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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426217095
Report Date: 01/15/2025
Date Signed: 01/15/2025 12:29:15 PM

Document Has Been Signed on 01/15/2025 12:29 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:MENDOZA FCC AKA CRIS" DAYCAREFACILITY NUMBER:
426217095
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
01/15/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Guadalupe MendozaTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
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On 1/15/2025 at 11:15 AM, Licensing Program Analysts, (LPAs) Gigi Reyes and Fernando Hernandez conducted an unannounced Case Management inspection for a change of capacity. During the inspection, the LPAs met with applicant, Guadalupe Mendoza, and explained the purpose and scope of the visit. There was one none day care child present with the parent at the time of the inspection who were inquiring about day care.

LPAs and applicant, toured the interior and exterior of the home. LPAs observed that both the interior and exterior specifically the day care areas were free of hazardous materials and/or toxins at the time of the inspection. FCCH uses the open space interconnected living room, kitchen, dining and fenced backyard for day care operation. The second floor with 4 bedrooms are inaccessible to day care children, a baby gate was installed to prevent day care children access. LPAs reviewed Licensee's file, First Aid/CPR certification was verified which will expire on 8/25/2026. Fire Extinguisher was serviced on 12/28/2024. Combination carbon and smoke detectors were tested at 12:03 PM and found operational.

On August 2024, Licensee/applicant submitted an application for a change of capacity. The proposed change is to increase the Family Child Care Home's (FCCH) capacity from 8 to 14. Fire clearance was granted on 12/5/2024.

Continued on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2025
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 3
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: MENDOZA FCC AKA CRIS" DAYCARE
FACILITY NUMBER: 426217095
VISIT DATE: 01/15/2025
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LPA discussed the safe sleep regulations with applicant, and discussed the Child Care Licensing Safe Sleep webpage at:
htttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource.

LPAs 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, January 15, 2025, 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.

The applicant, Guadalupe Mendoza leases the home and 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.

Continued on LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: MENDOZA FCC AKA CRIS" DAYCARE
FACILITY NUMBER: 426217095
VISIT DATE: 01/15/2025
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The applicant, Guadalupe Mendoza has not obtained a signed Property Owner/Landlord Consent form (LIC9149). Without this consent, the applicant understands that, once licensed, they can operate with a maximum capacity of 12 children. If property owner/landlord consent is obtained in the future, the applicant is advised that a new Application for a Family Child Care Home

No deficiencies were cited during the inspection. Issuance of Large FCCH License is pending for further review.



A notice of site visit was given to licensee/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/applicant, Guadalupe Mendoza.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
LIC809 (FAS) - (06/04)
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