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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216144
Report Date: 09/14/2023
Date Signed: 09/14/2023 12:58:44 PM

Document Has Been Signed on 09/14/2023 12:58 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:LA ESCUELITA CHILD CAREFACILITY NUMBER:
566216144
ADMINISTRATOR:GUILLERMINA GARCIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 253-5679
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
09/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Gillermina GarciaTIME COMPLETED:
01:15 PM
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On September 14, 2023 at 10:30 AM, Licensing Program Analyst (LPA) Laura Villanueva made an unannounced visit to conduct a Required - 1 Year Inspection. LPA met with licensee, Gillermina Garcia and explained the purpose of the inspection. LPA and Licensee toured the interior and exterior of the home. Licensee was caring for 5 child at the time of the inspection. The assistant arrived later.

The home is a 5 -bedroom, 3 bath 2 story home. The licensee uses the family room (play area), dining area, kitchen, hall bathroom and the backyard for childcare. Licensee added a bedroom, removed the wall in the playroom, and extended out front door area. Licensee submitted an updated application and facility sketch The living room, 5 bedrooms, 2 bathrooms, and garage are off limits and are inaccessible to children in care. Upon LPA's arrival 3 infants were in car seats. LPA asked licensee to remove children from car seats, LPA advised licensee that car seats are not permitted in the child care. They are to be used for transportation in the car. LPA observed a screened fireplace in the living room making it inaccessible to children in care. LPA observed age appropriate toys, teaching materials, and furnishings available for children in care in good condition and free of hazards. Licensee has a secured fence in the backyard and age appropriate toys for children in care, found in good condition and free of hazards. All adults in the home are fingerprint cleared. LPA observed a set of knives on the kitchen counter. LPA explained to licensee that hazardous items need to be placed 5 feet or higher or placed in a locked cabinet. Licensee moved knives to a high cabinet in LPA's presence. A type B deficiency was issued. A regulation 2A10BC fire extinguisher was observed mounted with a service date of 6/23/2022. Licensee is reminded to service or purchase the fire extinguisher yearly. Licensee will have fire extinguisher serviced today. A type B was issued. Licensee states that there are no firearms and ammunition in the home. Licensee has 3 dogs in the home. Their vaccinations are up to date.

LPA observed the home to be orderly. A fenced waterfall was observed in the back yard. The fence is over 5 feet tall making it inaccessible to children in care. No toxins nor hazards are accessible to children in care. Detergents and cleaning compounds are stored in the locked laundry room keeping items out of reach of

CONTINUED ON 809-C

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: LA ESCUELITA CHILD CARE
FACILITY NUMBER: 566216144
VISIT DATE: 09/14/2023
NARRATIVE
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children. The bathroom to be used for children in care was observed to be clean and sanitary. LPA observed a carbon monoxide and smoke alarm detector in the kitchen area.

Licensee's Pediatric First Aid/CPR certificate is valid until 7/12/2023. Licensee will complete CPR/First Aid class on 9/18/2023. Licensee will submit certificate when the class is completed. Assistant's CPR/First Aid certificate is valid until 2/7/2024. LPA issued licensee a technical violation regarding child care provider's CPR/First Aid needs to be current. AB 1207 Mandated Reporter Training certificate is valid until 9/2/2021. Licensee will complete course and submit certificate. A type B deficiency was issued. Licensee last completed an emergency disaster drill on 8/23/2023. All required forms including Notification of Parent's Rights are prominently posted for parent's or authorized representatives to view. A roster of children in care was observed current and complete. All children records were reviewed, and LPA observed Identification and Emergency Notification forms (LIC 700) and a copy of immunization records on file.

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.

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

CONTINUED 809C

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
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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: LA ESCUELITA CHILD CARE
FACILITY NUMBER: 566216144
VISIT DATE: 09/14/2023
NARRATIVE
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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

Type B 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 in Spanish with the licensee,Gillermina Garcia.

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
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Document Has Been Signed on 09/14/2023 12:58 PM - It Cannot Be Edited


Created By: Laura Villanueva On 09/14/2023 at 12:10 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LA ESCUELITA CHILD CARE
FACILITY NUMBER: 566216144

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation], the licensee did not comply with the section cited above in 1 out of 1 objects which poses a potential health, safety or personal rights risk to persons in care. LPA observed kitcehn knives in block storage on kitchen counter.
POC Due Date: 09/14/2023
Plan of Correction
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LPA asked liicensee to remove kknives from the reach of children. Licensee moved knives to top cabinet. Licensee stated that she will be placing knives in a drawer with a child proof lock.
Type B
Section Cited
CCR
102425(h)
Infant Safe Sleep
Car seats shall only be used for transportation purposes and shall not be used for sleeping.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on bservation the licensee did not comply with the section cited above in 3 out of 3 objects which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/14/2023
Plan of Correction
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LPA reminded licensee that car seats are to be used for transporting children in care only. Licensee reoved the 3 infants from car seats in the presence of LPA. Licensee placed car seats outside.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:George Mingle
LICENSING EVALUATOR NAME:Laura Villanueva
LICENSING EVALUATOR SIGNATURE:
DATE: 09/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/14/2023 12:58 PM - It Cannot Be Edited


Created By: Laura Villanueva On 09/14/2023 at 12:10 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LA ESCUELITA CHILD CARE
FACILITY NUMBER: 566216144

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 1 out of1 total identifiers which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/28/2023
Plan of Correction
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Licensee will complete Mandated Reporter Training and submit certificate to LPA.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:George Mingle
LICENSING EVALUATOR NAME:Laura Villanueva
LICENSING EVALUATOR SIGNATURE:
DATE: 09/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2023


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