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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216250
Report Date: 10/25/2023
Date Signed: 10/25/2023 02:24:21 PM

Document Has Been Signed on 10/25/2023 02:24 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:RICO FCC AKA LITTLE STARS FAMILY DAYCAREFACILITY NUMBER:
566216250
ADMINISTRATOR:BERONICA RICOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 535-9064
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
10/25/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Beronica RicoTIME COMPLETED:
02:45 PM
NARRATIVE
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On October 25, 2023 at 1:15PM LPA conducted a Case Management-deficiencies visit. During a complaint investigation LPA observed deficiencies in the child care home. LPA met with licensee when she arrived to the home. Licensee was dropping off child to her home. Licensee offers families pick up and drop off to their homes.

LPA's son and husband were caring for the children LPA asked for assistant's CPR/First Aid, Mandated Reporter Training, and immunizations. The 3 adults are on the facility roster. Licensee's Mandated Reporter training was completed 04/20/2020. LPA informed licensee that she needs to complete Mandated Reporter Training every 2 years. Licensee's son has not completed Mandated Reporter Training. LPA informed licensee that all assistants must complete Mandated Reporter Training. Licensee's husband's Mandated Reporter Training was completed 05/02/2020. LPA informed licensee that Mandated Reporter Training needs to be completed every 2 years.

Licensee, licensee's son, and husband's CPR/First Aid certificate is valid until 04/07/2024. LPA asked for assistant's immunization record. Licensee informed LPA that she had submitted her husband's immunizations when she applied for a child care license. LPA asked for licensee's son's immunizations. Licensee stated that she did not have a copy of the immunization record for her son.

When LPA arrived to the home, LPA rang Ring doorbell 4 times and no one answered the door. LPA called out licensee's name 3 times with no response. LPA called licensee on cell phone, the call went to voicemail 2 times. LPA heard children inside through metal screen door. The front door was open and the screen door was locked. After about 5 minutes licensee's son opened the door and let LPA inside. LPA discussed inspection authority during child care hours with licensee. Type B deficiencies are being cited.

CONTINUED ON LIC809C
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2023
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: RICO FCC AKA LITTLE STARS FAMILY DAYCARE
FACILITY NUMBER: 566216250
VISIT DATE: 10/25/2023
NARRATIVE
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Exit interview conducted with Licensee, Beronica Rico. A notice of site visit was given and must remain posted for 30 days. A copy of the Appeal Rights (LIC 9058 FAS 01/16) were given and explained. Licensee’s signature on this form acknowledges receipt of these rights.

The following deficiencies are being cited in accordance to Title 22 of the California Code of Regulations and/or Health & Safety codes. Please refer to LIC809D for documentation of deficiencies cited:
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/25/2023 02:24 PM - It Cannot Be Edited


Created By: Laura Villanueva On 10/25/2023 at 01:28 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: RICO FCC AKA LITTLE STARS FAMILY DAYCARE
FACILITY NUMBER: 566216250

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/25/2023
Section Cited
HSC
102391(a)

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Inspection Authority of The Department-(a) Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice...child care
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licensee will be training her assistants on Title 22 regulations. Licensee will submit a written plan of action to the Department by 11/1/2023.
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 homes, and in accordance with Section 102396. This requirement was not met as evidenced by: LPA was not let into the home until 5 minutes later. LPA rang doorbell, called out licensee's name, and called cell phone number on file. This poses a potential risk to children in care.
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Type B
10/25/2023
Section Cited
HSC1596.8662

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Availability of information regarding detecting and reporting child abuse...licensed child care facility proof of completion.
This requirement was not met as evidenced by: All staff at child care need to complete Mandated Reporter Training. This poses a potential risk to children in care.
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Licensee and her assistants will complete Mandated Reporter Training and submit certificate to the Department by 11/08/2023.
Type B
10/25/2023
Section Cited
HSC
1597-622(a)(1)

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§1597.622 Employees or volunteers at f...nts; records; exemptions-(a) (1) Commencing September 1, 2016, a person shall not be employed...an influenza vaccination between August 1 and December 1 of each year. This requirement was not met as evidenced by: Licensee's son did not have immunization record avaiilable. This poses a potential risk to children in care.
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Licensee will submit proof of immunizations for influenza, pertussis, measles for son to the department by 11/08/2023.
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: 10/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2023


LIC809 (FAS) - (06/04)
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