426216583-5-12-2023-17-CC-GRES-CRRNGU-20230512102744

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426216583
Report Date: 05/12/2023
Date Signed: 05/12/2023 10:27:54 AM

Document Has Been Signed on 05/12/2023 10:27 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:	SALCIDO FAMILY CHILD CARE		FACILITY NUMBER:	426216583
ADMINISTRATOR:	SALCIDO, PRISCILLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 406-6659
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	05/12/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Priscilla Salcido		TIME COMPLETED:	10:40 AM

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 May 12th, 2023, at 8:45 AM, Licensing Program Analysts (LPAs) Gigi Reyes and Dixie Wright conducted an announced pre-licensing inspection and met with Applicant, Priscilla Salcido. LPAs asked pre screening questions related to COVID-19, applicant's responses indicate there are no COVID-19 exposure on site. LPAs discussed the purpose of the inspection. The Family Child Care Home hours of operation will be Monday to Friday from 6:30 AM to 5:30 PM. LPAs in the company of the applicant toured the home inside and outside. This is a one story home with three bedrooms and two baths. Areas accessible to children will be the play room, living room, dining, hallway, bathroom, and the backyard. One of the bedrooms will be used as a napping room. Off limit areas are the two other bedrooms, one bathroom and the garage. LPA observed age appropriate toys, equipment, cots and play pens. Kitchen cabinets have plastic latches. First Aid/CPR expires on 02/11/2025. Mandated Reporter training expires on 06/19/2023. Orientation was completed on 01/07/2023. Preventative Health training was taken on 04/13/2023. The 2A10 BC fire extinguisher was purchased on 04/02/2023. The carbon monoxide detector was tested and functioning. Smoke detectors are wired and there is a fire pull station near the back sliding door. Hazardous items are kept inaccessible to children in care. LPAs observed a hot tub with the proper covering and is locked. Applicant stated there are no guns and ammunition in the home. The back yard is enclosed with a wooden and brick fences. The control of property was reviewed and signed consent form is in place. . Continued on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023

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: SALCIDO FAMILY CHILD CARE	FACILITY NUMBER: 426216583
	VISIT DATE: 05/12/2023

NARRATIVE

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Applicant was reminded that AB 1207 and Pediatric CPR should be renewed every 2 years. Applicant stated she does not have liability insurance at this time. LPA discussed the requirement for care providers/employees, including volunteers to obtain immunization against Influenza, Pertussis, Measles, including verification of TB. Applicant's verification is on file.

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 Centers 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

LPA discussed the safe sleep regulations with applicant, and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep

Continued on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023

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: SALCIDO FAMILY CHILD CARE	FACILITY NUMBER: 426216583
	VISIT DATE: 05/12/2023

NARRATIVE

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as 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 equipment

LPA discussed the California Code of Regulations, Title 22, Section 102426 Overnight Care with the applicant .

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. Children's record keeping requirements were reviewed.

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.

The fire clearance was granted on 4/27/2023. Large Family Child Care Home License was issued and effective today, 5/12/2023.

Notice of Site Visit was issued, The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Appeal Rights were given and explained.

Exit interview conducted and report was reviewed with the applicant, Priscilla Salcido

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023

LIC809 (FAS) - (06/04)

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