426217019-5-22-2024-17-CC-GGOZ-D5HPGK-20240522111827

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426217019
Report Date: 05/22/2024
Date Signed: 05/22/2024 11:18:40 AM

Document Has Been Signed on 05/22/2024 11:18 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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	TOVILLA NOLASCO FCC AKA CENTRAL COAST FCC		FACILITY NUMBER:	426217019
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	05/22/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Luz Tovilla Nolasco		TIME VISIT/ INSPECTION COMPLETED:	11:30 AM

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This is a change of location, previous facility number 426216321.

On May 22, 2024 Licensing Program Analyst (LPA) Giovani Gonzalez conducted an announced Prelicensing-Change of Location inspection. LPA met with applicant Luz Tovilla Nolasco and informed them the purpose of the inspection. LPA in the company of the applicant toured the interior and exterior of the residence in its entirety. At the time of the inspection no children were present.

Applicant requested a change of location 5/15/2024, for a Small Family Child Care Home License. The residence is a single story home that consists of 3 bedrooms, 2, bathrooms, kitchen, living room, and a an attached garage. LPA notes that the applicant does not have access to the attached garage. The home will be using the living room, 1 bedroom and 1 bathroom for child care purposes while the remainder of the home is excluded from care.

LPA observed the children's area to be clean and have plenty of ventilation for children in care. LPA observed the bedroom to have age appropriate equipment for children. LPA observed the living room to be clean and orderly. LPA observed and fire place to be covered by a bookshelf. LPA observed the bathroom to be used for children to be clean and free of toxins. LPA notes that the home has closets in the hallways that are secured with child proof locks. LPA observed the bedrooms to be secured with child proof locks as well and the kitchen to be made inaccessible to children in care with a retractable gate. LPA reminded applicant that in order for the areas to be inaccessible the locks and gates must always be in place. LPA observed the home's cleaning supplies to be stored in under the sink in the kitchen, which is secured with a child proof lock. Applicant informed LPA that they will be keeping detergents in an elevated cabinet, beyond the reach of children in care. Applicant informed LPA that they will be storing their sharps in an elevated cabinet in the kitchen and medication to be stored in a bathroom that is inaccessible to children.

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SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024

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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: TOVILLA NOLASCO FCC AKA CENTRAL COAST FCC	FACILITY NUMBER: 426217019
	VISIT DATE: 05/22/2024

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LPA observed the back yard to completely enclosed. LPA observed sufficient space for children's activities and age appropriate equipment. LPA observed the exit way to be secured with a latch that is beyond the reach of children in care. LPA observed a storage shed that is locked. LPA reminded applicant that the shed must remain locked in order for it to be considered in accessible to children. LPA observed a door that leads to the the master bedroom and reminded applicant that it must be secured as well to insure that the room is inaccessible when children are outside.

LPA observed a regulation fire extinguisher (2A10BC) that was serviced 5/16/2024. LPA reminded applicant to purchase or service a regulation fire extinguisher annually. LPA observed a combination smoke and carbon monoxide detector which was tested at 9:47AM and found to be operational. Applicant informed LPA that there are no firearms in the home. Applicant's Mandated Reporter training was completed on 3/1/2024, and CPR/First aid was completed on 1/31/2024. LPA informed applicant that it is their responsibility to ensure that their training and certificates are current.

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.

The applicant provided proof of control of property. Because the applicant rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

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.

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SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024

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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: TOVILLA NOLASCO FCC AKA CENTRAL COAST FCC	FACILITY NUMBER: 426217019
	VISIT DATE: 05/22/2024

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LPA reviewed with applicant, 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. Entrance Checklist was provided to the applicant.

LPA discussed the safe sleep regulations with applicant 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. 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, 5/22/2024, 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 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 by California DOJ.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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.

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SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024

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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: TOVILLA NOLASCO FCC AKA CENTRAL COAST FCC	FACILITY NUMBER: 426217019
	VISIT DATE: 05/22/2024

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	The home meets Title 22 of CCR requirements for a Small Family Child Care license. The effective date of license is 5/27/2024 Exit interview conducted and report was reviewed with the applicant Luz Tovilla Nolasco. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024

LIC809 (FAS) - (06/04)

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