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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566213731
Report Date: 07/13/2023
Date Signed: 07/14/2023 08:06:18 AM

Document Has Been Signed on 07/14/2023 08:06 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:TEJEDA FAMILY CHILD CAREFACILITY NUMBER:
566213731
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
07/13/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Manuela TejedaTIME COMPLETED:
04:45 PM
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On 07/13/2023 at 2:20 PM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced One Year Required Inspection of the Family Child Care Home (FCCH) and a change of capacity inspection. LPA met Manuela Tejeda, licensee of the FCCH and explained the purpose of the inspection. At the time of the inspection, there were no children present.

LPA, in the company of Licensee toured the interior and exterior of the FCCH. This home is a two-story home that consists of formal living room, dining room, kitchen, four (4) bedrooms, three (3) bathroom, laundry room, sunroom, garage, and outdoor yard. Daycare services are offered in the sunroom, living room, bathroom, and outdoor yard. Meanwhile, the entire second floor, laundry room, and garage are inaccessible to children in care. LPA observed two baby gates on the stairway making entire second floor inaccessible to children in care.

The FCCH was observed to be clean and orderly. The FCCH has ventilation to afford for the children’s comfort. LPA observed a fireplace in the formal living room and living room that are secured and inaccessible by a gate. LPA observed sharps are stored in an elevated cabinet in the kitchen. Medication for the family is stored in an elevated cabinet in the kitchen. LPA observed cleaning compounds are stored in laundry room and in a locked shed in the outdoor yard. The bathroom used for childcare is clean and free of toxins. LPA observed toys, furniture, and equipment in the FCCH are age appropriate and in good condition.

Required forms are predominantly posted on the sunroom of the FCCH. LPA observed a smoke and carbon monoxide detectors in the FCCH. Detectors were tested at 3:30 PM and was found to be operable. The FCCH has a regulation fire extinguisher on site which was purchased on 1/11/2023. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The FCCH maintains working telephone services. The Licensee informed LPA no firearms or ammunition are stored on site. CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/13/2023
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: TEJEDA FAMILY CHILD CARE
FACILITY NUMBER: 566213731
VISIT DATE: 07/13/2023
NARRATIVE
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LPA and licensee toured the outdoor yard. LPA observed the fencing and exit doors to be secured for children in care. LPA observed children yard has plenty of natural shading to afford the children in care. LPA observed a Bar-B-Que that is only used when children are not in care. LPA observed two shed in the outdoor yard that are locked and contain cleaning and gardening supplies. Children have access to filtered water by means of individual water cups. LPA observed there are of outdoor toys that are age appropriate and in good conditions. LPA observed there are no bodies of water on site.

LPA reviewed children's records. The records are current, complete, and possessed emergency contact information and immunization records. LPA reviewed 15-minute sleep logs and found them to be current. A review of the FCCH's fire drill log shows the last drill occurred on 6/27/2023. LPA reviewed facility roster and found roster to be current and up to date with all children enrolled. The Licensee's records were reviewed. Licensee’s pediatric CPR and First Aid certification expires on 11/23/2023. Licensee’s Mandated Reporter training certificate expired on 03/02/2024.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with Licensee 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 for additional resource. LPA also informed Licensee 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. CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023
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: TEJEDA FAMILY CHILD CARE
FACILITY NUMBER: 566213731
VISIT DATE: 07/13/2023
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On 05/01/2023, the Licensee submitted documentation for a FCCH change of capacity. The Licensee is seeking to change the FCCH’s capacity from 8 (Small FCCH) to 14 (Large FCCH). The Oxnard Fire Department granted a fire clearance following an inspection completed at FCCH on 06/16/2023.

The home meets Title 22 of CCR requirements for a Large Family Child Care license effective today. Effective date of license is today 07/13/2023.

A Notice of Site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, Manuela Tejeda in Spanish due to Spanish being licensee’s primary language.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023
LIC809 (FAS) - (06/04)
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