566215516-8-23-2023-17-CC-EBAY-CUYSV7-20230823141217

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566215516
Report Date: 08/23/2023
Date Signed: 08/23/2023 02:12:36 PM

Document Has Been Signed on 08/23/2023 02:12 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	CALVILLO FCC AKA LIFE'S LITTLE BLESSINGS DAYCARE		FACILITY NUMBER:	566215516
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	08/23/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Nancy Calvillo		TIME COMPLETED:	02:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 8/23/23, at 12:15 PM , Licensing Program Analyst (LPA) Elvin Baddley conducted a unannounced One Year Required inspection of the abovementioned Family Child Care Home (FCCH). The inspection is also to address a change of capacity from a Small FCCH (8) to a Large FCCH (14). LPA met with Nancy Calvillo, Licensee of the FCCH and explained the purpose of the inspection. LPA, in the company of the Licensee, toured the interior and exterior of the FCCH. The home’s kitchen, dining room, living room, bathroom and backyard (covered) are used for child care services, while the remainder of the home is excluded from child care. LPA observed a child safety gate at the base of the stairwell. At the time of the inspection, no children are present. The home was orderly and void of hazardous items. The bathroom used by the children was observed to be clean and free of toxins. Cleaning compounds are secured under the sink and in the home's garage which is excluded from care. Sharps are observed in a secure drawer in the kitchen, while medication is secure in the medicine cabinet in the bathroom. Toys, furniture and equipment observed in the FCCH are age appropriate. LPA observed a fire extinguisher (2A10BC) in the home which was serviced 8/7/23. LPA reminded Licensee of the responsibility to service or purchase a regulation fire extinguisher annually. The home has numerous combination smoke/carbon monoxide detectors. A combination smoke/carbon monoxide detector was tested in the home's kitchen area at 12:26 PM and found to be operable. The backyard is enclosed by wooden fencing and has a number of play structures. Toys and play equipment observed in backyard are age appropriate and in satisfactory condition. The FCCH's backyard footing is made up of artificial grass and concrete. LPA observed no bodies of water on site. Although no children are on site, LPA reviewed a sampling of children's records. Records reviewed were complete and contained required licensing documentation and forms. The Licensee's records are also current and complete with Pediatric CPR and First Aid certifications expiring on 1/25/24 (EMSA approved). (CONT. 809-C, Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2023

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: CALVILLO FCC AKA LIFE'S LITTLE BLESSINGS DAYCARE	FACILITY NUMBER: 566215516
	VISIT DATE: 08/23/2023

NARRATIVE

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Licensee Mandated Reporting training is currently, with an expiration date of 7/24/25. Licensee informed LPA no firearms or ammunition is in the home.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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.

Licensee 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.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS on 8/23/23.

As noted the inspection is also to address an change of capacity from a Small FCCH (8) to a Large FCCH (14). The home received a fire clearance from the Ventura Fire Department on 8/7/23 for a capacity of 14. As such, the change of capacity is granted on the presence, 8/23/23.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Nancy Calvillo.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2023

LIC809 (FAS) - (06/04)

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