426217158-9-16-2024-17-CC-GRES-D93R2Q-20240913123843

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426217158
Report Date: 09/13/2024
Date Signed: 09/16/2024 06:43:26 AM

Document Has Been Signed on 09/16/2024 06:43 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	DIAZ FAMILY CHILD CARE		FACILITY NUMBER:	426217158
ADMINISTRATOR/ DIRECTOR:	ALEJANDRA DIAZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 287-0854
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93455
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 1	DATE:	09/13/2024
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:30 AM
MET WITH:	Alejandra Diaz		TIME VISIT/ INSPECTION COMPLETED:	01:00 PM

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This is a change of location, previous License no. was 426215188.
On 9/13/2024 at 10:30 AM, Licensing Program Analyst (LPA) Gigi Reyes conducted an announced pre-licensing inspection at the above-mentioned address. LPA met with applicant, Alejandra Diaz, spouse Jesus Arreola and their minor child. LPA discussed the purpose of the inspection. Family Childcare Home (FCCH) will operate from Monday to Friday and will accommodate evening and night time care for parents with non-traditional work schedule but does not provide a continuous care throughout the day and night. The FCCH will provide care for children 0-14 years old.

Applicant and LPA toured the entire home. LPA observed applicant's biological child. This is a two story home consists of 5 bedrooms and 3 baths. Accessible areas for day care children are the entry hallway, dining, family room, one bedroom downstairs, one bathroom, and fenced backyard. Inaccessible areas are the 2^nd floor where 3 bedrooms and one bath are located, garage, living room and kitchen. The off-limit areas are barricaded with baby gate making them inaccessible to day care children. LPA noted that sharps, medicine, and toxins are kept inaccessible to day care children. LPA observed age-appropriate toys and equipment in the home.

The bathroom for children’s use is free of toxins during the time of the inspection. Dual carbon monoxide and smoke detectors were tested and found to be functional. Fire extinguisher was purchased on 8/1/2024.

Continued LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024

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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: DIAZ FAMILY CHILD CARE	FACILITY NUMBER: 426217158
	VISIT DATE: 09/13/2024

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The applicant stated that gun is locked in the off-limit area and there is no ammunition in the home. Applicant provided the proof of control of property.

Applicants completed the FCCH orientation back in 2015 during the initial application of the previous license, preventative health, and nutrition was also completed in 2015. Applicant also completed Pediatric 1st Aid/CPR training on 8/14//2024 (expires on 8/14/2026) while the Mandated Reporter Training was completed on 10/17/2022 (expires on 10/17/2024) Applicant was reminded that it is her responsibility to renew the required training every two years.

LPA discussed the requirement for care providers/employees, including volunteers, to obtain immunization against Influenza, Pertussis, Measles, including verification of TB, with applicant's verification being on file.

Prohibited items and equipment in the FCCH, such as walkers, bouncers, etc., were also reviewed with the applicant, as well as 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. Children's record-keeping requirements were also reviewed.

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.

Continued on LIC 809C.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024

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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: DIAZ FAMILY CHILD CARE	FACILITY NUMBER: 426217158
	VISIT DATE: 09/13/2024

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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. 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, 9/13/2024, 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; 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 childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Continued LIC 809C.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024

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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: DIAZ FAMILY CHILD CARE	FACILITY NUMBER: 426217158
	VISIT DATE: 09/13/2024

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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.

Fire Safety inspection clearance was granted on 8/29/2024

The Large Family Childcare Home License is granted effective 9/13/2024.

Exit interview conducted and report was reviewed with applicant, Alejandra Diaz.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024

LIC809 (FAS) - (06/04)

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