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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216260
Report Date: 09/28/2023
Date Signed: 09/28/2023 02:48:48 PM

Document Has Been Signed on 09/28/2023 02:48 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:VARGAS ALVAREZ FAMILY CHILD CAREFACILITY NUMBER:
426216260
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
09/28/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:38 AM
MET WITH:Claudia Vargas AlvarezTIME COMPLETED:
11:00 AM
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On 9/28/2023, at 9:38 AM Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced Case Management inspection of the above Family Child Care Home (FCCH) for a change of capacity. LPA met with Claudia Vargas Alvarez, Licensee of the FCCH and explained the nature/purpose of the inspection. LPA notes that there were two (2) children present during this inspection.

During this inspection, LPA and Licensee together toured the and interior and exterior of the FCCH. LPA observed the FCCH's interior and exterior to be free of hazardous materials and/or toxins at the time of the visit. LPA observed cleaning compounds located in the garage and on top of the refrigerator. Sharps were observed in an elevated cabinet in the kitchen and medication was observed on top of the refrigerator. LPA notes the kitchen is made inaccessible by means of a baby gate.

LPA reviewed the Licensee’s First Aid/ CPR certification which is valid until 1/22/24. LPA observed a regulation fire extinguisher which was purchased on 3/25/23. LPA reviewed the Licensee’s Mandated Reporter Training certificate, which is valid until 1/6/24. LPA observed licensee test a combination smoke and carbon monoxide detector at 10:30 AM and it was operable.

The Licensee submitted documentation for a FCCH change of capacity. The Licensee is seeking to change the FCCH’s capacity from 8 (Small FCCH) to 14 (Large FCCH). The Santa Maria Fire Department granted a fire clearance following an inspection completed at FCCH on 08/12/2023.

The home meets Title 22 of CCR requirements for a Large Family Child Care license effective today. Effective date of license is today 09/28/2023. LPA provided the Licensee a Notice of Site Visit (LIC 9213) to be posted.

Exit interview and review of this report was conducted with licensee. Notice of site visit and appeal rights were given. LPA observed the "Notice of Site Visit" posted. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023
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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