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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216038
Report Date: 09/27/2021
Date Signed: 09/27/2021 12:04:06 PM

Document Has Been Signed on 09/27/2021 12:04 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:DE LEON-PAZ FCC AKA RISE AND SHINE DAY CAREFACILITY NUMBER:
426216038
ADMINISTRATOR:JESSICA DE LEON-PAZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 598-8695
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 1DATE:
09/27/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:TIME COMPLETED:
12:10 PM
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On 9/27/21, 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 Jessica de Leon-Paz, 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 four (4) bedroom, three (3) bathroom two-story home. Licensee stated that children have access to the bottom level of the home which includes a formal living room and dining room, kitchen area, bathroom, playroom and outdoor yard. All the second floor is made inaccessible to children in care by a small gate at the bottom of the stairs, garage is also inaccessible by two safety locks. During the time of the inspection, Licensee was caring for one (1) child.

LPA observed required forms posted on the playroom of the facility. LPA observed both smoke and carbon monoxide detectors in the playroom room. Detectors were tested by Licensee at 10:22 AM and were both functional. The home has a regulation fire extinguisher which was serviced 5/18/21. LPA reminded Licensee that fire extinguisher needs to be either service or purchase annually. The home maintains working telephone services.

LPA observed that the facility is orderly, clean and has ventilation for child care services. LPA observed two (2) fireplaces in the facility that are covered and are inaccessible to children in care. LPA observed all cleaning supplies and toxins are stored in two high cabinets in the laundry room. LPA observed that both cabinets are high and have magnetic safety locks making all toxins inaccessible to children in care. LPA observed stored sharps on the counter of the kitchen. Licensee showed LPA that knives are child proof and require a button to be pushed in order to have access to the knives. Medications in the facility are stored in a high cabinet in the kitchen and are inaccessible to children.

CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2021
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: DE LEON-PAZ FCC AKA RISE AND SHINE DAY CARE
FACILITY NUMBER: 426216038
VISIT DATE: 09/27/2021
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LPA observed that the garage is made inaccessible by two (2) safety locks. LPA observed that bathroom used for children is clean and orderly and has plenty of hand soap and paper towels for the children in care. Toys and equipment observed in the facility are age appropriate.

Licensee stated that children have access to the backyard. LPA observed tet back yard is completely fenced. Licensee stated that when children are outdoors, children are always supervised by an adult. LPA observed plenty of shade and gross motor activities for children in care. 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 parent rights. Licensee’s records were reviewed and found to be current and up to date. Licensee CPR/First Aid certifications expires 5/26/2023. Licensee’s AB1207 certificate expires 10/1/2022. LPA reminded Licensee that AB1207 must be updated every two years. LPA reviewed Assistant records and found that CPR/First aid expires 10/23/21 and AB1207 expires 8/27/22. Licensee and Assistant are both current with all immunization.



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. During this inspection, Licensee wore a face mask. Licensee stated that the facility is following all COVID-19 guidance and stated she provides face masks to all the children to ensure that they always have one. 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. Licensee shared that at the moment she does not have any infant age children enrolled for services, but she is in the process of enrolling one infant age child that will attend Saturdays. LPA provided a copy of new Safe Sleep Regulations and LIC 9227 Individual Infant Sleep Plan and reviewed with Licensee.

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: 09/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021
LIC809 (FAS) - (06/04)
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