426215616-11-5-2024-17-CC-EGEE-DAQVFS-20241105152424

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215616
Report Date: 11/05/2024
Date Signed: 11/05/2024 03:24:30 PM

Document Has Been Signed on 11/05/2024 03:24 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	RIVERA FAMILY CHILD CARE		FACILITY NUMBER:	426215616
ADMINISTRATOR/ DIRECTOR:	MARICRUZ RIVERA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 294-2831
CITY:	LOMPOC	STATE: CA	ZIP CODE:	93436
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 2	DATE:	11/05/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:10 PM
MET WITH:	Maricruz Rivera		TIME VISIT/ INSPECTION COMPLETED:	02:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 11/5/24, at 12:10 PM, Licensing Program Analyst (LPA) Elizabeth George conducted an unannounced required 3- year Inspection at the above-mentioned family child care home (FCCH). LPA met with Licensee Maricruz Rivera and explained the purpose of the inspection. LPA, in the company of the Licensee, toured the interior and exterior of the FCCH. At the time of the inspection two children were present. Licensee states hours of operation are M-F from 7:45AM to 5PM. This is a one story home with three bedrooms, two bathrooms, living room, dining room, kitchen, play room, backyard and garage. Licensee stated that children have access to the living room, dining room, play room, bathroom and kitchen. While the three bedrooms, one bathroom and garage are completely inaccessible to children in care. The backyard is currently inaccessible to children as the sewage line is being replaced. LPA advised licensee to notify the department when any changes are being made to the home. LPA is notating the backyard is inaccessible to children and licensee will notify department when work is complete. The home is orderly and clean with proper ventilation for all children in care. The bathroom used for care is clean and free of toxins. LPA advised licensee to double check before children arrive to move shower products to a higher shelf. LPA observed a fireplace in the play room that is covered with a mesh screen as well as blocked by cabinets making it inaccessible to children. LPA observed that sharps and knives are above the refrigerator and out of reach of children. Medications are stored in the kitchen on a high cabinet that is inaccessible to children in care. LPA observed that cleaning compounds are stored under the sink in a locked cabinet made inaccessible to children in care. Toys, furniture and equipment in the facility are age appropriate. LPA observed required licensing forms and documents posted in the main play room of the facility. LPA observed a dual smoke/carbon monoxide detector located in the hallway. Dual smoke/ carbon monoxide detector was tested and found to be operational at 12:32 PM. LPA observed a regulation fire extinguisher that was purchased on 5/15/23. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. Licensee did not have the FCCH’s fire/disaster drill log in the home for review. LPA reminded licensee of the requirement to have a fire drill every 6 months and advised licensee to keep the log posted with the rest of her documents. cont. on 809-C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RIVERA FAMILY CHILD CARE	FACILITY NUMBER: 426215616
	VISIT DATE: 11/05/2024

NARRATIVE

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LPA observed no bodies of water on site. Licensee informed LPA no firearms or ammunition are in the home.

Two of eight children's files were reviewed. All records reviewed are current. Current roster of children was reviewed by the LPA during inspection. All children present during the inspection are noted on the roster. LPA reviewed the Licensee’s Pediatric CPR/First Aid certifications which were completed on 4/11/23 and Mandated Reporter Training Certificate completed on 6/5/23. LPA reminded licensee of requirements to keep all mandatory trainings current. Staff records were reviewed. LPA advised licensee to keep all staff files 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. LPA provided licensee with LIC9227, Individual Infant Sleep Plan and a sample of the sleep logs.

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/.
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.
cont. on 809-C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RIVERA FAMILY CHILD CARE	FACILITY NUMBER: 426215616
	VISIT DATE: 11/05/2024

NARRATIVE

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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.

Two technical violations were issued during todays inspection.

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

Appeals rights were provided.

Exit interview conducted and report was reviewed with the licensee, Maricruz Rivera.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

LIC809 (FAS) - (06/04)

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