426216615-8-24-2023-17-CC-GGOZ-CUZPFE-20230824111637

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426216615
Report Date: 08/24/2023
Date Signed: 08/24/2023 11:17:54 AM

Document Has Been Signed on 08/24/2023 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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	CASTILLO FAMILY CHILD CARE		FACILITY NUMBER:	426216615
ADMINISTRATOR:	ALYSSA CASTILLO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 717-6458
CITY:	LOMPOC	STATE: CA	ZIP CODE:	93436
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 2	DATE:	08/24/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Alyssa Castillo		TIME COMPLETED:	11:30 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 8/24/23 at 9:20AM Licensing Program Analyst (LPA) Giovani Gonzalez conducted an announced prelicensing inspection at the above mentioned residence. LPA met with Applicant Alyssa Castillo and informed them the purpose of the inspection. Applicant informed the intention to maintain operating hours of the Family Child Care Home Monday through Friday 6AM - 6PM. Applicant has the intention to care for children 6 months - 12 years old. At the time of inspection LPA notes that the Applicant was caring for 2 of their own children. LPA, in the company of the Applicant, toured the interior and exterior of the residence in its entirety. The residence is a 4 bedroom, 3 bathroom, 2 story home. Downstairs bedroom, bathroom, and family room will be used for child care purposes while the garage, kitchen, living room and upstairs bedrooms are excluded from care. The excluded areas are blocked off by gates which must remain closed while children are in care. LPA observed the home to be clean and orderly. The home has sufficient spacing and ventilation for children in care. The home has a gas stove which is inaccessible to children to in care and in an excluded area of the home. The bathroom to be used for children in care was observed to be clean and free toxins. Medication in the home is located upstairs in an elevated cabinet in an excluded area of the home. Cleaning compounds are stored in the garage and in the kitchen which are excluded areas of the home. Sharps are on an elevated shelf in the pantry, beyond the reach of children and in an excluded area of the home. LPA observed a regulation fire extinguisher (2A10BC) in the home which was purchases 8/24/23. LPA reminded Applicant the responsibility to service the or purchase a regulation fire extinguisher annually. The home has numerous smoke and carbon monoxide detectors. Fire Clearance was granted 7/26/23. The home's backyard is enclosed by walls and wooden doors on both sides of the home. LPA observed that the gates can be locked. LPA observed a shed in the backyard and exposed sprinklers. (CONT 809C -->)

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023

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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CASTILLO FAMILY CHILD CARE	FACILITY NUMBER: 426216615
	VISIT DATE: 08/24/2023

NARRATIVE

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LPA informed the Applicant that in order to use the backyard they must lock the shed and remove or fix the exposed sprinklers. LPA informed Applicant that it is fine to use the backyard patio as long as children are supervised at all times.

LPA's record review revealed Applicants' Mandated Reporter training was completed on 3/9/23, (expiration 3/9/25) and Pediatric CPR/First Aid (EMSA approved) was completed on 3/5/23 (expiration 3/5/25). LPA reminded Applicant of obligation to maintain current training and certifications. Applicant completed Preventative Health Training 3/5/23. LPA reviewed Applicants' control of property document (Mortgage Statement). Applicant does not have liability insurance for the home at this time. LPA provided Applicant with Affidavit Regarding Liability Insurance form (LIC 282). Applicant informed LPA no firearms or ammunition 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 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 Alyssa Castillo 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 as an additional resource. LPA also informed Applicant Amanda Haywood ] 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.

(CONT PAGE 3 -->)

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023

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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CASTILLO FAMILY CHILD CARE	FACILITY NUMBER: 426216615
	VISIT DATE: 08/24/2023

NARRATIVE

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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.

Applicant was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the Alyssa Castillo, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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.

Exit interview conducted and report was reviewed with the Applicant Alyssa Castillo. The home meets Title 22 Division 12 requirements of a Large FCCH License. Effective date of license will be noted as the present, 8/24/2023.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023

LIC809 (FAS) - (06/04)

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