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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216720
Report Date: 12/11/2024
Date Signed: 12/11/2024 02:27:12 PM

Document Has Been Signed on 12/11/2024 02:27 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:MENDOZA FCC AKA ESCAMILLA FAMILY DAYCAREFACILITY NUMBER:
426216720
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
12/11/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:20 PM
MET WITH:Janie MendozaTIME VISIT/
INSPECTION COMPLETED:
02:40 PM
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On 12/11/24 at 12:20 PM, Licensing Program Analysts (LPAs) Shane Loftus and Elvin Baddley made an unannounced Annual/Random Inspection of the Family Child Care Home (FCCH). The inspection will also address the Licensee’s request for change of capacity from a small FCCH license to a large FCCH license. LPAs met with Licensee, Janie Mendoza, and explained the purpose of the inspection. LPAs, in the company of Licensee, toured the interior and exterior of the home. The FCCH's family room, living room, kitchen, hallway bathroom, and backyard are used for child care. The remainder of the house is off limits to children secured by a child safety gate. LPAs observed two adults (cleared and associated) and three children on site during the inspection.

The FCCH was observed to be clean and orderly. The FCCH has ventilation for the children in care. LPAs observed licensing forms and documents posted on a wall near the front door of the FCCH. LPAs observed a fireplace in the family room which has glass screening and a child safety gate in front of it, making it inaccessible to children. The bathroom used for child care is observed to be clean and free of toxins. Sharps are located in an elevated cabinet in the kitchen which is secure and inaccessible to children. Detergents and cleaning compounds are stored in the children’s bathroom in a secured elevated cabinet, inaccessible to children in care. Medications are stored in an elevated kitchen cabinet, which is inaccessible to the children in care. LPAs observed a dual carbon monoxide/smoke detector in the FCCH which was tested 12:45 PM and found to be operational. LPAs observed a regulation fire extinguisher in the FCCH which was last serviced on 9/30/24. LPAs reminded the Licensee to service or purchase a regulation fire extinguisher annually.

The FCCH’s backyard is enclosed by cinder blocks and has varied footing surfaces. The entry/exit gates are secured. The backyard is partitioned with a child safety gate to separate the children’s activity area from the excluded area. LPAs note the toys and equipment in the backyard are age appropriate. Additionally, no bodies of water are observed on site.
Continued on 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE: DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/11/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: MENDOZA FCC AKA ESCAMILLA FAMILY DAYCARE
FACILITY NUMBER: 426216720
VISIT DATE: 12/11/2024
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LPAs reviewed a sampling of the children records. Children’s records were reviewed and found to be current and complete including emergency contact information and immunization records. LPAs reviewed the staff’s records which were found to be current and complete including immunization records and CPR/First Aid training. Licensee was reminded to keep certifications current and renew certification prior to expirations. LPAs notes the last fire drill at the FCCH was completed on 8/13/24. Licensee informed LPAs no firearms or ammunition are stored on site.

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

Licensee was reminded that all adults 18 and over living or working in the home, 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.

LPAs discussed the safe sleep regulations with Licensee 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 for additional resource. LPAs also informed Licensee 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.

Licensee 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.

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SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: MENDOZA FCC AKA ESCAMILLA FAMILY DAYCARE
FACILITY NUMBER: 426216720
VISIT DATE: 12/11/2024
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During the exit interview Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPAs completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

No deficiencies were cited during today’s inspection. A Notice of Site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Janie Mendoza. LPAa note that a change of capacity is granted from a small FCCH to a large FCCH license as of 12/11/24. Fire clearance was received on 11/19/24.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
LIC809 (FAS) - (06/04)
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