426216726-11-3-2023-17-CC-FVEZ-CX8RXA-20231103132424

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426216726
Report Date: 11/03/2023
Date Signed: 11/03/2023 01:24:31 PM

Document Has Been Signed on 11/03/2023 01:24 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:	CORONA FAMILY CHILD CARE		FACILITY NUMBER:	426216726
ADMINISTRATOR:	SOFIA CORONA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 720-2413
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	11/03/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	11:38 AM
MET WITH:	Sofia Corona		TIME COMPLETED:	01:40 PM

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 11/3/23, Licensing Program Analyst (LPA) Francisca Velazquez conducted an announced Pre-licensing Inspection and met with Applicant, Sofia Corona. LPA informed Applicant of the nature and purpose of the inspection. Applicant informed LPA of the intention to maintain operating hours of a Family Child Care Home (FCCH) from 5:00 AM to 6:00 PM, Monday- Friday. Applicant also informed LPA of the intention to provide care for children 1 month to 10 years of age. Per applicant, there are two (2) adults that live in the FCCH, and two (2) individuals have been fingerprint cleared. LPA toured the interior and exterior of the residence with the Applicant. This is a single-story home that consists of five (5) bedrooms, two (2) bathrooms, living room, dining area, kitchen, laundry room, garage that is used as a studio, outdoor room that is used as storage and outdoor yard. Applicant reported day care services will occur in the living room, dining room, kitchen, bathroom, and outdoor yard. Meanwhile, five (5) bedrooms, one (1) bathroom, laundry room, garage that is used as studio, outdoor room that is used as storage and part of the outdoor yard will be inaccessible to children in care. LPA observed all five (5) bedroom doors, and laundry room have door safety knobs. LPA observed the garage that is used as a studio and the outdoor room that is used as storage are locked. LPA observed a fence in the outdoor yard, making part of the outdoor yard inaccessible to children in care. LPA observed the living room, dining area, kitchen, bathroom, and outdoor yard have plenty of spacing and ventilation for the comfort of children in care. LPA observed sharps are stored in an elevated cabinet in the kitchen. Medication for the family is stored in a separated elevated cabinet in the kitchen. Cleaning compounds were observed to be stored in the laundry room and in an elevated cabinet in the bathroom. LPA notes all these areas are inaccessible to children in care. The bathroom of the FCCH is observed to be clean and free of toxins. LPA observed items, equipment, toys and furnishings for the children in care. CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

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: CORONA FAMILY CHILD CARE	FACILITY NUMBER: 426216726
	VISIT DATE: 11/03/2023

NARRATIVE

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LPA observed a required fire extinguisher (2A10BC) in the home which was purchased on 6/27/23. LPA reminded Applicant of the responsibility to service or purchase a regulation fire extinguisher annually. The home has a smoke detector which was tested at 12:30 PM and found to be operable. The home has a carbon monoxide detector which was tested at 12:30 PM and found to be operable.

LPA and applicant toured the outdoor yard. LPA observe the outdoor yard to be completely fenced. LPA observed the exits are secured. LPA observed part of the outdoor yard is made inaccessible by means of a fence. LPA observed the garage has been converted into a studio with small living room, bedroom, and kitchenette. Per applicant, her adult child stays in the garage/studio. LPA observed an outdoor room that is used as storage by the Applicant. LPA observed there is plenty of shading for the children in care. Applicant and LPA discussed active supervision when children are playing in the outdoor yard. Applicant reported filtered water will be accessible by means of individual water cups. LPA notes no bodies of water were observed. Per Applicant there are no guns or ammo in the home.

LPA's record review revealed Applicant completed Preventative Health training on 9/21/23. Further, Applicant completed Mandated Reporter training on 4/24/23 and Pediatric CPR/First Aid (EMSA approved) on 4/9/23. Applicant completed FCCH orientation on 3/17/20. LPA reminded Applicant of obligation to maintain current training and certifications. Applicant does not have liability insurance for the license as of yet. LPA provided Applicant with Affidavit Regarding Liability Insurance form (LIC 282). The FCCH received fire clearance from the Santa Maria Fire Department on 9/8/23.

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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

The applicant owns the home and provided proof of control of property.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

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: CORONA FAMILY CHILD CARE	FACILITY NUMBER: 426216726
	VISIT DATE: 11/03/2023

NARRATIVE

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The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (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.

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. Entrance Checklist was provided to the applicant.

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, 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.

On this date, 11/3/23, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicant, informed of the MyChildCarePlan.org site, 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.

A notice of site visit was given to applicant, and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the applicant, Sofia Corona. Report was reviewed in Spanish due to Applicant being Spanish speaking. CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

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: CORONA FAMILY CHILD CARE	FACILITY NUMBER: 426216726
	VISIT DATE: 11/03/2023

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 platforms. 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 home meets Title 22 of CCR requirements for a Large Family Child Care license effective today. Effective date of license is today 11/3/23.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

LIC809 (FAS) - (06/04)

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