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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216797
Report Date: 02/12/2025
Date Signed: 02/12/2025 11:47:20 AM

Document Has Been Signed on 02/12/2025 11:47 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:FUENTES FAMILY CHILD CAREFACILITY NUMBER:
426216797
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
02/12/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:14 AM
MET WITH:Elsa FuentesTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 2/12/25, at 9:14 AM, Licensing Program Analyst (LPA) Joaquin Mendez conducted an unannounced Annual Random inspection and capacity increase visit of the abovementioned Family Childcare Home (FCCH). LPA met with Elsa Fuentes, Licensee of the FCCH, and explained the nature and purpose of the inspection. The Licensee is requesting a capacity increase from 8 children (small license) to 14 children (large license). LPA observed appropriate licensing forms and documents posted prominently to a bulletin board at the entry of the FCCH. At the time of inspection there were the licensee and spouse alone in the home.

The LPA, in the company of Licensee, toured the interior and exterior of the FCCH. The FCCH is a three bedroom and three-bathroom two story home. The living room (converted play area), bathroom located at the entry way of the home, and the homes backyard are utilized for childcare services, while the remainder is excluded (three bedrooms, kitchen, garage, and additional 2 bathrooms). LPA observed a gate at the entrance of the kitchen making it inaccessible. Additionally, a retractable gate was observed at the base of the stairs making the second floor of the home also inaccessible.

LPA observed the FCCH to be orderly and clean.

· The bathroom, utilized for childcare services, is clean and free of toxins.

· Cleaning compounds were observed in a locked cabinet in the locked garage inaccessible to children in care.

· Sharps were observed on a locked elevated cabinet in kitchen.

· Medication was observed in an elevated locked kitchen cabinet.

· LPA observed toys, books, furnishings, and other age-appropriate equipment throughout the interior (living Continue on LIC809C pg2

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: FUENTES FAMILY CHILD CARE
FACILITY NUMBER: 426216797
VISIT DATE: 02/12/2025
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room area) of the FCCH.

· LPA observed a smoke detector and was tested at 9:53AM and carbon monoxide detector and was tested at 9:51AM. The smoke and carbon monoxide detectors were found to be operational.

· LPA observed a regulation fire extinguisher in the FCCH, which was last serviced on 11/06/24. LPA reminded the Licensee to service or purchase a regulation fire extinguisher yearly.

· When reviewing records LPA notes there was no documented fire/disaster drill log. Licensee stated she was unaware the fire/earthquake drills were required for a small FCCH. LPA provided the licensee a technical violation LIC9102 on today’s visit. LPA reminded the licensee that the disaster drills must be conducted every 6 months per regulation.

LPA observed the backyard area to be fully fenced by wood. The playground is made up of varying surfaces (concrete pavement and artificial grass for cushioning around the playground structure). Licensee informed LPA that children are always supervised when engaged in outdoor activities.

· LPA observed a locked shed in the area of the backyard that is inaccessible by means of a gate. Inside the shed was the storage of yard tools.

· Like the interior of the FCCH, the backyard has age-appropriate equipment and play structures throughout the area that can appropriately afford for childcare services.

· LPA also observed and confirmed that there are no bodies of water on site.

LPA reviewed children's records. The records are current, complete, and possessed emergency contact information and immunization records, among other relevant licensing documents and forms. The Licensee's records were also viewed.

· The Licensee’s Pediatric CPR and First Aid certifications (EMSA approved) expiring on 9/30/2025.

· Mandated Reporter Training, expiring on 9/19/25, is current and complete as are other relevant licensing forms and documents. Licensee was reminded to renew certifications and training prior to expirations.

· The Licensee verbally stated that there are no firearms or ammunition stored on site.

Continue on LIC809C pg3

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: FUENTES FAMILY CHILD CARE
FACILITY NUMBER: 426216797
VISIT DATE: 02/12/2025
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The Licensee does not currently provide medication or Incidental Medical Services (IMS) to current children in care. IMS policy was discussed. For IMS information see PIN 22-02CCP. 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 Licensee 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.

No prohibited equipment will be allowed or used in the home. No baby bouncers, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are not permitted in the facility.

LPA also informed Licensee 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.

Licensee 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.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility when the LPA completed a RSO profile in FAS on 2/12/25.

On 1/08/2025, the Licensee submitted documentation for a FCCH change of capacity. The Licensee is seeking to change the FCCH’s capacity from 8 (Small FCCH) to 14 (Large FCCH). The Santa Maria Fire Department granted a fire clearance following an inspection completed at FCCH on 1/28/2025.

Continue on LIC809C pg4

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: FUENTES FAMILY CHILD CARE
FACILITY NUMBER: 426216797
VISIT DATE: 02/12/2025
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Today, no deficiencies were cited under Title 22 Division 12 Appeal rights given. However An LIC9102 TV was issued for no record of fire/earthquake drills conducted. LPA reminded the licensee the importance of maintaining updated fire/earthquake drills every 6-months. A blank fire/earthquake drill form was supplied to the licensee.

The home meets Title 22 of CCR provisional requirements for a Large Family Childcare license effective today. Effective date of license is today 2/12/2025.

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 licensee, Elsa Fuentes in the licensee’s preferred language, Spanish.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Joaquin Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
LIC809 (FAS) - (06/04)
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