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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216481
Report Date: 05/01/2024
Date Signed: 05/01/2024 11:53:15 AM

Document Has Been Signed on 05/01/2024 11:53 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:REGINO FAMILY CHILD CAREFACILITY NUMBER:
426216481
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 4DATE:
05/01/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Laura Regino TIME VISIT/
INSPECTION COMPLETED:
11:20 AM
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On May 1, 2024 Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced Case Management - Change of Capacity inspection at the above-mentioned Family Child Care Home (FCCH). LPA met with Licensee Laura Regino and informed them the purpose of the inspection. At the time of the inspection 4 children were present.

LPA in the company of the Licensee toured the FCCH. LPA observed the FCCH’s interior and exterior to be free of hazardous materials that could pose a danger to children in care.

LPA observed a regulation fire extinguisher (2A10BC) which was purchased 3/10/2024. LPA reminded Licensee the responsibility to service or purchase a regulation fire extinguisher annually. LPA observed a smoke detector and a carbon monoxide detector which was tested and found to be operational at 10:41AM. LPA reviewed Licensee’s Mandated Reporter Training certificate which was completed 10/22/22 . LPA reviewed Licensee’s Pediatric CPR/First Aid which was completed 10/15/2022.

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 4/19/2024.

The home meets Title 22 of CCR requirements for a Large Family Child Care license. The effective date of license is today 5/1/2024.

Exit interview was conducted and Notice of Site visit was given.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2024
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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