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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216398
Report Date: 02/08/2024
Date Signed: 02/08/2024 12:57:53 PM

Document Has Been Signed on 02/08/2024 12:57 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:ROBLES FAMILY CHILD CAREFACILITY NUMBER:
426216398
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
02/08/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Eva RoblesTIME COMPLETED:
01:00 PM
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On 2/8/24, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced Case Management inspection of the Family Child Care Home (FCCH) for a change of capacity. LPA met with Eva Robles, Licensee of the FCCH and explained the nature/purpose of the inspection. LPA notes there were two (2) children present during this inspection being cared by licensee.

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 that sharps are in an elevated cabinet in the kitchen. Cleaning compounds were observed in a closet in the hallway in elevated shelfs and the garage. Medication for the family is also stored in the closet in the hallway on an elevated shelf. LPA notes all areas are inaccessible to children by means of gates or door safety knobs.

LPA reviewed the Licensee’s First Aid/ CPR certification which was completed on 09/17/23. LPA reviewed the Licensee’s Mandated Reporter Training certificate, which was completed on 06/12/22. LPA observed a regulation fire extinguisher which was serviced on 6/14/23. LPA observed a combination smoke and carbon monoxide detector that was tested at 12:00 PM and 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 2/7/24. Additionally, Licensee submitted documentation to add a fictitious name to her license, Little Station Child Care.

The home meets Title 22 of CCR requirements for a Large Family Child Care license effective today. Effective date of license is today 2/8/24. 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, Eva Robles in Spanish.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/08/2024
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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