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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216773
Report Date: 10/02/2024
Date Signed: 10/02/2024 05:40:51 PM

Document Has Been Signed on 10/02/2024 05:40 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:AVILA FCC AKA OASIS DAYCAREFACILITY NUMBER:
426216773
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
10/02/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Brenda AvilaTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
NARRATIVE
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On October 10/2/2024 at 12:00 PM Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Plan of Correction inspection at the above Family Child Care Home. (FCCH. LPA met with licensee Brenda Avila, and assistant, Margaux Hanson and discussed the purpose of the inspection. There were 4 children and 2 staff present.

On 9/25/2024, FCCH was cited for the following deficiencies:
1. 102425(b) Infant Safe Sleep The napping Infant # 1 was observed in a playpen with a blanket on the side.
2. 102425(c) Individual Safe Sleep Plan (LIC 9227) was not completed for Infant 1

On 10/2/2024, LPA confirmed that there was no blanket on infants who are not capable to move or remove it on their own. It was also noted that Individual Safe Sleep Plan was completed for infants 0-12 months of ages as required by the California Code of Regulations (CCR). Licensee also submitted an updated facility plan, indicating an open space in the living room instead of a bedroom.

It is also noted that FCCH was previously issued license on 6/26/2017 under license no. 4262154580 which was closed on 12/2/2020. Licensee subsequently applied for new license which was issued on 11/30/2023 under license no. 426216773, On 7/17/2024, Licensee submitted an application for a Large FCCH license.
Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2024
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: AVILA FCC AKA OASIS DAYCARE
FACILITY NUMBER: 426216773
VISIT DATE: 10/02/2024
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Fire Safety Inspection Clearance was granted on 9/23/2024.

Effective today, a large Family child Care Home License is granted.

Notice of Site Visit was issued. Exit interview conducted and report was reviewed with Licensee and assistant.

Inspection and report review was translated in Spanish with the aid of translator equipment and the assistant.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024
LIC809 (FAS) - (06/04)
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