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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566217181
Report Date: 12/05/2024
Date Signed: 12/05/2024 11:11:35 AM

Document Has Been Signed on 12/05/2024 11:11 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:MARISCAL FAMILY CHILD CAREFACILITY NUMBER:
566217181
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
12/05/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:48 AM
MET WITH:Silvia Mariscal TIME VISIT/
INSPECTION COMPLETED:
11:25 AM
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On 12/05/2024 at (9:30) AM, Licensing Program Analyst (LPA) Fernando Hernandez and Veronica Diaz conducted an announced Pre-licensing inspection. LPA informed the Applicant Silvia Mariscal the purpose of the inspection and together toured the facility inside and outside. Applicant was not caring for children at the time of the inspection. Applicant stated childcare will be provided Monday thru Friday from 6am to 4pm.

The home is a 4 bedroom, 2 bath, home. Two of the bedrooms are adu’s and are attached to the home, one is in the garage and the other is on the side of the house which has its own entrance and are both off limits to children. The applicant will use the living room, family room, kitchen, (1) bathroom, and backyard for the childcare. Inaccessible areas will be the garage, 4 bedrooms, 1 bathroom and as listed in facility sketch as designated area off limits for childcare. LPA did not observe any toxins/hazardous items accessible to children in the facility today. The backyard is fully enclosed with a fenced wall. Cleaning agents and disinfectants are stored in the hall closet with child safety lock, inaccessible. Kitchen knives are stored in drawers with child safety lock inaccessible to children. The bathroom to be used for children in care was observed to be clean, sanitary, and free of toxins/hazardous items accessible to children.

Continued on 809-C

SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Fernando Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2024
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: MARISCAL FAMILY CHILD CARE
FACILITY NUMBER: 566217181
VISIT DATE: 12/05/2024
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2 fire extinguishers were observed without a purchase/service date. Applicant stated they threw out the receipt and will purchase a new one and submit receipt to LPA’s. Applicant is reminded to service or purchase the fire extinguisher yearly. LPA had applicant test smoke and carbon monoxide detector which were found operational, 9:25 am. All adults in the home are fingerprint cleared. LPA observed the home to be orderly. No bodies of water were observed on site. Applicant stated that there are no guns or ammunition in the home.

Applicant's Pediatric First Aid/CPR certificate is valid until (05/28/26). Applicant's Mandated Reported Training is valid until (07/17/26). Preventative Health and Safety and Nutrition Training was completed on (05/18/2024). Childcare orientation was completed on (07/15/2024).

Applicant provided proof of control of property. Applicant owns the home.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Continued on 809-C

SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Fernando Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
LIC809 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: MARISCAL FAMILY CHILD CARE
FACILITY NUMBER: 566217181
VISIT DATE: 12/05/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (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.

LPAs reviewed with applicant the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

LPA provided the applicant updated state required forms to be kept in the children's records.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/ safe-sleep, as an additional resource.

LPA also informed applicant 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

Continued on 809-C

SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Fernando Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: MARISCAL FAMILY CHILD CARE
FACILITY NUMBER: 566217181
VISIT DATE: 12/05/2024
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LPA discussed and provided Guidelines to Safe Sleep and Effects of Lead Exposure leaflets. Applicant was provided information from PIN 20-24-CCP - Recently Approved Safe Sleep Regulations In Effect and LIC 9227 (Infant Sleeping Plan). Applicant was informed baby walkers, jumpers, bouncers, exersaucers, or any similar article are not permitted on the premises during day care hours. Applicant was made aware of the responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov.

On this date (12/05/2024), the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/ subscribe and select the Child Care option to receive email communication.

Continued on 809-C

SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Fernando Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: MARISCAL FAMILY CHILD CARE
FACILITY NUMBER: 566217181
VISIT DATE: 12/05/2024
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A small family childcare license pending until they provide proof of purchase/serviced of fire extinguisher.

A notice of site visit was given to applicant 12/05/2024 and must remain posted on, or immediately adjacent to, the interior of the main door for 30 days.

Exit interview conducted and report was reviewed with the applicant, Silvia Mariscal.

SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Fernando Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
LIC809 (FAS) - (06/04)
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