426216481-3-29-2023-17-CC-EBAY-CQDQU8-20230329122821

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426216481
Report Date: 03/29/2023
Date Signed: 03/29/2023 12:28:55 PM

Document Has Been Signed on 03/29/2023 12:28 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:	REGINO FAMILY CHILD CARE		FACILITY NUMBER:	426216481
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 2	DATE:	03/29/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Laura Regino		TIME COMPLETED:	12:40 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 3/29/23, at 9:30 AM, Licensing Program Analysts (LPAs) Elvin Baddley and Giovani Gonzalez conducted an announced Prelicense Inspection of the abovementioned residence and met with Applicant Laura Regino. LPAs informed Applicant of the nature and purpose of the inspection. Applicant informed LPAs of the intention to maintain operating hours of a Family Child Care Home (FCCH) from 5:00 AM- 5:00 PM, Monday- Saturday. Applicant also intends to care for children 0 months to 12 years of age. LPAs note two children (biological) are in care at the time of the inspection. It should be noted LPA Gonzalez provided translations as the Applicant is primarily Spanish speaking. LPAs, in the company of Applicant, toured the interior and exterior of the residence in its entirety. The residence is a five bedroom, three bathroom two story dwelling. The residence's family room, dining room, bathroom and backyard will be used for child care services, while the remainder of the home will be excluded from care. LPAs observed the residence to be clean and orderly. The residence has spacing and ventilation for children in care. LPAs observed a fireplace in the living room which is screened by metal mesh. The bathroom to be used for children care is observed to be clean and free of toxins. Medication in the home is store an elevated cabinet in the kitchen and in various location is the home's upper story which is excluded from. Sharps in the residence are secured in an elevated cabinets in the kitchen area. Cleaning compounds are secured in the residence's laundry room which is excluded from care. Cleaning compounds are also observed in the kitchen area in a secure cabinet under the sink. LPAs observed a fire extinguisher (2A10BC) in the residence which was serviced on 3/23/23. LPA reminded Applicant of the responsibility to service or purchase a regulation fire extinguisher annually. The home has numerous smoke and carbon monoxide detectors. A smoke detector in the home was tested at 10:30 AM and found to be operable. Likewise, a carbon monoxide detector in the home was tested at 10:15 AM and found to be operable. (CONT. LIC 809-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023

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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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: REGINO FAMILY CHILD CARE	FACILITY NUMBER: 426216481
	VISIT DATE: 03/29/2023

NARRATIVE

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The residence's backyard is enclosed by wooden fencing. Footing in the area is varied. The fence entry/exit gate is secured. The backyard is partitioned in a fashion which the side yard are inaccessible to children. LPAs observed no bodies of water on site. LPAs observed a trampoline in the backyard which is secured. LPAs informed Applicant children in care should not use the trampoline as it is not age appropriate.

LPA record review revealed Applicants' Mandated Reporter training was completed on 10/22/22 (expiration 10/22/24), and Pediatric CPR/First Aid (EMSA approved) was completed on 10/15/22 (expiration 10/15/24). Applicant completed Preventative Health Training on 11/17/22. LPA reminded Applicant of obligation to maintain current training and certifications. LPA reviewed Applicant's control of property document (Grant Deed). Applicant does not have liability insurance for the home as of yet. LPA provided Applicant with Affidavit Regarding Liability Insurance form (LIC 282). Applicant informed LPA no ammunition or firearms are on site.

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.

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 Homes and the ADA, available at: http://www.ada.gov/childqanda.htm

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.

LPAs discussed the safe sleep regulations with Applicant and discussed the Child Care Licensing Safe Sleep at websitehttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as (CONT. 809-C, Page 3)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023

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: REGINO FAMILY CHILD CARE	FACILITY NUMBER: 426216481
	VISIT DATE: 03/29/2023

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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 or 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 https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Applicant is reminded all children residing at the residence under the age of 10, are include in the Family Child Care Home's ratio.

Exit interview conducted and report was reviewed with the Applicant Laura Regino. The home meets Title 22 Division 12 requirements of a small FCCH license. Effective date of license will be noted as the present, 3/29/23.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023

LIC809 (FAS) - (06/04)

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