426216444-10-11-2022-17-CC-FVEZ-CK572P-20221011211703

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426216444
Report Date: 10/11/2022
Date Signed: 10/11/2022 09:17:18 PM

Document Has Been Signed on 10/11/2022 09:17 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:	MICHEL FAMILY CHILD CARE		FACILITY NUMBER:	426216444
ADMINISTRATOR:	YESENIA MICHEL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 458-9327
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	10/11/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	04:00 PM
MET WITH:	Yesenia Michel		TIME COMPLETED:	05:15 PM

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This is a change of location, previous facility number 426215931.

Due to COVID-19 pandemic, LPA asked the pre-screening questions prior to inspection. Licensee's responses indicate there was no COVID-19 exposure on site.

On 10/11/22, Licensing Program Analyst (LPA) Francisca Velazquez conducted an announced change of location, Pre-licensing inspection for a Large Family Child Care Home (FCCH) license. LPA met with Yesenia Michel, Applicant, and discussed the purpose of today’s visit. LPA and Applicant together toured the inside and outside of the home. There were no children in care at the time of the inspection.

Licensee requested a change of location for a large family childcare license. The home has five (5) bedrooms, two (2) bathrooms, living room, daycare room, dining room, kitchen, garage and outdoor yard. The licensee will use the daycare room, one bedroom for napping purposes, kitchen, dining room, bathroom, and outdoor yard for childcare services.

LPA observed a small baby gate located on the first step of the stairway making the entire second floor inaccessible to children in care. LPA observed bedrooms on the first floor are locked and inaccessible to children in care. LPA observed the garage is located in the front of the FCCH and is not accessible to children in care. LPA observed that part of the outdoor yard is made inaccessible by means of a wood fence.

LPA observed that the FCCH is clean and orderly. In addition, there is plenty of ventilation for the children in care. CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

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: MICHEL FAMILY CHILD CARE	FACILITY NUMBER: 426216444
	VISIT DATE: 10/11/2022

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LPA did not observe any toxins nor hazards items accessible to children in care. LPA observed that knives will be stored in an elevated cabinet in the kitchen. Medications will be stored in the second floor of the home that is inaccessible to children in care. Cleaning compounds were observed under the sink in the kitchen and were observed to be locked. In addition, more cleaning compounds were observed in the garage that is inaccessible to children in care. The bathroom to be used for children in care was observed to be clean and sanitary, Licensee will be adding hand washing poster for the children in care. The back yard was observed to be completely fenced and has age-appropriate toys and day-care equipment. LPA notes that part of the outdoor yard is inaccessible to children in care by means of a small wooden fence. LPA observed child size furniture and material for activities throughout the home in areas that will be accessible to children in care.

There will be one (1) adult living in the home. Adult is fingerprint cleared.

LPA observed a regulation 2A10BC fire extinguisher in the FCCH at the time of the inspection that was purchased on 10/2/22. Licensee is reminded to service or purchase the fire extinguisher yearly. LPA observed licensee test both smoke and carbon monoxide detectors in the home at 4:12 PM and were functioning at the time of the inspection.

No bodies of water were observed. Licensee stated that there are no weapons or ammunition in the home. Licensee stated she does not hold a foster family license. Licensee is current with immunization required per SB 792.

Licensee Pediatric First Aid/CPR certificate is valid until 1/22/2024. Licensee completed the Mandated Reporter Training on 10/11/22, that is required per AB 1207. Control of property was verified via review of mortgage deed.

CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

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: MICHEL FAMILY CHILD CARE	FACILITY NUMBER: 426216444
	VISIT DATE: 10/11/2022

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LPA discussed Incidental Medical Services with the licensee. Incidental Medical Services (IMS) policy was discussed. 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 and provided the handout "A Child Care Provider's Guide to Safe Sleep" (PIN 20-24-CCP), Effects of Lead Exposure, What is Carbon Monoxide, and Self- Assessment. LPA provided a Handout for Reporting Child Abuse and Neglect Training provided online at www.ccld.ca.gov.

This home meets Title 22 Division 12 requirements of a large FCCH license. Effective date of license will be noted as the present, 10/11/22.

No deficiencies cited during this visit. THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

LIC809 (FAS) - (06/04)

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