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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216369
Report Date: 01/09/2024
Date Signed: 01/09/2024 04:08:18 PM

Document Has Been Signed on 01/09/2024 04:08 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: 6DATE:
01/09/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Jessica GarciaTIME COMPLETED:
04:15 PM
NARRATIVE
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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, Jessica Garcia and Assistants, Ashley Correa and Damaris Esparza. 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 two (2) assistants.

The main day care areas are the living room, bathroom, one (1) bedroom and outdoor yard. LPAs observed the day care area to be clean and orderly. LPAs observed a fireplace in the living room that is secured by means of a secured gate. LPAs observed age-appropriate books, toys, games, tables, and chairs. LPAs observed all off-limits areas are secured with door safety knobs. The restroom that used for day-care services was observed to be clean and free of toxins. The backyard is secured and completely fenced. LPAs observed a locked detached garage that is used for storage. Licensee reported filtered water is accessible to children in care by means water bottles. No bodies of water were observed.

Licensee stated that there are no weapons/ammunition in the home. 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 not current with C3 and C6 not listed on the facility roster. The fire extinguisher was observed and was purchased on 8/2/23. There is a combination carbon monoxide and smoke detector that was not tested due to children napping. Licensee informed LPAs that the combination smoke and fire alarm was tested during the last inspection on 8/14/23. LPAs reviewed Licensee and Assistant's file and found files to be complete and current. LPA notes, Assistant Ashely Correa had to go get proof of immunizations and TB from another facility. Licensee and assistant are current with immunization required per SB 792. The last drill was conducted on 8/2/23. Licensee's CPR/First-aid expired on 1/3/24, however both assistants had current CPR/First-aid. 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.

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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: 01/09/2024
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Licensee completed the Mandated Reporter Training on 6/1/22, that is required per AB 1207.

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, Jessica Garcia in Spanish. Deficiencies and technical violation are cited during today's inspection.

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
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Document Has Been Signed on 01/09/2024 04:08 PM - It Cannot Be Edited


Created By: Francisca Velazquez On 01/09/2024 at 03:32 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: GARCIA FCC AKA COLORUM CHILDCARE
FACILITY NUMBER: 426216369

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/16/2024
Section Cited
CCR
102417

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102417- Operation of a Family Child Care Home. (8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement was not met as evidenced by:
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Licensee updated facility roster and added C3 and C6 and agrees to continue to update the facility roster when children are enroll or disenrolled from the facility. This deficiency was cleared during today's inspection.
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Record review revealed that facility roster is not current as C3 and C6 were not listed as children in care. This is a potential risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2024


LIC809 (FAS) - (06/04)
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