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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426217265
Report Date: 12/12/2024
Date Signed: 12/13/2024 08:28:44 AM

Document Has Been Signed on 12/13/2024 08:28 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:ARANDA ALVARADO FAMILY CHILD CAREFACILITY NUMBER:
426217265
ADMINISTRATOR/
DIRECTOR:
JASMINE ARANDA ALVARADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 621-9056
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/12/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Jasmine Aranda AlvardoTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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This is a change of location; previous facility number is 426216169.

On 12/12/2024 at 11:15 AM, Licensing Program Analyst (LPA) Gigi Reyes conducted an announced pre-licensing inspection at the above address. LPA met with applicant; Jasmine Aranda Alvarado and discussed the purpose of the inspection. Family Childcare Home (FCCH) will operate from Monday to Friday, 7:00 AM to 6:00 PM. The FCCH will provide care to children aged one (1) to twelve (12) years of age.

Applicant and LPA toured the entire home. The property is a single-story home consists of four (4) bedrooms and 3 bathrooms. Accessible areas in the home are living room, dining, kitchen, one bedroom converted into a day care area, one bathroom located in the day care room and the completely fenced backyard. Inaccessible areas in the home are 3 bedrooms, garage, laundry room and pantry. A baby gate was installed between the living room and the hallway leading to the 3 bedrooms to restrict access. Doors of the inaccessible areas have child safety lock installed to restrict access.

It was noted that applicant has not fully transferred into the new location as furnishings, furniture and appliances have not been moved. Also baseboard in the living room has yet to be installed.

Continued on LIC 809C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2024
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: ARANDA ALVARADO FAMILY CHILD CARE
FACILITY NUMBER: 426217265
VISIT DATE: 12/12/2024
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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.

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 clearance was granted on 12/11/2024.

The issuance of Large Family Childcare Home License is pending until completion of the following requirements:

1. Installation of baseboard in the living room
2. Placement of the furniture, fixture and appliance
3. Submission of an amended facility sketch.
Upon completion, a follow up inspection will be necessary.
Notice of Site Visit was issued and must remain posted for 30 days.

Exit interview conducted and report was reviewed with applicant, Jasmine Aranda Alvarado
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024
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: ARANDA ALVARADO FAMILY CHILD CARE
FACILITY NUMBER: 426217265
VISIT DATE: 12/12/2024
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Applicant stated that sharps, medicine, and toxins will be kept inaccessible to day care children. LPA observed age-appropriate toys and a cot in a designated day care room. LPA did not observe any bodies of water. Applicant stated there are no guns or ammunition in the home,

The bathroom for children’s use is free of toxins during the time of the inspection Carbon monoxide and smoke detectors were tested and found to be functional. The required fire extinguisher was purchased on 12/8/2024.

Applicant’s Pediatric 1st Aid/CPR training was taken on 12/1/2024 (expires on 12/1/2026) while the Mandated Reporter Training was completed on 12/11/2024 (expires on 12/11/2026) Applicant was reminded that it is their 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 Tuberculosis clearance.

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.

Control of Property was reviewed.

Continued LIC 809C

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

DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024
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: ARANDA ALVARADO FAMILY CHILD CARE
FACILITY NUMBER: 426217265
VISIT DATE: 12/12/2024
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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.

LPAs 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, 12/12/2024, 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.
Continued LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024
LIC809 (FAS) - (06/04)
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