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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215935
Report Date: 02/04/2025
Date Signed: 02/04/2025 02:05:31 PM

Document Has Been Signed on 02/04/2025 02:05 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:VALDEZ FCC AKA AMOR'S CHILDCARE SERVICEFACILITY NUMBER:
426215935
ADMINISTRATOR/
DIRECTOR:
CRUZ VARGAS VALDEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 878-7985
CITY:SANTA MARIASTATE: CAZIP CODE:
93455
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
02/04/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Cruz Vargas ValdezTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
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On 2/04/2025 at 11:00 AM, Licensing Program Analyst (LPAs) Gigi Reyes and Fernando Hernandez conducted an unannounced Required inspection at the above Family Childcare Home (FCCH). LPA met with Licensee, Cruz Valdez and (2) assistants Nixie Gaxiola, Jayleen Guzman discussed the purpose of the inspection. FCCH operates Monday to Friday, 5:30 AM to 5:30 PM, Licensee provides care for children aged 8 months to 12 years old.

LPAs and Licensee toured the inside and outside of the home, there were nine (9) children present two (2) of whom were infants. Accessible areas are the family room that has been transformed into a day care space where napping, indoor playtime and classroom activities take place. LPAs observed the backyard is fully enclosed. LPA observed that required forms are posted in prominent location. Combination smoke and carbon monoxide detectors was tested and found functional at 11:21 AM. Age-appropriate toys, books, playpen, and equipment were observed in the home Children’s bathroom is free of toxins.

Following deficiencies were observed:
  • The regulation fire extinguisher was serviced on August 28, 2023.
  • It was observed that assistants were watching napping infants but there was no documentation.
Continued on LIC 809 C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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: VALDEZ FCC AKA AMOR'S CHILDCARE SERVICE
FACILITY NUMBER: 426215935
VISIT DATE: 02/04/2025
NARRATIVE
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  • Children’s file review revealed that C1 does not have Individual Safe Sleep Plan at the time of enrollment.
  • It was observed that the cleaning materials, Lysol, disinfecting spray were in the day care area when children were playing outside which are easily accessible to daycare children upon their return

LPA reviewed the facility file and found that the Pediatric CPR and First Aid certificate is current with expiration date of 6/17/2026 while Mandated Reporter Training expires on 6/10/2026. Children’s records were reviewed and found complete.

Childcare facility roster is current. No bodies of water was observed. Licensee stated there are no guns and ammunition 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.

Continued on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
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: VALDEZ FCC AKA AMOR'S CHILDCARE SERVICE
FACILITY NUMBER: 426215935
VISIT DATE: 02/04/2025
NARRATIVE
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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, 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.

The FCCH is not providing Incidental Medical Services (IMS). 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, Cruz Vargas Valdez was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE, Cruz Valdez confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

In the areas evaluated, deficiencies were cited under Title 22 Division 12.


A notice of site visit was given to Licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
Exit interview conducted and report was reviewed with the licensee, Cruz Valdez
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 02/04/2025 02:05 PM - It Cannot Be Edited


Created By: Gigi Reyes On 02/04/2025 at 12:53 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: VALDEZ FCC AKA AMOR'S CHILDCARE SERVICE

FACILITY NUMBER: 426215935

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/04/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
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: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation the licensee did not comply with the section cited above, cleaning item, lysol and disinfecting spray was observed in the day care area which poses/posed a potential health, safety or personal rights risk to persons in care. Day care children were outside playing during the insepction.
POC Due Date: 02/14/2025
Plan of Correction
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Licensee immediately kept away the cleaning materials during the insepction. LIcensee shall write a plan of correction on how to ensure that cleaning compounds are kept inaccesible to day care children. Email the corrections to gigi.reyes@dss.ca.gov no later thatn 2/14/2025
Type B
Section Cited
CCR
102425(j)(1)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above, Licensee and assistants were supervising napping infant but do not maintain a sleep log that documents napping infant every 15 minutes. which poses/posed a potential health, safety or personal rights risk to persons in care. LPAs provided the sleep log form during the insepction.
POC Due Date: 02/14/2025
Plan of Correction
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During the inspection , assistants and licensee started documenting the napping infants. Licensee agreed to submit a written plan of correction no later than 2/14/2025. Email to gigi.reyes@dss.ca.gov.
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:Maria Mueller
LICENSING EVALUATOR NAME:Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 02/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/04/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/04/2025 02:05 PM - It Cannot Be Edited


Created By: Gigi Reyes On 02/04/2025 at 12:53 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: VALDEZ FCC AKA AMOR'S CHILDCARE SERVICE

FACILITY NUMBER: 426215935

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/04/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102418(g)(1)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above, Licensee is not documenting the children's imunization in PM286 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/14/2025
Plan of Correction
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Licensee agreed to submit a written plan of correction to CCL no later than 2/14/2025.
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 2 out of 2 infants do not have a completed Individual Safe Sleep Plan during the enrollment which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/14/2025
Plan of Correction
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Licensee agreed to submit a Plan of correction letter on how to ensure that LIC 9227 Individidual Safe Sleep Plan willl be filled out at the time of enrollment. POC shall be submitted no later than 2/14/2025.
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:Maria Mueller
LICENSING EVALUATOR NAME:Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 02/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/04/2025


LIC809 (FAS) - (06/04)
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