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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216168
Report Date: 01/09/2024
Date Signed: 01/09/2024 12:17:43 PM

Document Has Been Signed on 01/09/2024 12:17 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:CORREA FCC AKA ALYSSA'S CHILD CAREFACILITY NUMBER:
426216168
ADMINISTRATOR:ALYSSA CORREAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 966-1964
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
01/09/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
10:12 AM
MET WITH:Alyssa CorreaTIME COMPLETED:
12:20 PM
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On 1/9/2024, Licensing Program Analysts (LPAs) Francisca Velazquez and Gigi Reyes, conducted an unannounced Required Inspection. LPAs met with Licensee, Alyssa Correa and Assistant, Daniela M. Flores. LPAs discussed the nature and purpose of the inspection with the Licensee and together we toured the inside and outside of the home. LPAs note there are six (6) children present along with Licensee and assistant.

The main day care areas are the daycare living room, bathroom, and one (1) bedroom. LPAs observed the day care area to be clean and orderly. LPAs observed a fireplace that is secured by means of a secured gate. LPAs observed age-appropriate books, toys, games, tables, and chairs. LPAs observed a secured gate between the kitchen and the day-care areas. Additionally, LPAs observed a secured gate on the stairway of the home, making the entire second floor inaccessible to children in care. The restroom that used for day-care services was observed to be clean and free of toxins. The backyard is completely fenced and at the moment is off-limits to children in care. No bodies of water were observed.

Licensee stated that there are no weapons/ammunition in the home. Licensee stated she does not hold a foster family license. LPAs conducted children file reviews and found the files to be complete and current with 15 minute checks for all infants. The facility roster was complete and available at the time of the inspection. The fire extinguisher was observed and was purchased, 11/20/23. There is a functioning combination carbon monoxide and smoke detector that was tested at 11:00 AM, and meets statutory requirements. The last Safety drill was conducted on 8/2/23. LPA reviewed Licensee and Assistant's file and found both files to be complete and current. Licensee and assistant are current with immunization required per SB 792. Licensee is current with CPR and First Aid which expires 5/7/24. Licensee completed the Mandated Reporter Training on 8/20/23, that is required per AB 1207.

CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2024
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CORREA FCC AKA ALYSSA'S CHILD CARE
FACILITY NUMBER: 426216168
VISIT DATE: 01/09/2024
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Licensee is not providing Incidental Medical Services. 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: htttp://www.ada.gov/childqanda.htm

LPA reviewed with Licensee the Safe Sleep Regulation. LPA provided a Handout for Reporting Child Abuse and Neglect Training provided on line at www.ccld.ca.gov. Licensee was reminded that it is her responsibility to know the regulations for Family Child Care Home and was advised to review Quarterly Updates and Provider Information Notices (PINs), Title 22 & Health & Safety Codes which can be accessed on-line athttps://www.cdss.ca.gov/inforesources/child-care-licensing

Today's inspection, exit interview and review of report was conducted with Licensee, Alyssa Correa in Spanish. No deficiencies cited during today's inspection. Site Visit Rights and Appeal Rights were given to the Licensee.

LPA provided the Licensee a Notice of Site Visit (LIC 9213) to be posted for the next 30 days.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024
LIC809 (FAS) - (06/04)
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