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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216369
Report Date: 11/02/2022
Date Signed: 11/02/2022 02:30:28 PM

Document Has Been Signed on 11/02/2022 02:30 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:GARCIA FCC AKA COLORUM CHILDCAREFACILITY NUMBER:
426216369
ADMINISTRATOR:JESSICA MANUELA GARCIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(747) 267-8964
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
11/02/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Jessica GarciaTIME COMPLETED:
03:45 PM
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On 11/2/22, Licensing Program Analyst (LPA) Francisca Velazquez conducted an announced Prelicensing Inspection of the abovementioned home and met with Applicant, Jessica Garcia. LPA informed Applicant of the nature and purpose of the inspection. LPA notes there are no children on site at the time of the inspection. Applicant informed LPA of the intention to maintain operating hours of a Family Child Care Home (FCCH) from, Monday- Saturday from 5:00 AM to 7:00PM. The Applicant also Informed LPA of the intention to provide care for children birth to 13 years of age.

LPA toured the interior and exterior of the home with the Applicant. This is a single level home with three (3) bedrooms and two (2) bathrooms. The home's living room, kitchen, dining area, one (1) bedroom with bathroom and outdoor yard will be used for childcare services. Meanwhile, two (2) bedrooms, one (1) bathroom, laundry room and garage are off limits and inaccessible to children in care. LPA observed that all rooms that are made inaccessible by door safety knobs and the garage requires a key to open.

The FCCH has ample spacing and ventilation for children in care. LPA observed a fireplace in the living room that needs to be secured to ensure it is inaccessible to children in care. Applicant agrees to submit picture to proof the fireplace is inaccessible and secured. The restroom that will be used for the children is in the master bedroom. The restroom to be used for children care is observed to be clean and free of toxins. LPA observed sharps are stored in an elevated cabinet in the kitchen that is inaccessible to children in care. Cleaning compounds were observed under the kitchen sink that is locked and secured, in an elevated cabinet in the laundry room and in the garage. Applicant stated that medication for the home will be stored in the Applicant’s bedroom that is inaccessible to children in care.

LPA observed a required fire extinguisher 2A10BC in the home which was purchased on 2/28/22. LPA reminded Applicant of the responsibility to service or purchase a regulation fire extinguisher annually. The home has smoke and carbon monoxide detectors which were tested at 1:21 PM and found to be operable. CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2022
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 COLORUM CHILDCARE
FACILITY NUMBER: 426216369
VISIT DATE: 11/02/2022
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LPA observe the outdoor yard to be completely fenced. LPA observed that children will have access to the outdoor yard through the bedroom. LPA observed a patio deck and grass area for the children. Natural shading is provided by a large tree that is in the children play area. Applicant reported water will be accessible by individual water cups. LPA notes no bodies of water were observed.

LPA record review revealed Applicant completed Preventative Health training on 2/25/22. Further, Applicant completed Mandated Reporter training on 6/1/22, and Pediatric CPR/First Aid (EMSA approved) on 1/3/22. LPA reminded Applicant of obligation to maintain current training and certifications. LPA reviewed Applicant's control of property document (Lease Agreement). Applicant does not have liability insurance for the home as of yet. LPA provided Applicant with Affidavit Regarding Liability Insurance form (LIC 282). Applicant received fire clearance for a large license from Santa Maria Fire Department on 7/21/22.



LPA reviewed with Applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

LPA discussed the safe sleep regulations with applicant 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 Applicant 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at CONT 809-C

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

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
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 COLORUM CHILDCARE
FACILITY NUMBER: 426216369
VISIT DATE: 11/02/2022
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https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following is pending to be granted a Large Family Child Care License:

1.) Proof that fireplace is secured and inaccessible to children in care.

Exit interview conducted and report was reviewed with the Applicant, Jessica Garcia. Notice of site visit was given and must remain posted for 30 days. This report was reviewed in Spanish with Applicant due to Spanish being Applicant primary language.

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

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
LIC809 (FAS) - (06/04)
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