566215474-4-26-2023-17-CC-LVIA-CR9PAB-20230426110828

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566215474
Report Date: 04/26/2023
Date Signed: 04/26/2023 11:08:41 AM

Document Has Been Signed on 04/26/2023 11:08 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:	PIÑA FCC AKA SUNSHINE CHILDCARE		FACILITY NUMBER:	566215474
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 3	DATE:	04/26/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:11 AM
MET WITH:	Mayra Pina Robles		TIME COMPLETED:	11:30 AM

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April 26, 2023 at 9:11 AM, Licensing Program Analyst (LPA) Laura Villanueva conducted an announced Case Management-Licensee Initiated inspection. LPA spoke to Licensee, Mayra Pina Robles and conducted a COVID-19 risk assessment. All answers indicated no exposure to COVID-19. LPA discussed the nature and purpose of the inspection. Licensee and LPA toured the facility inside and outside. Licensee was caring for 3 children at the time of the inspection.

The mobile home is 3 bedroom and 2 bath. The licensee uses the living room, kitchen, hall bathroom, and patio for the child care. The three bedrooms and one bathroom will not be utilized and will be designated off limits for childcare. There are age appropriate toys, teaching materials, and furnishings in good condition and free of hazards. LPA did not observe any toxins/hazardous items accessible to children. The patio is fully enclosed with a fenced. Cleaning agents, disinfectants are stored in top kitchen cabinet. Kitchen knives are stored out of reach. The bathroom to be used for children in care was observed to be clean and sanitary.

Licensee's Pediatric First Aid/CPR certificate is valid until 8/2/2023. Licensee's Mandated Reported Training is valid until 8/20/23. A regulation 2A10BC fire extinguisher was observed with a service date of 10/3/2022. Licensee is reminded to service or purchase the fire extinguisher yearly. Fire clearance was granted 4/7/23. LPA observed smoke and carbon monoxide detectors. All adults in the home are fingerprint cleared. LPA observed the home to be orderly. No bodies of water were observed on site. Licensee stated that there are no guns or ammunition in the home.

Child files were found to be complete with all state required forms. Infant files included LIC 9227 (Infant Sleeping Plan). Licensee was made aware of the responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov.

Continued on 809-C

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

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: PIÑA FCC AKA SUNSHINE CHILDCARE	FACILITY NUMBER: 566215474
	VISIT DATE: 04/26/2023

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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.html

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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.

A large child care license is granted effective today 4/26/23. LPA provided Licensee with capacity regulations chart.

Exit interview conducted and report was reviewed with Licensee, Mayra Pina Robles.

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

LIC809 (FAS) - (06/04)

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