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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426217068
Report Date: 08/01/2024
Date Signed: 08/01/2024 12:31:41 PM

Document Has Been Signed on 08/01/2024 12:31 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:ALCANTAR FCC AKA AALIYAH FAMILY CHILD CAREFACILITY NUMBER:
426217068
ADMINISTRATOR/
DIRECTOR:
AALIYAH ALCANTARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 363-1573
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/01/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Aaliyah AlcantarTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 08/01/2024, Licensing Program Analysts (LPAs) Martina Jimenez and Matthew Sapien, conducted an announced, Pre-licensing inspection for a Small Family Child Care Home (FCCH) license. LPAs met with Aaliyah Alcantar, applicant, the purpose of the inspection was discussed and together LPA and Applicant toured the inside and outside of the home. There were no children in care at the time of the inspection.

The applicant is requesting a large family childcare license. The home is a single level home, which consists of three (3) bedrooms, two (2) bathrooms, living room, kitchen, dining area, day-care room, garage and outdoor play area. LPA notes that the day care services will occur in the living room, dining area, day-care room, kitchen, bathroom, and outdoor play area. LPAs notes, the three (3) bedroom, bathroom, and garage doors have safety knobs making these areas inaccessible to children in care. LPAs observed small objects on the carpet floor in the living room.

LPAs observed the FCCH is fully equipped to meet the needs of children in care. LPAs observed that the FCCH is clean and orderly. In addition, there is plenty of ventilation for the children in care. LPAs did not observe any toxins nor hazards items accessible to children in care. LPAs observed that knives and medication are stored in an elevated cabinet in the kitchen inaccessible at the time of the inspection.
Continues on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 6
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: ALCANTAR FCC AKA AALIYAH FAMILY CHILD CARE
FACILITY NUMBER: 426217068
VISIT DATE: 08/01/2024
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Cleaning compounds were observed in a secured hallway cabinet at the time of the inspection making the cleaning compounds inaccessible to children in care. The bathroom to be used for children in care was observed to be clean and free of toxins. LPAs observed child size furniture and material for activities throughout the home in areas that will be accessible to children in care.

LPAs and applicant toured the outdoor play area. In addition, Filtered water will be accessible by means of water jug with individual water cups. The play area has age-appropriate toys and day-care equipment. LPAs observed nails along the fence, glass on the floor, and rose accessible in the children's play area. LPAs advised the applicant children must never be unsupervised while the children are at the play area.

· 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.

· All adults living and working in the home shall be made of aware of the Department inspection rights authority.



There are two (2) adults living in the home, which all adults residing in the home have been fingerprint cleared.

This Report Continues on LIC 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC809 (FAS) - (06/04)
Page: 2 of 6
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: ALCANTAR FCC AKA AALIYAH FAMILY CHILD CARE
FACILITY NUMBER: 426217068
VISIT DATE: 08/01/2024
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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.

LPAs observed a regulation 2A10BC fire extinguisher in the FCCH at the time of
the inspection. Licensee is reminded to service or purchase the fire extinguisher yearly. LPA observed applicant test a combination smoke and carbon monoxide detectors in the home at 10:09 AM and were functioning at the time of the inspection. Applicant stated that there are no weapons or ammunition in the home. Applicant stated she does not hold a foster family license.

Applicant completed the Family Child Care Orientation on 01/11/2021. Applicant completed the Preventative Health & Safety on 12/23/2020. Applicant is current with immunization required per SB 792. Applicant Pediatric First Aid/CPR certificate is valid until 02/24/26. Applicant’s Mandated Reporter Training certificate is valid until 07/12/2026.

The applicant provided proof of control of property. Control of property was verified via receipt of a copy of Grant Deed.

This Report Continues on LIC809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC809 (FAS) - (06/04)
Page: 3 of 6
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: ALCANTAR FCC AKA AALIYAH FAMILY CHILD CARE
FACILITY NUMBER: 426217068
VISIT DATE: 08/01/2024
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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 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 web page 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, 08/01/2024, 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

This Report Continues on LIC809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC809 (FAS) - (06/04)
Page: 4 of 6
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: ALCANTAR FCC AKA AALIYAH FAMILY CHILD CARE
FACILITY NUMBER: 426217068
VISIT DATE: 08/01/2024
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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.

Applicant was made aware the responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov.

This Report Continues on LIC809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: ALCANTAR FCC AKA AALIYAH FAMILY CHILD CARE
FACILITY NUMBER: 426217068
VISIT DATE: 08/01/2024
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On June 26, 2024, the applicant submitted documentation for a large FCCH license. The applicant is seeking a Large FCCH with a capacity of 14 children. The Santa Maria Fire Department granted a fire clearance following an inspection completed at FCCH on July 17, 2024.

The FCCH license is pending the following corrections:

1. Clean all the small objects from the living room floor
2. Secure the roses in the children's play area
3. Repair broken living room window
4. Remove nails along the fence line
5. Emergency disaster - Second temporary location
6. Infant Napping equipment
7. Receipt for fire extinguisher

The applicant will submit verification of the above corrections to CCLD by 8/9/2024, via email: Martina.Jimenez@dss.ca.gov

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, Aaliyah Alcantar.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC809 (FAS) - (06/04)
Page: 6 of 6