426217192-11-7-2024-17-CC-EGEE-DASVFL-20241107152407

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426217192
Report Date: 11/07/2024
Date Signed: 11/07/2024 03:24:13 PM

Document Has Been Signed on 11/07/2024 03:24 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	JARAMILLO FAMILY CHILD CARE		FACILITY NUMBER:	426217192
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	11/07/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:15 PM
MET WITH:	Jimena Jaramillo		TIME VISIT/ INSPECTION COMPLETED:	03:45 PM

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	On 11/07/24, at 1:15 PM, Licensing Program Analysts (LPAs) Elizabeth George and Giovani Gonzalez conducted an announced pre-licensing inspection at the above-mentioned residence. LPAs met with applicant Jimena Jaramillo and husband and informed them of the purpose of this inspection. Applicant stated her operating hours of the Family Child Care Home (FCCH) will be Monday – Saturday from 5AM to 5:30PM. Applicant intends to care for children 0 months to 12 years of age. Applicant's infant child was present at the time of the inspection. LPAs in the company of the applicant toured the interior and exterior of the home in its entirety. The residence is a three bedroom, two and a half bathroom single story home. The home's family room, dining room, kitchen, half bathroom and backyard play area will be used for child care services. The three bedrooms, two bathrooms, living room, nook/dining area, patio room and garage will be excluded. LPAs observed the home to be clean and orderly. LPAs observed the home has sufficient space and ventilation for children in care. LPAs observed that medications are stored in the kitchen on a high shelf out of reach of children as well as in the master bedroom inaccessible to children in care. The family room and dining room are intended to be the primary use for the daycare. LPAs observed age appropriate toys and equipment. LPA's observed the bathroom to be used for children is free of hazards and toxins. Sharps in the home are located in a locked drawer as well as on the kitchen counter beyond children's reach. LPAs advised applicant on moving the sharps located on top of the counter top in the case she has older children in care. Cleaning compounds are secured under the kitchen sink as well as in the laundry room which is inaccessible to children and excluded from care. The backyard is enclosed by wood fencing. The play area intended for children is fenced on both sides with a latched gate. LPAs observed brick as flooring in the backyard play area. Age appropriate toys were observed in the backyard. LPAs observed no bodies of water on site. Applicant informed LPAs that there are no firearms or ammunition in the home. cont. on 809-C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: JARAMILLO FAMILY CHILD CARE	FACILITY NUMBER: 426217192
	VISIT DATE: 11/07/2024

NARRATIVE

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LPAs observed a fire extinguisher (2A10BC) in the home which was purchased on 11/02/24. LPAs reminded applicant of the responsibility to service or purchase a regulation fire extinguisher annually. The home has multiple dual smoke/carbon monoxide detectors. The smoke/carbon monoxide detector in the living room was tested at 1:46PM and found to be operable.

LPAs record review revealed applicants' Mandated Reporter training was completed on 05/07/24 (expiring on 05/07/26), and Pediatric CPR/First Aid (EMSA approved) completed on 05/11/24 (expiring 05/11/26). Applicant completed Preventative Health Training on 06/02/24. LPA reminded applicant of obligation to maintain current training and certifications.

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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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.

LPAs 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-andresources/safe-sleep, as an additional resource. LPAs advised applicant about applicants infant child is part of the daycare and must also adhere to safe sleep guidelines when in care.
cont. on 809-C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024

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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: JARAMILLO FAMILY CHILD CARE	FACILITY NUMBER: 426217192
	VISIT DATE: 11/07/2024

NARRATIVE

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This report was amended on 11/12/24.

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, 11/07/24, 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.

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.

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-carelicensing/subscribe and select the Child Care option to receive email communication.

The home meets Title 22 of CCR requirements for a Small Family Child Care License. Effective date of the license will be noted as the present day 11/7/2024.

Exit interview conducted and report was reviewed with the Applicant Jimena Jaramillo.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Elizabeth George
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024

LIC809 (FAS) - (06/04)

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