426216761-10-18-2023-17-CC-FVEZ-CWQP5G-20231018110043

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426216761
Report Date: 10/18/2023
Date Signed: 10/18/2023 11:00:50 AM

Document Has Been Signed on 10/18/2023 11:00 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:	BUENROSTRO FAMILY CHILD CARE		FACILITY NUMBER:	426216761
ADMINISTRATOR:	AMALIA BUENROSTRO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(928) 710-0767
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	10/18/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Amalia Buenrostro		TIME COMPLETED:	11:05 AM

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This is a change of location, previous facility number 426216659.

On 10/18/2023, 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 Amalia Buenrostro, 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 single level home that consists of four (4) bedrooms, two (2) bathrooms, living room, kitchen, dining area, laundry closet, garage and outdoor yard. LPA notes that the day care services will occur in the living room, dining area, kitchen, one (1) bedroom, one (1) bathroom, and outdoor yard. Meanwhile, the three (3) bedrooms, one (1) bathroom and garage will be inaccessible to children in care. LPA notes, all bedroom doors and garage have door safety knobs making these areas inaccessible to children in care.

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 covered and secured. LPA did not observe any toxins nor hazards items accessible to children in care. LPA observed that knives and medication are stored in an elevated cabinet in the kitchen. Cleaning compounds were observed in the laundry closet that is locked and inaccessible. 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. In addition, applicant discussed adding canopies for additional shading. Filtered water will be accessible by means of water jug with individual water cups. The back yard has age-appropriate toys and day-care equipment. LPA and applicant discussed active supervision when children are in the outdoor yard.

There are two (2) adults living in the home, both adults have been fingerprint cleared. CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

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: BUENROSTRO FAMILY CHILD CARE	FACILITY NUMBER: 426216761
	VISIT DATE: 10/18/2023

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LPA observed a regulation 2A10BC fire extinguisher in the FCCH at the time of the inspection that was serviced 08/19/23. 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 10:15 AM 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 hold a foster family license. Applicant is current with immunization required per SB 792.

Applicant Pediatric First Aid/CPR certificate is valid until 01/22/25. Applicant’s Mandated Reporter Training certificate is valid until 02/01/2025. Control of property was verified via receipt of mortgage deed.

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, provided proof of control of property (mortgage deed).

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. 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.

CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

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: BUENROSTRO FAMILY CHILD CARE	FACILITY NUMBER: 426216761
	VISIT DATE: 10/18/2023

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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, 10/18/23, 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 was 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.

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.

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, Amalia Buenrostro.

This home meets Title 22 Division 12 requirements of a Large FCCH license. Effective date of license will be noted as the present, 10/18/23.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023

LIC809 (FAS) - (06/04)

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