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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215516
Report Date: 08/26/2022
Date Signed: 08/26/2022 10:42:20 AM

Document Has Been Signed on 08/26/2022 10:42 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:CALVILLO FCC AKA LIFE'S LITTLE BLESSINGS DAYCAREFACILITY NUMBER:
566215516
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
08/26/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:29 AM
MET WITH:Nancy CalvilloTIME COMPLETED:
10:56 AM
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On 8/26/2022 at 9:29 AM, Licensing Program Analyst (LPA) Austin Rios conducted an announced change of location Pre-licensing inspection. LPA conducted a Pre-screening with licensee prior to entering the FCCH. LPA met with licensee Nancy Calvillo. LPA discussed the nature and purpose of the inspection. LPA toured the home with licensee. Licensee is moving from back house in backyard to the main home in front.

The licensee will be using the living room, dining room, kitchen, one bathroom, and part of the backyard for the day care. The stairs have a gate preventing children access to the upstairs. The garage will remain locked as well as the master bedroom in the downstairs. There were no children in care at the time of the inspection. LPA did not observe any toxins/hazardous items accessible to children. Licensee has a lock under sink on kitchen cabinet.

A regulation 2A10BC fire extinguisher which was serviced on 3/29/2022. was observed in the kitchen readily accessible. Applicant is reminded to service or purchase the fire extinguisher yearly. LPA observed and tested the smoke and carbon monoxide detectors in the home. There are age appropriate toys and day-care equipment in the home. The back yard has age appropriate toys. LPA advised licensee must provide visual supervision while the children are playing outside in the backyard. Licensee First Aid/CPR certificate is valid until 1/25/2024.
Mandated reporter training on file and expires 4/11/2024
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2022
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: CALVILLO FCC AKA LIFE'S LITTLE BLESSINGS DAYCARE
FACILITY NUMBER: 566215516
VISIT DATE: 08/26/2022
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Licensee has no firearms in the home. LPA verified SB 792 (child care employee and volunteer: Immunization and Tuberculosis Requirements). Licensee was informed walkers, bouncers, and any similar objects that restricts child movements is prohibited from licensed facilities. LPA spoke with licensee regarding safe sleep regulations.

Incidental Medical Services (IMS) was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

Facility is granted license effective at front home today effective 8/26/2022.

No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Austin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2022
LIC809 (FAS) - (06/04)
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