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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406211177
Report Date: 03/17/2025
Date Signed: 03/17/2025 01:54:09 PM

Document Has Been Signed on 03/17/2025 01:54 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:MENDOZA FCC AKA LITTLE STARS CHILDREN DAYCAREFACILITY NUMBER:
406211177
ADMINISTRATOR/
DIRECTOR:		YADIRA MENDOZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 674-9691
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
03/17/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Yadira MendozaTIME VISIT/
INSPECTION COMPLETED:
02:05 PM
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On 3/17/25, at 10:30 AM, Licensing Program Analyst (LPA) Matthew Sapien conducted an unannounced annual random inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Yadira Mendoza, Licensee of the FCCH, and explained the nature and purpose of the inspection. The LPA, in the company of Licensee, toured the interior and exterior of the FCCH. The house is a 4-bedroom and 3-bathroom two story residence. The first floor of the house consists of 1 bedroom and 1 bathroom. The second story of the home consists of 3 bedrooms and 2 bathrooms. The areas that are accessible for day care children are as follows: entry way and dining room (converted main day care room), one guestroom (infant and toddler room), a portion of the backyard, and downstairs bathroom. The remainder of the home is excluded (front yard, laundry room, garage, main living room, kitchen, a backyard portion, and the entirety of upstairs which includes 3 bedrooms, 2 bathrooms, and a loft area. Importantly to note, all areas that are off limits are made inaccessible by locks and child safety gates. At the time of the inspection, nine children were present, as well as one staff assistant and the Licensee's son (cleared and associated).

LPA observed the FCCH to be clean and orderly. The downstairs bathroom, which is adjacent to the infant and toddler room, is clean and free of toxins. Bathroom cabinets are made secure by child safety latches. LPA observed sharps, personal medication, and children's medication in elevated kitchen cabinets inaccessible to children in care. Moreover, cleaning compounds were observed in a locked kitchen cabinet beneath the sink. The kitchen area, like all of the other inaccessible areas, is made secure by a child safety gate.

LPA observed age-appropriate toys, furnishings, and equipment throughout the main day care room and infant and toddler room. In the infant and toddler room, LPA observed a diaper changing station and a sliding closet that solely contains childcare equipment. In addition to learning and play, Licensee informed LPA that breakfast, lunch, and nap time occurs in the main day care room. LPA also observed televisions in each of the two interior day care areas. (CONT. 809-C, Page 2)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE: DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2025
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 4
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: MENDOZA FCC AKA LITTLE STARS CHILDREN DAYCARE
FACILITY NUMBER: 406211177
VISIT DATE: 03/17/2025
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LPA observed relevant licensing forms and documents posted prominently to a bulletin board near the entry way. LPA also observed a number of smoke and carbon monoxide detectors within the FCCH. A carbon monoxide detector was tested at 11:34 AM, while at 11:36 AM a smoke detector was tested. Each detector was found to be operational. LPA observed a regulation fire extinguisher in the FCCH which was last serviced on 11/6/24. LPA reminded the Licensee to either service or purchase a regulation fire extinguisher annually. LPA reviewed the FCCH's fire/disaster drill log. The most recent disaster drill occurred on 2/18/25. Licensee informed LPA that disaster drills are conducted on a monthly basis due to the protocols of a local resource and referral agency.

As noted, the backyard is accessible to children in care. The FCCH's backyard is enclosed by secure wooden fencing. The fence’s entry/exit gates are secure. The footing in the backyard area is also made up of varying surfaces (foam flooring and artificial turf). Importantly to note, childcare services are only made available to children in one portion of the backyard. This area is enclosed by secured gates. Like the interior of the FCCH, toys, structures, and play equipment observed in backyard are age appropriate and in satisfactory condition. LPA observed a wooden pergola which provides ample shade. Licensee was reminded to replace toys and play equipment which start to degrade or are not in good repair. Licensee ensured LPA that children in care are directly supervised when engaged in outdoor activities and that the area is inspected prior to letting children outside. In a separate area of the backyard, LPA observed a body of water on site (swimming pool). Licensee confirmed to LPA that children do not have access to the pool area. The pool is fenced and locked at all times. In addition, children do not have access to the door that leads to the pool. Importantly to note, LPA did not observe an alarm system, pool cover, or additional safety equipment as required by Department regulation AB 2866.

LPA reviewed children's records. The records are current, complete, and possessed emergency contact information and immunization records, among other relevant licensing documents and forms. The Licensee's records were also viewed. The Licensee’s Pediatric CPR and First Aid certifications (EMSA approved) expiring on 9/7/25, and Mandated Reporter Training, expiring on 2/24/26, is current and complete as are other relevant licensing documents and forms. Licensee was reminded to renew certifications and training prior to expirations. The Licensee informed LPA that there are no firearms and ammunition stored on site.

The Licensee does currently provide Incidental Medical Services (IMS) and administer medication when needed. IMS policy was discussed. For IMS information see PIN 22-02CCP. 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) (CONT. 809-C, Page 3)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025
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: MENDOZA FCC AKA LITTLE STARS CHILDREN DAYCARE
FACILITY NUMBER: 406211177
VISIT DATE: 03/17/2025
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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. LPA discussed the safe sleep regulations with Licensee 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 confirmed that Licensee and staff checks and documents napping infants every 15 minutes.

LPA also informed Licensee 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.

Licensee 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.

During today's visit, 2 Type B Deficiencies were issued (see LIC809-D).

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility when the LPA completed an RSO profile in FAS on 3/17/25.

A notice of site visit was given and must remain posted for 30 days. Appeal rights were also given and signature on this form acknowledges receipt of these rights. Exit interview was conducted and report was reviewed with the Licensee, Yadira Mendoza.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/17/2025 01:54 PM - It Cannot Be Edited


Created By: Matthew Sapien On 03/17/2025 at 01:06 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: MENDOZA FCC AKA LITTLE STARS CHILDREN DAYCARE
FACILITY NUMBER: 406211177

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/17/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.814(a)(1)(B)(ii)(I)
Pool Safety
(ii) (I) An alarm that, when placed in a swimming pool, will sound upon detecting an entrance into the water. The alarm shall be turned on and be in working condition during a facility’s operating hours while the swimming pool is not in use.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/27/2025
Plan of Correction
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Licensee will purchase alarm item and install in pool. LPA will follow up with secondary visit to ensure compliance. The due date is 3/27/25 by close of business day (5:00 PM).
Type B
Section Cited
HSC
1596.814(a)(2)
Pool Safety
(a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements: (2) The licensee shall have the following safety equipment visible from the swimming pool and readily available for immediate use:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/27/2025
Plan of Correction
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Licensee will purchase rescue pool and life ring items and store near the pool area. LPA will follow up with secondary visit to ensure compliance. The due date is 3/27/25 by close of business day (5:00 PM).
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:Maria Mueller
LICENSING EVALUATOR NAME:Matthew Sapien
LICENSING EVALUATOR SIGNATURE:
DATE: 03/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/17/2025


LIC809 (FAS) - (06/04)
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