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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216626
Report Date: 06/02/2023
Date Signed: 06/02/2023 02:50:29 PM

Document Has Been Signed on 06/02/2023 02:50 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:CASTILLO FCCFACILITY NUMBER:
426216626
ADMINISTRATOR:IRMA CASTILLOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 720-4344
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
06/02/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Irma CastilloTIME COMPLETED:
03:15 PM
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This is a change of location, previous facility number 426216147.

On 06/02/2023 at 1:15 PM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an announced change of location, Pre-licensing inspection for a Large Family Child Care Home (FCCH) license. LPA met with Irma Castillo, applicant of the FCCH and discussed the purpose of today’s visit. LPA and Applicant together toured the inside and outside of the home. There were no children in care at the time of the inspection.

Applicant requested a change of location for a large family childcare license. The home is a two-story home with three (3) bedrooms, two in a half (2.5) bathrooms, living room, small living room located in 2nd floor, kitchen, dining area, laundry room, garage and outdoor yard. LPA notes that the day care services will occur in the living room, dining area, kitchen, one (1) bathroom, and outdoor patio. Meanwhile, the three (3) bedrooms, one in a half (1.5) bathrooms and garage will be off-limits to children in care. LPA notes, a small baby gate is located on the first step of the stairway making the entire second floor (two bedrooms, one bathroom and small living room space) inaccessible to children in care. Additionally, the laundry room that lead to the garage both have door safety knobs and master bedroom has a door safety knob.

LPA observed the FCCH is fully equipped to meet the needs of children in care. LPA observed that the FCCH is clean and orderly. In addition, there is plenty of ventilation for the children in care. LPA observed a fireplace in the living room that is made inaccessible by a safety latch. LPA did not observe any toxins nor hazards items accessible to children in care. LPA observed that knives are stored in a kitchen drawer that has a safety lock. CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 06/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/02/2023
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: CASTILLO FCC
FACILITY NUMBER: 426216626
VISIT DATE: 06/02/2023
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Detergents and cleaning compounds were observed under the sink of the kitchen that has magnetic lock, and in the garage. Medication in the home is stored in the bathroom of the master bedroom of the applicant. LPA notes all areas are inaccessible to children in care. The bathroom to be used for children in care was observed to be clean and free of toxins. LPA observed child size furniture and material for activities throughout the home in areas that will be accessible to children in care.

LPA and applicant toured the outdoor yard. LPA observed the exits to be secured. LPA observed there is some shading to afford the children in care. LPA and Licensee discussed adding more shading if needed during summer months. LPA observed a cover fire pit with rocks. Per licensee, the firepit is used during non-operation hours. Filtered water will be accessible by means of water dispenser with individual water cups. The back yard has age-appropriate toys and day-care equipment. LPA observed a body of water by means of a jacuzzi. LPA notes that the jacuzzi is located behind a small fence. LPA observed the jacuzzi has all four locks and can withheld the weight of the applicant. Applicant understands that children cannot have any access to the body of water. LPA and applicant discussed active supervision when children are in the outdoor yard.

There will be one (1) adult living in the home, this adult has been fingerprint cleared.



LPA observed a regulation 2A10BC fire extinguisher in the FCCH at the time of the inspection that was purchased on 05/31/2023. Licensee is reminded to service or purchase the fire extinguisher yearly. LPA observed applicant test a combination smoke and carbon monoxide detectors in the home at 1:30 PM and were functioning at the time of the inspection.

Applicant stated that there are no weapons or ammunition in the home. Applicant stated she does not hold a foster family license. Applicant is current with immunization required per SB 792.

Applicant Pediatric First Aid/CPR certificate is valid until 02/16/2025. Applicant’s Mandated Reporter Training certificate is valid until 05/25/2025. Control of property was verified via receipt of mortgage deed. Applicant received fire clearance from Santa Maria Fire Department on 6/1/2023. CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2023
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: CASTILLO FCC
FACILITY NUMBER: 426216626
VISIT DATE: 06/02/2023
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LPA discussed Incidental Medical Services with the licensee. Incidental Medical Services (IMS) policy was discussed. 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: htttp://www.ada.gov/childqanda.htm

LPA reviewed and provided the handout "A Child Care Provider's Guide to Safe Sleep" (PIN 20-24-CCP), Effects of Lead Exposure, What is Carbon Monoxide, and Self- Assessment. LPA provided a Handout for Reporting Child Abuse and Neglect Training provided online at www.ccld.ca.gov.



This home meets Title 22 Division 12 requirements of a Large FCCH license. Effective date of license will be noted as the present, 06/02/2023.

No deficiencies cited during this visit. Exit interview and review of report was conducted with applicant, Irma Castillo in Spanish due to Spanish being applicant’s primary language. THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2023
LIC809 (FAS) - (06/04)
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