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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215603
Report Date: 08/23/2023
Date Signed: 08/23/2023 11:28:04 AM

Document Has Been Signed on 08/23/2023 11:28 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:FLORES FAMILY CHILD CAREFACILITY NUMBER:
566215603
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
08/23/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:11 AM
MET WITH:Lizbeth FloresTIME COMPLETED:
12:17 PM
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On August 23rd 2023 at 10:11AM Licensing Program Analyst (LPA) Rosie Breault conducted an unannounced Annual/Random inspection. LPA met with licensee Lizbeth Flores and advised the purpose of the inspection. Licensee provided LPA a tour of the home inside and out. At the time of the inspection there three (3) children present. In addition, licensee applied for a Large Family Child Care Home (FCCH) and application will be reflected in inspection report.

FCCH hours of operation are Monday – Friday 5:00am – 6:00pm. LPA observed all required documents posted in a prominent location. This is a one (1) story home and children have access to: front play yard with permitter barriers, entry way play space, living room, kitchen, dining room, (1) bathroom, and backyard play area with permitter fencing. At the time of the inspection, the fireplace had been rendered inaccessible. Kitchen is inaccessible by locks. LPA observed all toxins, poisons, sharps, tools, and combustibles elevated/locked and inaccessible to children’s reach. LPA observed age-appropriate toys and equipment readily accessible to children in care. Children nap on cots and individual bedding is cleaned weekly.

Outdoor play area provides ample shade and age-appropriate toys, fencing, and soft surfaces. No bodies of water are present.

LPAs observed a 2A10BC fire extinguisher last serviced on 3/20/2023 mounted on the wall in the living room. LPA advised to ensure the fire extinguisher is serviced or a new one in purchased every year. The last emergency drill was conducted on 7/10/2023. Carbon monoxide detector was tested at 10:26AM and function and the time of the inspection. Smoke detector was tested at 10:48AM and functioning at the time of the inspection. First aid kits are available. Licensee stated no firearms or ammunition are present on the property. Licensee stated incidental medical services are not being provided at this time.
CONTINUED ON LIC809C
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
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: FLORES FAMILY CHILD CARE
FACILITY NUMBER: 566215603
VISIT DATE: 08/23/2023
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LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements. Licensee’s Pediatric CPR/First-Aid certificate is current and valid until 3/2025. LPA verified current Mandated Reported Certificate expires 9/2/2023. LPA reviewed current roster and documented 15-minute sleep logs.

ILicensee 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 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 additional resource. LPA also informed licensee [facility representative] 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.

Oxnard Fire Department inspected FCCH on 7/18/2023 and cleared home for Large FCCH license with capacity of 14. This home meets Title 22 Division 12 of a Large Family FCCH effective today 8/23/2023.

LPA reminded licensee of Large FCCH ratio and if no assistant is present, licensee is to revert to Small FCCH capacity of eight (8) children only.

No deficiencies were cited during today’s inspection.

Exit interview conducted, report was reviewed with the licensee, copy provided.
THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
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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