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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215589
Report Date: 11/14/2024
Date Signed: 11/14/2024 03:26:15 PM

Document Has Been Signed on 11/14/2024 03:26 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:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
426215589
ADMINISTRATOR/
DIRECTOR:		GRACIELA GARCIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 310-0205
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 14DATE:
11/14/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:39 PM
MET WITH:Graciela Garcia TIME VISIT/
INSPECTION COMPLETED:
03:35 PM
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On November 14, 2024 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 Licensee Graciela Garcia and informed them the purpose of the inspection. At the time of the inspection 14 children were present as well as 1 assistant as well.

LPA in the company of the Licensee toured the interior and exterior of the FCCH. LPA observed the children's area to have sufficient space and ventilation for children in care. LPA observed the kitchen was made inaccessible to children in care via a child proof gates. LPA observed the doors to the bedrooms to have child proof locks. LPA reminded Licensee in order for areas to be inaccessible, they must remain closed. LPA observed a fire place in the dining area which was secured with a gate that is attached to the wall. LPA observed the bathroom used for children to be clean and free of hazards.

LPA observed the backyard to be completely enclosed. LPA observed a small play structure that is in good condition. LPA observed the backyard to have sufficient space and shade for children's activities. LPA observed the exit way of the home to be secured. LPA observed one side of the home has a shed that is made inaccessible with a gate. LPA reminded Licensee in order for the area to be inaccessible the gate must always be secured.

The FCCH has a smoke and carbon monoxide detector which was tested at 2:36PM and found in working order. LPA observed the FCCH to have a regulation fire extinguisher which was serviced on 12/13/2023. LPA reminded Licensee to either service or purchase a regulation fire extinguisher annually.

LPA reviewed a sampling of children's files. LPA observed 1 child to be missing the LIC 700 and LIC 995A. LPA reminded Licensee it is there responsibility to ensure all children files are current and complete. LPA issued a Technical Assistance as a result of the missing forms. LPA reviewed assistant's file which was found to be current and complete. LPA reminded Licensee forms and records must be readily available for
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SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2024
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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 426215589
VISIT DATE: 11/14/2024
NARRATIVE
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inspection. LPA notes both assistant and Licensee have current Mandated Reporter Training (completed 3/10/2024) and Pediatric CPR/ First Aid (completed 7/31/2023). LPA reminded Licensee that it is their responsibility to ensure all training and certifications are current. Licensee informed LPA there are no 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/.

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SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
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: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 426215589
VISIT DATE: 11/14/2024
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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.

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.

No deficiencies were issued during the inspection.

Exit interview was conducted with Licensee Graciela Garcia and notice of site visit was given.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
LIC809 (FAS) - (06/04)
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