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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216003
Report Date: 09/13/2021
Date Signed: 09/13/2021 02:23:07 PM

Document Has Been Signed on 09/13/2021 02:23 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:NORIEGA FAMILY CHILD CAREFACILITY NUMBER:
426216003
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
09/13/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Cristina NoriegaTIME COMPLETED:
02:30 PM
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On 9/13/21, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced Required Inspection of the facility. Prior to entering the facility, LPA conducted pre-screening COVID-19 questionnaire and based on Licensee’s responses it was determined that the facility is safe and free from any COVID-19 exposures. LPA meet with Cristina Noriega, 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 home. This is a three (3) bedroom, two (2) bathroom home. Licensee stated that living room, dining area, and bathroom are accessible to the children in care. While all the bedrooms, one bathroom and garage and back yard are inaccessible. During the time of the inspection, Licensee and assistant Maclovia Garcia were caring for four (4) children, one (1) child is Licensee's own child.

LPA observed required forms posted by the dining room of the facility. LPA observed both smoke and carbon monoxide detectors in the hallway of the facility. Detectors were tested by Licensee at 1:20 PM and were both functional. The home has a regulation fire extinguisher which was purchased on 11/17/20. LPA reminded Licensee that fire extinguisher needs to be either service or purchase annually. The home maintains working telephone services. LPA observed two open face heaters accessible to children in the facility. Licensee stated that heaters are not used at all and agrees to cover both heaters by the end of the week.

LPA observed all cleaning supplies and toxins are stored in the kitchen in a high cabinet that is inaccessible to children. More cleaning supplies are also located in the garage and in a high closet in the hallway, both areas are inaccessible to children in care. LPA observed that Licensee stores sharps on a high cabinet in the kitchen and are inaccessible to children in care. The facility is orderly, clean and has ventilation for child care services. The restroom used for children was found to be clean and orderly and has plenty of hand soap, paper towels and hand washing posters for children. Medication in the facility is stored in a high cabinet in the kitchen and are inaccessible to children. Toys and equipment observed in the facility are age appropriate.

CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2021
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: NORIEGA FAMILY CHILD CARE
FACILITY NUMBER: 426216003
VISIT DATE: 09/13/2021
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Licensee stated that children do not have access to the backyard. Licensee stated that she is planning on making changes to include her backyard but for now it is not accessible to children in care. LPA informed Licensee that an updated facility sketch will need to be submitted to the department and the department will then inspect the backyard to make sure it is safe for the children in care. LPA observed that the backyard is completely fenced. There is one small shed that stores paint, gardening equipment, etc. No bodies of water were observed on site. Licensee stated there are no guns and ammunition in the facility.

A sampling of the children's record was reviewed and found to have current and up to date with emergency information cards and personal rights. The Licensee's records indicate Mandated Reporter training certificate will expire 6/26/22. LPA reminded Licensee that AB1207 must be updated every two years. Licensee’s CPR and First Aid certifications expires on 6/27/22. Licensee is current with all immunizations. LPA reviewed assistant’s records, AB1207 expires 8/25/23 and First-Aid and CPR 8/12/23. Licensee shared that today is assistant’s first day at the facility and has an appointment for all immunizations on 9/16/21. Assistant is also signed up to take Preventative Health certificate on November 17, 18, and 19 of this year.



The Licensee is not providing Incidental Medical Services (IMS). Policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

LPA discussed COVID 19 guidance and best practices with the Licensee. Licensee was reminded that it is Licensee's responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov. LPA and Licensee discussed safe sleep regulations. LPA provided a copy of new Safe Sleep Regulations and LIC 9227 Individual Infant Sleep Plan for Licensee to review. Licensee stated she does not have any infant age children enrolled for services, but might be enrolling an infant soon.

In areas evaluated, there were no deficiencies cited during today's visit.

LPA provided Licensee with Notice of Site visit (LIC 9213) which was posted by the Licensee.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021
LIC809 (FAS) - (06/04)
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