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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216350
Report Date: 07/15/2022
Date Signed: 07/15/2022 11:24:18 AM

Document Has Been Signed on 07/15/2022 11:24 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:SOQUI WARD FCC AKA LIL' SAFARI CHILD CAREFACILITY NUMBER:
426216350
ADMINISTRATOR:CINDY SOQUI / ASHLEY WARDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 354-3469
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
07/15/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Ashley WardTIME COMPLETED:
11:45 AM
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This is a change of location, previous facility number 426215013.

Due to COVID-19 pandemic, LPA asked the pre-screening questions prior to inspection. Licensee's responses indicate there was no COVID-19 exposure on site.

On 7/15/22, at 9:45 AM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an announced change of location, Pre-licensing inspection, Licensee will also be adding Cindy Soqui as a Co-Licensee. LPA met with Ashley Ward, Licensee, the purpose of the visit was discussed with the Licensee and together we toured the inside and outside of the home. There were no children in care at the time of the inspection.

Licensee requested a change of location for a large family child care license on 6/14/22 and a Fire Clearance was granted on 6/23/22. The home is a three (3) bedroom, two (2) bath, single story home with an attached garage. The licensee will use the living room, kitchen, dining room, playroom, bathroom in the hallway, and backyard for childcare services.

The three (3) bedrooms and detached garage were observed to be secured with door knob covers and making the off-limits areas inaccessible to children in care.

LPA observed that knives are stored in a high cabinet inaccessible to children. LPA observed medications in the home are stored in a high shelve in the kitchen, inaccessible to children in care. LPA observed child size furniture and material for activities. LPA observed a fireplace that is made inaccessible by furniture. CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 07/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/15/2022
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: SOQUI WARD FCC AKA LIL' SAFARI CHILD CARE
FACILITY NUMBER: 426216350
VISIT DATE: 07/15/2022
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LPA observed the home to be orderly. No toxins nor hazards are accessible to children in care. Detergents and cleaning compounds are stored out of reach of children in the garage. The bathroom to be used for children in care was observed to be clean and sanitary. The back yard is completely fenced and has age appropriate toys and day-care equipment.

There will be three (3) adults living in the home. All adults have been fingerprint cleared. There will also be four (4) children living in the home.



LPA observed a regulation 2A10BC fire extinguisher in the kitchen that was purchased on 5/31/22. Licensee is reminded to service or purchase the fire extinguisher yearly. LPA observed licensee test both smoke and carbon monoxide detectors in the home at 10:05 AM and were functioning at the time of the inspection.

No bodies of water were observed. Licensee stated that there are no weapons or ammunition in the home. Licensee stated she does not hold a foster family license. Licensee and Co-Licensee are current with immunization required per SB 792.

Licensee's Pediatric First Aid/CPR certificate is valid until 7/9/2024, Co-Licensee's Pediatric First Aid/CPR is valid until 7/9/2024. Licensee's Mandated Reporter Training is valid until 4/26/24 and Co-Licensee's Mandated Reporter Training certificate is valid until 6/23/23. LPA reviewed Control of property and rental lease. LPA notes that Co-Licensee, Cindy completed Orientation on 11/21/20 and completed Preventative Health and Safety Course on 9/18/21. Both Licensee and Co-Licensee reside in the facility.

LPA discussed Incidental Medical Services with the licensee. 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 CONT 809-C

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

DATE: 07/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2022
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: SOQUI WARD FCC AKA LIL' SAFARI CHILD CARE
FACILITY NUMBER: 426216350
VISIT DATE: 07/15/2022
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and the ADA, available at: htttp://www.ada.gov/childqanda.htm

LPA 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.

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, 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 applicant 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 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.

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 platform.

No deficiencies cited during this visit. Exit interview conducted and report was reviewed with the Licensee, Ashley Ward. The home meets Title 22 Division 12 requirements of a large FCCH license. Effective date of license will be noted as the present, 7/15/22.

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: 07/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2022
LIC809 (FAS) - (06/04)
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