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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216582
Report Date: 10/02/2024
Date Signed: 10/02/2024 11:17:19 AM

Document Has Been Signed on 10/02/2024 11:17 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:GONZALEZ GARCIA FCCFACILITY NUMBER:
426216582
ADMINISTRATOR/
DIRECTOR:		ADRIANA GONZALEZ GARCIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 245-9058
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
10/02/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Adrian Gonzalez GaciaTIME VISIT/
INSPECTION COMPLETED:
11:20 AM
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On 10/2/2024, at 9:30 AM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Case Management inspection at the Gonzalez Garcia Family Child Care Home (FCCH). LPA met with licensee, Adriana Gonzalez and assistant /spouse, Carlos Gutierrez Medina and discussed the purpose of the inspection. FCCH operates from Monday to Friday, 5:00 AM to 5:00 PM, and provides care to children age 0 to 13 years old.

The licensee submitted an application in August 31, 2024 to include an additional day care area in the home. The additional space is an Accessory Dwelling Unit (ADU) which was completed on 7/25/2024. The ADU will be used as a designated day care area for younger children. The ADU consists of kitchenette and full bathroom. Age appropriate toys equipment, playpen were observed. LPA reviewed the Certificate of Occupancy issued by City of Santa Maria, Control of Property was also reviewed. Fire Safety inspection clearance was issued on 9/19/2024. Licensee is current with the required training, Pediatric CPR and First Aid was completed on 4/16/2023 , while Mandated reporter training was completed on 9/12/2024.
As of this date, the following areas will now be accessible to day care children: Living Room, Dining area, Kitchen, ADU and fenced Backyard.
The off limit areas are; 2nd floor where 3 bedrooms and 2 baths are located. It was noted that the bottom of the staircase is barricaded with a baby gate indicating it inaccessibility to day care children.

No deficiency was cited during today's inspection and effective as of today, 10/2/2024 the ADU is approved for use as a designated day care area.

Notice of Site Visit was issued. Exit interview conducted and report was reviewed with licensee, Adriana Gonzalez Garcia.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2024
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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