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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215781
Report Date: 05/25/2023
Date Signed: 05/25/2023 11:52:06 AM

Document Has Been Signed on 05/25/2023 11:52 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:MELENDEZ-SANTOS FAMILY CHILD CAREFACILITY NUMBER:
566215781
ADMINISTRATOR:CATRINA MELENDEZ-SANTOSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 710-7385
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
05/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Catrina Melendez-SantosTIME COMPLETED:
12:00 PM
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On 05/25/2023 at 9:30 AM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced One Year Required Inspection of the Family Child Care Home (FCCH). LPA met with Catrina Melendez-Santos, licensee of the FCCH and explained the purpose of the inspection. LPA, in the company of licensee toured the interior and exterior of the FCCH. LPA notes ten (10) children are present being cared by licensee and assistant/spouse of licensee.

This is a single-story home with three (3) bedrooms, two (2) bathrooms, living room, dining room, kitchen with laundry area, garage, and outdoor yard. The daycare services occur in the living room, dining area, one (1) bedroom used for napping, one (1) bathroom in the hallway of the home, and part of the outdoor yard. Meanwhile, the kitchen, two (2) bedrooms, one (1) bathroom, garage and part of the outdoor yard are inaccessible to children in care. LPA notes there are two baby gates located in the kitchen area making the kitchen and laundry area inaccessible to children in care. Additionally, there is a baby gate in the hallway, making two (2) bedrooms one (1) bathroom inaccessible. The garage is detached from the home and inaccessible to the children in care. Lastly, the sides of outdoor yards have fencing making the sides of the outdoor yard inaccessible to children in care.

LPA observed the home to be clean and orderly. There is plenty of ventilation to afford the children comfort. LPA observed an open face heater in the living room that is covered and secured. LPA observed sharps are stored in a drawer in the kitchen. Cleaning compounds are stored under the sink of the kitchen with a magnetic lock and in elevated shelves in the laundry area. Medication for the family is stored in the bathroom that is in licensee’s bedroom. LPA notes all areas are inaccessible to children in care by means of baby gates or magnetic locks. The restroom that is used for childcare services is clean and free of toxins. In the FCCH, LPA observed toys, furniture, and equipment are in good conditions and are age appropriate for the children in care. CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/25/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: MELENDEZ-SANTOS FAMILY CHILD CARE
FACILITY NUMBER: 566215781
VISIT DATE: 05/25/2023
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Required forms are predominantly posted in the living room. LPA observed a smoke and carbon monoxide detectors in the FCCH that were tested at 10:45 AM and were operable during this inspection. LPA observed the home has a regulation fire extinguisher that was purchased on 5/26/2022. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. The home maintains working telephone services. Licensee informed LPA no guns or ammo are stored in the home.

LPA observed the outdoor yard to be completely fenced. LPA observed the exit doors to be secured. LPA observed daycare children have access to part of the yard. LPA observed the sides of the outdoor yard are made inaccessible by means of permanent fencing separating the outdoor yard. The outdoor yard provides plenty of shading for the children in care. LPA observed three sheds that are secured and locked. Filtered drinking water is provided by means of individual cups that are labeled. Toys, furniture, and equipment observed in the outdoor yard are age appropriate and in good conditions. No bodies of water are observed.

LPA reviewed Licensee and children's records. The children’s records were found to contain emergency contact information as well as immunization records. Licensee is documenting infant 15-minute sleep logs for all children under the age of two (2) years and all children under the age of one (1) have infant sleep plans. All children present during today’s inspection are documented in the facility roster. The last emergency drill was conducted and documented on 02/15/2023. LPA reviewed Licensee’s Pediatric First -aid certificate that is valid until 06/26/2023 and Licensee's Mandated Reporter training certification is valid until 10/11/2024. Assistants’ file was reviewed and current with Pediatric First -aid certificate that is valid until 06/26/2023 and Mandated Reporter training certification is valid until 10/11/2024.

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

DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
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: MELENDEZ-SANTOS FAMILY CHILD CARE
FACILITY NUMBER: 566215781
VISIT DATE: 05/25/2023
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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.

During today’s inspection no deficiency were cited. Exit interview was conducted and report was reviewed with the Licensee, Catrina Melendez-Santos. A Notice of Site visit was given and must remain posted for 30 days.

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

DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
LIC809 (FAS) - (06/04)
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