toys and play equipment observed in backyard are age appropriate and in good conditions. Licensee has separated her outdoor areas to allow for children to have as much individual play. LPA observed that both sides of the yard are made inaccessible by a fence on each side. Behind one fence, LPA observed two sheds that are locked and gardening supplies. Behind the other fence, LPA observed that Licensee has extra play equipment and material for the children in care. LPA observed no bodies of water on site.

Licensee informed LPA no firearms or ammunition are stored on site.

LPA reviewed a sampling of the children records. All records reviewed are current and contains complete emergency card information. Facilities current roster of children was reviewed by the LPA during inspection. All children present during the inspection are noted in the roster. LPA reviewed the Licensee's Pediatric CPR and First Aid certifications which expires 7/17/23 and Mandated Reporter Training Certificate expiring on 3/2/22. Assistant, Carlos Gonzalez’s CPR and First Aid certifications expires 7/17/23 and Mandated Reporter Training Certificate expires 3/2/22. LPA reviewed LadyBird’s, Licensee’s canine immunization records and found canine to be up to date with all immunization's until 5/24/22.

The Licensee is not providing Incidental Medical Services (IMS). Policy was discussed. 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: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2021
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: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 426215589
VISIT DATE: 08/03/2021
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LPA discussed COVID 19 guidance and best practices with the Licensee. LPA discussed safe sleep regulations with the Licensee. Licensee stated that she is aware of the new safe sleep regulations and is currently logging infant sleep logs for all infants in the facility. Licensee was reminded that it is Licensee's responsibility to know the regulations for a FCCH which can be accessed on-line at www.ccld.ca.gov.

In areas evaluated, there were no deficiencies cited at this time.

This inspection and review of report was conducted in Spanish with Licensee, Graciela Garcia due to Licensee being primarily Spanish speaking .

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2021
LIC809 (FAS) - (06/04)
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