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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216803
Report Date: 11/30/2023
Date Signed: 11/30/2023 03:03:48 PM

Document Has Been Signed on 11/30/2023 03:03 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:ABONCE ALVAREZ FCC AKA HAPPY KIDS CHILD CAREFACILITY NUMBER:
426216803
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
11/30/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Cecilia AbonceTIME COMPLETED:
03:20 PM
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On 11/30/23, at 10:05 am, Licensing Program Analyst (LPAs) German Negrete and Elvin Baddley conducted an announced Prelicense inspection at the abovementioned Family Child Care Home (FCCH) . LPAs met with Applicant Cecilia Abonce Alvarez and Gabriela Montejano and explained the nature/purpose of the inspection . It should be noted Gabriela Montejano is the translator for the applicant due to the applicant being Spanish speaking only. There were no children at the home during the inspection.

LPAs toured the interior and exterior of the home. The home is a 2 bedroom, one bathroom single story dwelling. Applicant stated the home’s living room is the main play area and the alternative play area will be the back backyard. The kitchen will be used for snack and lunch for the kids. The FCCH has no garage. Also the hallway bathroom will be used for children in care, while the remainder of the home (one bedroom) will be excluded from children in care. LPAs observed sharp object(knives, forks) in the kitchen were stored in a elevated area inside a cabinet with a child safety lock.



LPAs observed child safety gate in the main hallway. LPA's observed the hallway bathroom to be used for children in care was clean and free of toxins. Cleaning compounds are secured in an elevated cabinet in the home's kitchen. LPA observed operable carbon monoxide and smoke detectors in the home which were tested at 10:30 AM during the inspection. The home also contains a regulation fire extinguisher which was purchased on 10/27/23. The bedroom, in the exclude area of the home, are free of hazards and in good condition.

The backyard is enclosed with a wooden fence. The home's backyard had soft footing caused by soft dirt. The gate to the fence is secured. There are no pets on the FCCH property. . No bodies of water were observed.

LPAs reviewed with Applicants 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. (CONT. 809-C)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2023
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: ABONCE ALVAREZ FCC AKA HAPPY KIDS CHILD CARE
FACILITY NUMBER: 426216803
VISIT DATE: 11/30/2023
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LPA's record review revealed Applicants' Mandated Reporter training was completed on 9/29/23, and Pediatric CPR/First Aid (EMSA approved) was completed on 9/03/23(expiration 9/9/24). LPAs reminded Applicants of obligation to maintain current training and certifications. Applicant completed Preventative Health Training 9/21/23. Because the Applicant rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC 9151) that the Applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149). Applicant does not have liability insurance for the home as of yet. LPAs provided Applicants with Affidavit Regarding Liability Insurance form (LIC 282). Applicants informed LPAs no firearms or ammunition are on site.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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)/ (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

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.



On this date, 11/25/23, 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 address. 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 with California DOJ.

LPAs also informed Applicants of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) (CONT 809-C, Page 3)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
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: ABONCE ALVAREZ FCC AKA HAPPY KIDS CHILD CARE
FACILITY NUMBER: 426216803
VISIT DATE: 11/30/2023
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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.

LPAs discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep


webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

Also 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 platform.

Exit interview conducted and report was reviewed with the Applicants Cecilia Abonce Alvarez. The home meets Title 22, Division 12 of CCR requirements for a Small Family Child Care Home , thus a license is granted, effective on the present, 11/30/23.

Report was completed of site by LPA German Negrete.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
LIC809 (FAS) - (06/04)
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