426216415-9-19-2022-17-CC-FVEZ-CJEUSS-20220919155048

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426216415
Report Date: 09/19/2022
Date Signed: 09/19/2022 03:51:25 PM

Document Has Been Signed on 09/19/2022 03:51 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:	CASTILLO FAMILY CHILD CARE		FACILITY NUMBER:	426216415
ADMINISTRATOR:	MARIA CASTILLO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 345-7209
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	09/19/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Maria Castillo		TIME COMPLETED:	04:20 PM

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This is a change of location, previous facility number 426215506.

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 9/19/2022, at 2:00 PM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an announced change of location, Pre-licensing inspection at the above Family Child Care Home (FCCH). LPA met with Maria Castillo, Licensee of the FCCH, and discussed the purpose of today’s inspection. LPA and Licensee toured the inside and outside of the home. LPA notes there were no children in care at the time of the inspection.

Licensee requested a change of location for a large family child care home and a Fire Clearance from Santa Maria Fire Department was granted on 9/15/2022. The home consists of, living room, second living room, sunroom, four (4) bedroom, two-in-a-half (2.5) bath, dining area, kitchen, garage, and outdoor yard. The licensee will use the living room, second living room, sunroom, kitchen, dining room, bathroom and part of the outdoor yard.

The four (4) bedrooms and two (2) bathrooms, garage and part of the outdoor yard will be inaccessible to children in care. LPA observed a small baby gate making all four (4) bedrooms inaccessible, a locked garage and wood fencing making all off-limits areas inaccessible to children in care.

LPA observed child size furniture and material for activities in throughout the facility. LPA observed the home to be orderly. CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2022

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: CASTILLO FAMILY CHILD CARE	FACILITY NUMBER: 426216415
	VISIT DATE: 09/19/2022

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LPA notes there is plenty of ventilation to afford comfort and safety to the children in care. No toxins nor hazards are accessible to children in care. LPA observed knives and medication are stored in an elevated cabinet in the kitchen at is inaccessible to children. Detergents and cleaning compounds are stored out of reach of children in an elevated cabinet in the kitchen and 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 one (1) adult living in the home, Licensee. Adult have been fingerprint cleared.

LPA observed a regulation 2A10BC fire extinguisher that was purchased on 6/29/22 in the sunroom at the time of the inspection. Licensee is reminded to service or purchase the fire extinguisher yearly. LPA observed licensee test combination smoke and carbon monoxide detectors in the home at 3:00 PM 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 is current with immunization required per SB 792.

Licensee Pediatric First Aid/CPR certificate is valid until 08/12/23. Licensee completed the Mandated Reporter Training on 08/17/22, that is required per AB 1207. Control of property was verified via review of mortgage deed.

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 and the ADA, available at: htttp://www.ada.gov/childqanda.htm CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2022

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: CASTILLO FAMILY CHILD CARE	FACILITY NUMBER: 426216415
	VISIT DATE: 09/19/2022

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LPA reviewed and provided the handout "A Child Care Provider's Guide to Safe Sleep" (PIN 20-24-CCP), Effects of Lead Exposure, What is Carbon Monoxide, and Self- Assessment. LPA provided a Handout for Reporting Child Abuse and Neglect Training provided online at www.ccld.ca.gov.

No deficiencies cited during this visit.

Exit interview conducted and report was reviewed with the Applicant, Maria Castillo. The home meets Title 22 Division 12 requirements of a large FCCH license. Effective date of license will be noted as the present, 9/19/22.

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: 09/19/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2022

LIC809 (FAS) - (06/04)

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