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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216103
Report Date: 04/14/2022
Date Signed: 04/14/2022 01:32:33 PM

Document Has Been Signed on 04/14/2022 01:32 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:GALVAN FCC AKA JULIE'S FAMILY CHILD CARE HOMEFACILITY NUMBER:
566216103
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
04/14/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Julie GalvanTIME COMPLETED:
01:45 PM
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On April 14, 2022 at 12:05PM, Licensing Program Analyst (LPA) Betzayra Cervantes conducted an unannounced visit to conduct a Required - 1 Year inspection. LPA spoke to licensee Julie Galvan and conducted a COVID-19 risk assessment. All answers indicated no exposure to COVID-19. LPA discussed the nature and purpose of the inspection. Licensee and LPA toured the facility inside and outside. Fingerprint cleared adult was also present during the inspection. There were six children in care at the time of the inspection.

The home is a three bedroom, one bath single story home. The licensee uses the living room, dining room which has been made into the main play room, one bedroom, kitchen, bathroom, and backyard for the day-care. There are age appropriate toys, teaching materials and furnishings in good condition and free of hazards. The two bedrooms, garage, and fenced off portion of the backyard are off limits and are inaccessible to children in care. The backyard is fully enclosed and licensee has age appropriate toys in the backyard readily accessible to children. LPA did not observe any toxins/hazardous items accessible to children. In the back of the house, there is a detached rented studio with one fingerprint cleared adult residing in the home. LPA observed a locked storage shed located in the side yard, which is inaccessible to children in care. Licensee has two dogs which are kept in a separate fenced area of the backyard which is secured and inaccessible to children.

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 with a purchase date of 04/07/2022. Licensee is reminded to service or purchase the fire extinguisher yearly. LPA observed licensee's assistant test the smoke and carbon monoxide detectors in the home which were found operational.

Continued on 809-C

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Betzayra Cervantes
LICENSING EVALUATOR SIGNATURE: DATE: 04/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/14/2022
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 2
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: GALVAN FCC AKA JULIE'S FAMILY CHILD CARE HOME
FACILITY NUMBER: 566216103
VISIT DATE: 04/14/2022
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LPA observed the home to be orderly. No bodies of water were observed on site. No toxins nor hazards are accessible to children in care. Detergents and cleaning compounds are stored out of reach of children. The bathroom to be used for children in care was observed to be clean and sanitary.

Licensee's Pediatric First Aid/CPR certificate is valid until 03/01/2023. Licensee's Mandated Reported Training certificate is valid until 02/16/2023. Licensee last completed an earthquake drill on 10/2021. The Licensee states firearm as well as ammunition is stored on site. LPA observed that the firearm and ammunition are secured in a locked safe.

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.

Exit interview and report was reviewed with licensee, Julie Galvan.

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

DATE: 04/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2022
LIC809 (FAS) - (06/04)
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