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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215855
Report Date: 10/16/2024
Date Signed: 10/16/2024 05:26:22 PM

Document Has Been Signed on 10/16/2024 05:26 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:LOPEZ FCC AKA HAPPY TRIBEFACILITY NUMBER:
406215855
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
10/16/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:35 PM
MET WITH:Perla LopezTIME VISIT/
INSPECTION COMPLETED:
05:35 PM
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On 10/16/24, at 3:35 PM, Licensing Program Analyst (LPA) Matthew Sapien conducted an unannounced Annual Random inspection and capacity increase visit of the abovementioned Family Child Care Home (FCCH). LPA met with Perla Lopez, Licensee of the FCCH, and explained the nature and purpose of the inspection. The Licensee is requesting a capacity increase from 8 children (small license) to 14 children (large license). The LPA, in the company of Licensee, toured the interior and exterior of the FCCH. The FCCH is a three bedroom and two bathroom single story apartment. The living room (converted play area), bathroom, dining area, and the apartment complex's nearby park are utilized for childcare services, while the remainder is excluded (three bedrooms, kitchen, and additional bathroom). At the time of the inspection, two children were present.

LPA observed the FCCH to be orderly and clean. The bathroom, utilized for childcare services, is clean and free of toxins. Cleaning compounds were observed in a locked and secure hallway closet near the bathroom making these products inaccessible to children in care. Sharps were observed on an elevated kitchen counter. In addition, personal medication was observed in a elevated kitchen cabinet. Significant to note, the three bedrooms and additional bathroom are made inaccessible to children with a child safety gate. Moreover, the LPA observed a First Aid Kit in a secure metal cabinet in the living room of the FCCH.

LPA observed toys, books, furnishings, and other age-appropriate equipment throughout the interior (living room area) of the FCCH.

LPA observed appropriate licensing forms and documents posted prominently to a bulletin board at the entry of the FCCH. LPA observed a combination smoke and carbon monoxide detector within the hallway of the FCCH. The combination smoke and carbon monoxide detector was tested at 3:45 PM. The detector was found to be operational. LPA also observed a regulation fire extinguisher in the FCCH, which was last serviced on 8/15/24. (CONT. 809-C, Page 2)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2024
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 3
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: LOPEZ FCC AKA HAPPY TRIBE
FACILITY NUMBER: 406215855
VISIT DATE: 10/16/2024
NARRATIVE
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LPA reminded the Licensee to service or purchase a regulation fire extinguisher yearly. LPA reviewed the FCCH's fire/disaster drill log. The most recent fire drill occurred on 9/29/24. Licensee informed LPA that the FCCH conducts disaster drills on a monthly or bimonthly basis.

As noted previously, the apartment complex's park is made accessible to children in care. The park is nearby approximately 30 feet away from the FCCH. Like the interior of the FCCH, the park has age-appropriate equipment and play structures throughout the area that can appropriately afford for childcare services. The park and playground is made up of varying surfaces (concrete pavement, wood-chips, and foam cushioning). Licensee informed LPA that children are supervised at all times when in engaged in outdoor activities at the park. LPA also observed and confirmed that there are no bodies of water on site.

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 6/11/26 and their Mandated Reporter Training, expiring on 3/23/25, is current and complete as are other relevant licensing forms and documents. Licensee was reminded to renew certifications and training prior to expirations. The Licensee verbally stated that there are no firearms or ammunition stored on site.

The Licensee does not currently provide medication or Incidental Medical Services (IMS) to current children in care. 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) 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 also informed Licensee of the importance of checking for recalled infant devices on the United States
Consumer Product Safety Commission (CPSC) website at (CONT. 809-C, Page 3)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024
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: LOPEZ FCC AKA HAPPY TRIBE
FACILITY NUMBER: 406215855
VISIT DATE: 10/16/2024
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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 the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility when the LPA completed a RSO profile in FAS on 10/16/24.

Currently, a capacity increase from 8 children (small license) to 14 children (large license) is pending and awaiting review from Program Manager, Maria Mueller.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and report was reviewed with the Licensee, Perla Lopez.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024
LIC809 (FAS) - (06/04)
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