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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215506
Report Date: 08/05/2021
Date Signed: 09/30/2021 09:08:52 AM

Document Has Been Signed on 09/30/2021 09:08 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CASTILLO FAMILY CHILD CAREFACILITY NUMBER:
426215506
ADMINISTRATOR:MARIA ELENA CASTILLOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 345-7209
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 13DATE:
08/05/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Maria Elena Castillo TIME COMPLETED:
01:00 PM
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On 8/5/21, at 10:35 AM, Licensing Program Analyst (LPA) Francisca Velazquez conducted a Required Inspection of the facility. Prior to entering the facility, LPA completed COVID-19 pre-screening questionnaire with Licensee and based on Licensee's responses it was determined that facility did not have COVID-19 exposures. LPA met with Maria Elena Castillo, Licensee of the facility and explained the purpose of the inspection. LPA, in the company of the Licensee, toured the interior and exterior of the facility. This home consists of four (4) bedroom, two (2) bathrooms, living room, dining room, laundry room, backyard and garage that has been converted to a living studio. Licensee stated that children have access to the one (1) bedroom located right when you walk into the facility, living room, dining room, bathroom and backyard, while three (3) bedrooms, one (1) bathroom, laundry room and garage/converted studio is completely inaccessible to children in care. At the time of the inspection thirteen (13) children are present along with Assistant, Laura Ochoa.

The home was orderly and clean with proper ventilation for all children in care. The bathroom used for care are clean and free of toxins with hand washing poster for the children. All cabinets in the bathrooms are free of toxins. LPA observed a fire place in the living room that is covered and made inaccessible to children. LPA observed that all kitchen cabinets have safety latches making them inaccessible to children in care. LPA observed that sharps, knives and Licensee’s medications are stored in the kitchen on a high cabinet that is locked and inaccessible to children in care. LPA observed that cleaning compounds are stored in a high cabinet in the laundry room and are inaccessible to children in care. Toys, furniture and equipment in the facility are age appropriate.

CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2021
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: CASTILLO FAMILY CHILD CARE
FACILITY NUMBER: 426215506
VISIT DATE: 08/05/2021
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LPA observed required licensing forms and documents post by the entrance of the facility. LPA observed smoke detector and carbon monoxide detector located on the ceiling of the living room. Both smoke detectors were tested and found to be operational at 11:20 AM. LPA observed a regulation fire extinguisher that was purchased 6/28/21. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the home’s fire/disaster drill log. The most recent fire drill conducted and documented on 6/22/21.

LPA observed that the backyard is completely fenced. LPA observed plenty of gross motor activities and shade for the children in care. Toys and play equipment observed in backyard are age appropriate and in good conditions. LPA inspected garage that has been converted into living studio. LPA observed that the garage/studio is completed and empty with no furniture or personal items. Licensee state studio is not used and understands that prior to renting out studio, individual must pass fingerprint clearance prior to living in the facility. LPA observed no bodies of water on site.

Licensee informed LPA no firearms or ammunition are stored on site.

LPA reviewed a sampling of the children records. All records reviewed are current and contains complete emergency card information. Facilities current roster of children was reviewed by the LPA during inspection. All children present during the inspection are noted in the roster. LPA reviewed the Licensee's Pediatric CPR and First Aid certifications which expires 9/5/21 and Mandated Reporter Training Certificate expiring on 6/18/22.

The Licensee is not providing Incidental Medical Services (IMS). Policy was discussed. 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: www.ada.gov/childqanda.htm

LPA discussed COVID 19 guidance and best practices with the Licensee. LPA discussed and provided Licensee with safe sleep regulations and Individual Infant Sleep Plan. Licensee was reminded that it is Licensee's responsibility to know the regulations for FCCH which can be accessed on-line at www.ccld.ca.gov CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021
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: CASTILLO FAMILY CHILD CARE
FACILITY NUMBER: 426215506
VISIT DATE: 08/05/2021
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In areas evaluated, there were no deficiencies cited at this time.

Today's inspection and review of report was conducted in Spanish due to Licensee being primarily Spanish speaking.

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: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021
LIC809 (FAS) - (06/04)
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