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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216033
Report Date: 11/05/2021
Date Signed: 11/05/2021 03:29:53 PM

Document Has Been Signed on 11/05/2021 03:29 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:CHAVEZ FCC AKA CHAVEZ'S DAY CAREFACILITY NUMBER:
566216033
ADMINISTRATOR:RIGO CHAVEZ, ROCIO PEREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 645-2733
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
11/05/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Rigo ChavezTIME COMPLETED:
03:40 PM
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On November 5, 2021 at 1:15 PM, Licensing Program Analysts (LPAs) Betzayra Cervantes and Dean Thompson made an unannounced visit to conduct a Required - 1 Year Inspection. LPA met with licensee Rigo Chavez and explained the purpose of the inspection. Prior to entering the facility, LPA conducted a COVID-19 risk assessment. All answers indicated no exposure to COVID-19. LPAs, in the company of the Licensee toured the interior and exterior of the facility. There were 6 children in care at the time of the inspection.

The home is a five bedroom, three bath, two story home with a detached garage. The licensee uses the living room, one bedroom, one bathroom, and backyard for child care. The four bedrooms, two bathrooms and garage will be off limits and are inaccessible to children in care. LPA observed various safety gates at the entrance of the living room, and another at the entrance of the bedroom the children use, preventing access to the rest of the bedrooms. Licensee utilizes a separate entrance for the daycare, preventing access to the kitchen and the rest of the house. The back yard has age appropriate toys and day-care equipment and is fully fenced. LPA observed sufficient shade for children to have access to. The licensee has two outdoor storage units fully secured preventing children from having access. All adults in the home are fingerprint cleared.

LPA did not observe any toxins/hazardous items accessible to children. A regulation 2A10BC fire extinguisher was observed mounted in the living room with a service date of 04/20/2021. Licensee is reminded to service or purchase the fire extinguisher yearly. LPA had licensee test dual smoke and carbon monoxide detectors in the home and were found operational. Licensee's Pediatric First Aid/CPR certificate is valid until 10/23/23.

(CONT. 809-C)

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Betzayra Cervantes
LICENSING EVALUATOR SIGNATURE: DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2021
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: CHAVEZ FCC AKA CHAVEZ'S DAY CARE
FACILITY NUMBER: 566216033
VISIT DATE: 11/05/2021
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LPA observed the home to be orderly. No bodies of water were observed on site. Licensee states that there are no firearms and ammunition in the home. No toxins nor hazards are accessible to children in care. Detergents and cleaning compounds are stored out of reach of children in the garage. The bathroom to be used for children in care was observed to be clean and sanitary.

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.

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 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.

No deficiencies cited during this visit. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Rigo Chavez.

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Betzayra Cervantes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021
LIC809 (FAS) - (06/04)
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