426216797-1-4-2024-17-CC-GRES-CZ6U2V-20240104141235

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426216797
Report Date: 01/04/2024
Date Signed: 01/04/2024 02:12:45 PM

Document Has Been Signed on 01/04/2024 02:12 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:	FUENTES FAMILY CHILD CARE		FACILITY NUMBER:	426216797
ADMINISTRATOR:	ELSA FUENTES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 363-4044
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	01/04/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Elsa Fuentes		TIME COMPLETED:	02:20 PM

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On January 4, 2024 at 12:15 PM, Licensing Program Analysts (LPAs) Gigi Reyes and German Negrete conducted an announced pre-licensing inspection at the above home. LPAs met with the applicant, Elsa Fuentes and spouse Victor Ramos. There are no children present at the time of the inspections

Applicant initially applied for a large Family Child Care Home (FCCH) License, however, due to the absence of one (1) year experience, she is eligible to apply solely for small license.

During the inspection, LPAs toured the interior and exterior of the home, which is a two -story structure consisting of 3 bedrooms, 3 baths. Areas accessible to children will be the living room, dining, bathroom downstairs and fenced backyard, while off-limit areas are the upstairs area with a gate at the bottom of the stair case, kitchen which is gated, garage with child safety lock. LPA observed cots and small chairs are kept in the garage, no playpen was observed, there are no sufficient age appropriate toys, books and equipment for children.

It was noted that knives and cleaning materials are kept inaccessible to children in care. The bathroom is free of hazards. The 2A10 BC fire extinguisher was purchased on 10/24/2023, carbon monoxide and smoke detectors were tested and found to be functional. LPA did not observe any bodies of water, and the applicant stated that there are no guns and ammunition in the home. Control of property was also reviewed.

Continued on LIC 809 C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024

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: FUENTES FAMILY CHILD CARE	FACILITY NUMBER: 426216797
	VISIT DATE: 01/04/2024

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Applicant completed the Family Child Care orientation on 1/20/2023. Preventative Health and Safety Training was completed on 10/20/2023. Pediatric 1st Aid/CPR certificate expires on 9/30/2025, while the Mandated Reporter Training expires on 9/19/2025 Applicant was reminded that AB 1207 and Pediatric CPR should be renewed every 2 years. The applicant stated she does not have liability insurance at this time.

LPA discussed the requirement for care providers/employees, including volunteers, to obtain immunization against Influenza, Pertussis, Measles, including verification of TB, with applicant's verification being on file.

Prohibited items and equipment in the FCCH, such as walkers, bouncers, etc., were also reviewed with the applicant, as well as 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. Children's record-keeping requirements were also reviewed.

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 discussed the safe sleep regulations with applicant, and discussed the Child Care Licensing Safe Sleep webpage at:

Continued on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024

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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: FUENTES FAMILY CHILD CARE	FACILITY NUMBER: 426216797
	VISIT DATE: 01/04/2024

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htttps://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, 1/4/2024, 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; 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 childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Continued on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: FUENTES FAMILY CHILD CARE	FACILITY NUMBER: 426216797
	VISIT DATE: 01/04/2024

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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.

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, Elsa Fuentes

Report was translated in Spanish by LPA Negrete

Issuance of Small Family Child Care Home (FCCH) License is pending, pending for further review and completion of the following requirements:

- setting up the home for a day care environment
- obtaining age appropriate toys,
-securing crib or play yard and
- ensuring age appropriate chairs and table are available in the day care area.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024

LIC809 (FAS) - (06/04)

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