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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216773
Report Date: 09/25/2024
Date Signed: 09/25/2024 05:21:46 PM

Document Has Been Signed on 09/25/2024 05:21 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:
09/25/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:40 PM
MET WITH:Brenda AvilaTIME VISIT/
INSPECTION COMPLETED:
05:20 PM
NARRATIVE
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On 9/25/2024 at 2:40 PM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Case Management Inspection at the above Family Child Care Home. (FCCH) LPA met with Licensee/applicant, Brenda Avila and discussed the purpose of the inspection. Applicant/Licensee operates from Monday to Saturday from 500 AM to 5:00 PM and provides care to children ages 2 months to 12 years old.

On 8/14/2024, Licensee/applicant submitted an application to Community Care Licensing (CCL) requesting an increase in FCCH capacity from 8 to 14 day care children.The day care uses the living room, one bathroom, dining and the fenced side yard/patio. During the review of the facility sketch and tour of the home, LPA observed the wall enclosure was no longer present, as the facility sketch originally indicated that the area was a bedroom used for napping children, which is now part of the living room. The licensee/applicant stated that 2 months ago licensee's spouse removed the wall to enlarge the living room. LPA also observed a napping infant Child # 1 in the playpen with a blanket on C1's side. The licensee stated she was under the impression that if the child is able to remove the blanket, the child can use it. It was noted that the child's physical development appears more advanced than the child's age.

Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2024
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: 09/25/2024
NARRATIVE
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LPA reviewed the file of Child # 1 who was enrolled at Child's 5th month, however, LIC 9227 Infant Safe Sleep Plan was not on file.

On September 23, 2024, Santa Maria Fire Department granted the fire safety clearance as required for capacity increase. Fire extinguisher was purchased on 11/8/2023, carbon monoxide and smoke detectors were observed in the hallway of the home.

Pediatric CPR and First Aid expires on 9/16/2025 while Mandated Reporter Training certificate expires and on 9/15/2025.

During today's inspection, deficiencies were cited under Title 22 Division 12.
Licensee/applicant shall submit an amended facility sketch with measurements and indicating the open space in the living instead of a bedroom.

Increase capacity is pending upon submission of the plan of correction for the cited deficiencies and submission of amended facility sketch.

Notice of Site Visit was issued and must be posted for 30 days.


Exit interview conducted and report was reviewed with applicant/licensee Brenda Avila.
Report and inspection was translated in Spanish by Licensee's child.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/25/2024 05:21 PM - It Cannot Be Edited


Created By: Gigi Reyes On 09/25/2024 at 04:25 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: AVILA FCC AKA OASIS DAYCARE
FACILITY NUMBER: 426216773

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/04/2024
Section Cited
CCR
102425(c)

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c) An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file.

This requirement is not met as evidenced by:
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Licensee agreed to submit a plan of correction otlining measures on how to ensure that LIC 9227 must be completed by parents for infant 0-12 months. POC must be submitted no later thatn 9/4/2024.
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LPA reviewed the file of C1 - infant and observed that LIC 9227 was not completed by the authorized representative or by th licensee. This poses a potential risk to health and saety of children in care.
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Type B
10/04/2024
Section Cited
CCR102425(b)

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(b) Cribs or play yards shall be free from all loose articles and objects.

This requirement is not met as evidenced by:
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Licensee agreed to submit a plan of correction stating that a blanket or any loose articles will not be used for napping infants unless the child is physically and developmentally capable of safely removing it on their own. POC to be submitted no later than 10/4/2024. m
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LPA observed napping Infant, Child # 1 in a playpen with a blanket on the side. Although, it was noted that the child's physical development appears more advanced than the child's age, C1 is too young in age for a blanket.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 09/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/25/2024


LIC809 (FAS) - (06/04)
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