426217241-2-18-2025-17-CC-FHEZ-DDZV9U-20250218151456

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426217241
Report Date: 02/18/2025
Date Signed: 02/18/2025 03:15:32 PM

Document Has Been Signed on 02/18/2025 03:15 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:	ORTEGA FAMILY CHILD CARE		FACILITY NUMBER:	426217241
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	02/18/2025
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:02 PM
MET WITH:	Yareli Ortega		TIME VISIT/ INSPECTION COMPLETED:	03:25 PM

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On 02/18/2025, at 01:00 PM, Licensing Program Analyst (LPA) Fernando Hernandez conducted an announced Pre-licensing Inspection and met with Applicant, Yareli Ortega. LPA informed Applicant of the nature and purpose of the inspection. The applicant informed the LPA of the intention to maintain operating hours of a Family Childcare Home (FCCH) from 5:00 AM to 7:00 PM, Monday- Saturday. The applicant also informed LPA of the intention to provide care for children 0 to 12 years of age. Applicant was informed changes in licensing hours and/or the ages of children supervised and cared for can be altered upon notifying CCLD in writing of the given modifications and/or changes. The applicant reports there are two (2) adults that live in the home and two (2) adults has received criminal record clearance. LPA notes that at the time of inspection there was the applicant in the home.

LPA toured the interior and exterior of the residence with the Applicant. This is a single-story home that consists of four (4) bedrooms, two (2) bathrooms, one (1) living room area, dining room, kitchen, front yard, and outdoor backyard. The applicant stated daycare services will occur in the living room, dining room, kitchen, (1) bedroom (bedroom has been converted into a playroom for the children in care), (1) hallway bathroom, and back outdoor play yard. LPA notes, the front yard will be inaccessible to children in care.

LPA observed that the living room, kitchen, dining room, (1) bedroom, one (1) bathroom, and back outdoor yard to have plenty of spacing and ventilation for the comfort of children in care. The bathroom was clean and orderly. LPA notes there are no toxins and dangerous items in the bathroom accessible to children in care.
· The home has both carbon monoxide and smoke detectors both mounted in the home and was tested at 1:08 PM and found operable.

· LPA notes, the applicant does not have sleep mats or cots to meet the children’s sleeping needs. Confirmation of receipt of a sleeping mats or cots will be sent to LPA Hernandez by email or text.

Continue on LIC 809-C Page 2

SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Fernando Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025

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: ORTEGA FAMILY CHILD CARE	FACILITY NUMBER: 426217241
	VISIT DATE: 02/18/2025

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· LPA did observe a crib or playpen for the comfort of infants.

· LPA observed items, equipment, toys, and furnishings for the children in care that are in good condition and age appropriate. LPA advised the Applicant to check daily for anything which may pose a threat to children in care prior to children having access to play structures and toys.

· LPA reminded the Applicant of the importance of monitoring infants and keeping up with the infant safe sleep plan and log.

· Knives are stored in an elevated cabinet in the kitchen made inaccessible.

· Dish soap and cleaning supplies are in locked in hallway closet made inaccessible.
· Family medication is in an elevated locked cabinet in the kitchen made inaccessible.
· LPA observed a required fire extinguisher (2A10BC) in the home next to the bathroom door, however a proof of purchase or serviced date was not observed. LPA informed applicant to submit proof of purchase or serviced date to LPA Hernandez by email or text. LPA reminded Applicant of the responsibility to service or purchase a regulation fire extinguisher annually.
· Applicant reported drinking water will be accessible by means of water bottles for the children in care.

The home's backyard is enclosed by a combination of wooden and chain linked fencing. The footing in the area is varied (grass, dirt, and concrete). The backyard's entry/exit gate is secured. LPA observed one shed in the backyard area that contains yardwork equipment. LPA informed Applicant of the importance of maintaining direct supervision of children in care when traveling outside of the home.
· LPA observed (1) shed in the back yard which stored various tools and supplies locked, making it inaccessible to children in care.
· LPA notes a portion of the backyard contains various plants with thorns which has been segmented off by use of wooden fence making the various plants inaccessible to children in care.
· LPA notes no bodies of water were observed.

· Applicant reported there are no guns and ammunition in the home.

Continue on LIC 809-C Page 3

SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Fernando Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025

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: ORTEGA FAMILY CHILD CARE	FACILITY NUMBER: 426217241
	VISIT DATE: 02/18/2025

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LPA record review revealed all documents as noted below.
· Applicant completed FCCH orientation on 12/29/2023.

· Preventative Health training was complete on 02/03/2024.

· Pediatric CPR/First Aid (EMSA approved) and expires 01/10/26.
· Applicant completed Mandated Reporter training which expires 10/18/2026.
· LPA observed immunization records for all adults residing in the home. LPA reminded Applicant of obligation to maintain current training and certifications.
· Applicant does not have liability insurance for the license yet. LPA provided Applicant with Affidavit Regarding Liability Insurance form (LIC 282).

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 licensee rents the home and has landlord consent. Because the licensee 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).

APPLICANT Yareli Ortega stated she will not provide Incidental Medical Services (IMS). 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/. http://www.ada.gov/childqanda.htm

LPA reviewed with applicant Yareli Ortega, 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.

Continue on LIC 809-C Page 4

SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Fernando Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025

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: ORTEGA FAMILY CHILD CARE	FACILITY NUMBER: 426217241
	VISIT DATE: 02/18/2025

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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.

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, 02/18/2025, 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.

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, 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.

Continue on LIC 809-C page 5

SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Fernando Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: ORTEGA FAMILY CHILD CARE	FACILITY NUMBER: 426217241
	VISIT DATE: 02/18/2025

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The home does not meet Title 22 Division 12 requirements of a small FCCH license. Corrections are needed prior to licensing. These corrections are listed below. Together with the applicant the agreed time needed to complete corrections will be 03/05/2025.

1. Proof of purchase of Fire extinguisher (2A10BC).
2. Proof of purchase of bed cots or mats.

A notice of site visit was given to applicant Yareli Ortega, 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, Yareli Ortega.

SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Fernando Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025

LIC809 (FAS) - (06/04)

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