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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216578
Report Date: 12/19/2024
Date Signed: 12/19/2024 02:20:19 PM

Document Has Been Signed on 12/19/2024 02:20 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:SOTO FAMILY CHILD CAREFACILITY NUMBER:
426216578
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
12/19/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Elida SotoTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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On 12/19/2024 at 1:00 PM, Regional Manager, (RM) Adriana Hernandez, Licensing Program Manager, (LPM) Maria Mueller, Licensing Program Analyst (LPA) Gigi Reyes met with, Licensee Elida Soto. This meeting was called for to address concerns regarding the violations of Title 22 Division 12 of California Code of Regulations at the Family Child Care Home The applicable regulations were reviewed with the licensee and the following areas were discussed.

On 8/30/2024 during the Annual inspection, the FCCH was cited for 6 deficiencies and issued 6 Technical Violations

· 102417(g)(7) LIC 700 forms for three (3) day care children are not filled out, missing parent signatures, date signed and admission date.

· 102419(d)(1) LIC 995 A – Notification of Parents Right, although this form was issued to parents, the upper portion was retained, and the acknowledgement receipt was given to parents

· LIC 9150 Parent Notification of Additional Children, this form was issued; however, the signed copies were not retained on file instead the upper portion that should have been issued to parent are kept on file.

Continued LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: SOTO FAMILY CHILD CARE
FACILITY NUMBER: 426216578
VISIT DATE: 12/19/2024
NARRATIVE
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·102417(m)(3) LIC 282 – Affidavit Regarding Liability Insurance was filled out but was not signed by the parent.

· 102417(g)(8) LIC 9040 – Childcare Facility Roster is missing the Physician’s information column.

The Safe sleep plan for three (3) infants had not been completed.

· 102425(b) (b) Cribs or play yards shall be free from all loose articles and objects. LPA observed feeding bottle in the playpen while an was napping.

· 102426(a)(2) It was observed that the door to the bedroom where infants were napping was closed.

· 102417(g)(9)(A) licensee has never performed the fire and disaster drill

· 102425(a)(3) LPAs observed two (2) infants were observed napping in 2 separate playpens without fitted sheet but with a blanket covering the bottom of the playpen instead

· 102425(j)(2) licensee acknowledged that she was checking napping infants but did not document these checks

· 102416.3(a)(6) LPAs observed napping infants in a bedroom that is off limits to children in care

· 102418(g)(1) licensee did not document the immunization record of the children on PM 286

· 102425(c) Infants under 12 months have no LIC 9227, Individual Safe Sleep Plan

Continued LIC809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: SOTO FAMILY CHILD CARE
FACILITY NUMBER: 426216578
VISIT DATE: 12/19/2024
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As a result of this discussion, Licensee, Elida Soto agreed to the following:
1. Licensee shall attend an on line Family Childcare Home orientation - La Orientación para Hogares que Proporcionan Cuidado De Niños/Spanish Online Orientation for Family Child Care Homes.
2. Effective December 19, 2024, the Family Childcare Home (FCCH will be placed on compliance plan.
3. Increased unannounced inspections to the FCCH be required.
4. By January 6, 2025, the Licensee shall submit a written statement detailing what changes she had made referencing the cited deficiencies and technical violations above.
5. By January 19, 2025, Licensee shall submit a written statement detailing what she learned from watching the video links provided below.
6. Referral to CDSS Technical Support Program(TSP). TSP flyer was provided to Director and will contact LPA Reyes if center decides to use this program.
7. Request Resource and Referral in Santa Maria for training. Tel no. 805-925-7071

Licensee was provided with the following video links for training and informational purposes.

https://ccld.childcarevideos.org/family-child-care-providers/record-keeping-in-family-child-care/

https://ccld.childcarevideos.org/family-child-care-providers/disaster-planning-and-fire-safety/

https://safetosleep.nichd.nih.gov/resources/videos

Videos para abuelos y personas que cuidan un bebé | Safe to Sleep

https://ccld.childcarevideos.org/family-child-care-providers/transporting-children/

The Licensee, Elida Soto agreed to operate in compliance with Title 22, Division 12, CCR at all times. Upon receipt of this report, licensee shall post this at the FCCH, and provide copies to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Report was reviewed with Licensee, Elida Soto and was translated in Spanish by Regional Manager, Adriana Hernandez.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
LIC809 (FAS) - (06/04)
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