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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216082
Report Date: 03/07/2022
Date Signed: 03/07/2022 11:23:43 AM

Document Has Been Signed on 03/07/2022 11:23 AM - 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:GARCIA FCC AKA LITTLE BLESSINGS DAY CAREFACILITY NUMBER:
426216082
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
03/07/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Erika GarciaTIME COMPLETED:
11:25 AM
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On March 7, 2022 at 9:15 AM, Licensing Program Analyst Gigi Reyes conducted an unannounced One (1) Year Required inspection at the above Family Child Care Hiome. (FCCH) LPA asked pre- screening questions related to COVID- 19 and licensee’s responses indicate there are no COVID 19 exposures on site. LPA met with licensee, Erika Garcia and discussed the purpose of the inspection.

LPA in the company of Licensee toured the interior and exterior of the home. There were 5 children present at the time of the inspection. Day care children were playing in the home. LPA observed required licensing forms are posted in the wall by the entrance door. LPA observed smoke and carbon monoxide detectors in the FCCH. Home conducts and documents fire and disaster drill every 6 months, last drill was conducted on 1/2022

The backyard is enclosed with wooden fence and equipped with age appropriate toys and equipment. No bodies of water were observed on site. Licensee stated there are no guns or ammunition in the home. LPA observed a locked trampoline at the backyard. Licensee stated it is not not used by day care children and will be eventually removed from the premises. Toxins and cleaning items are kept inaccessible to children in care.

LPA Reyes reviewed facility file, Pediatric CPR and First Aid expires December 14, 2022. Licensee completed Mandated Reporter Training Certificate which expires on January 11, 2023. LPA reminded Licensee that AB 1207 should be renewed every two years. . Licensee has proof of immunization per SB 792 against pertussis, and measles.

FCCH has current roster of children in care. A sampling of children records were reviewed and found to be current. File contains Emergency and Identification card requirements. Currently the licensee does not have liability insurance and had signed waivers in each child's file. Licensee physically checks and documents the condition of the sleeping infant every 15 minutes


Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2022
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: GARCIA FCC AKA LITTLE BLESSINGS DAY CARE
FACILITY NUMBER: 426216082
VISIT DATE: 03/07/2022
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During today's inspection no deficiency was cited under Title 22 Division 12 and Health and Safety Code.

Licensee does not provide Incidental Medical Services (IMS). IMS policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Home 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 Family Child Care Home and the ADA, available at: http://www.ada.gov/childqanda.htm.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

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
Licensee was reminded that all adults 18 year old and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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

Exit interview conducted and report was reviewed with the licensee, Erika Garcia
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2022
LIC809 (FAS) - (06/04)
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