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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426214390
Report Date: 07/11/2024
Date Signed: 07/11/2024 11:09:51 AM

Document Has Been Signed on 07/11/2024 11:09 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:GASTELUM FCC AKA LITTLE LADY BUG DAYCAREFACILITY NUMBER:
426214390
ADMINISTRATOR/
DIRECTOR:		BLANCA GASTELUMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 455-3569
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
07/11/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:55 AM
MET WITH:Maria Lourdes Gastelum TIME VISIT/
INSPECTION COMPLETED:
11:24 AM
NARRATIVE
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On July 11, 2024 at 9:05 AM, Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced Required- 3 Year inspection. LPA met with licensee Maria Lourdes Gastelum and advised the purpose of the inspection. Licensee provided LPA a tour of the home inside and out. At the time of inspection there were six children in care of 2 fingerprint cleared adults. Licensee's 14 year old nephew was also in the home, no other adults were observed in the home. Hours of operation are M-F 7:30 AM- 5 PM.

LPA observed required Licensing required documents posted prominently at the entrance. Children in care have access to living-room, one restroom, kitchen, dining room and enclosed front yard. Bathroom was observed to be clean and free of toxins/hazardous items. Kitchen knives were observed to be located in an inaccessible top shelf. Children have access to toys that are age-appropriate inside and outside of the home. Front yard play area is enclosed and has plenty of bicycles, scooters, and activities. There are no bodies of water present at the time of inspection. During the tour, LPA did not observe any hazards/toxins items accessible to children in care.

Fire and earthquake drills are being documented every six months. Last drill was conducted on 6/10/2024. Fire extinguisher 3A10BC was observed in the kitchen with a receipt showing a purchase date of 3/29/24. Fire and carbon monoxide detectors were observed throughout the home. Detectors were not tested as infant child was asleep. Licensee certifies they check the batteries regularly to ensure they are in working condition.

LPA reviewed six out of six children files. All children files were current. Licensee CPR/first aid is valid through 4/03/2026. Licensee was reminded a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter certification AB1207 every two years at www.mandatedreporterca.com Licensee’s mandated reporter certification is valid through 12/07/2025.

Continued on 809-C
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 07/11/2024 11:09 AM - It Cannot Be Edited


Created By: Susana Martinez On 07/11/2024 at 10:46 AM
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: GASTELUM FCC AKA LITTLE LADY BUG DAYCARE
FACILITY NUMBER: 426214390

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/11/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(a)(1)
Infant Safe Sleep
(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (1) All cribs or play yards shall meet the United States Consumer Product Safety Commission safety standards.

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 as an infant was found sleeping in a bassinet which posed a potential health, safety or personal rights risk to persons in care. Bassinet is a Ingenuity Foldaway Rocking Bassinet.
POC Due Date: 07/25/2024
Plan of Correction
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LPA provided a copy of the Safe Sleep Frequently Asked Questions (FAQs) in Spanish. Licensee agrees to submit a written statement on what she learned from the FAQs and how she plans to prevent this from reoccurring. Licensee must submit proof of new crib/ play pen. Plan of correction is due by 7/25/2024.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Ana Tolentino
LICENSING EVALUATOR NAME:Susana Martinez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/11/2024


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: GASTELUM FCC AKA LITTLE LADY BUG DAYCARE
FACILITY NUMBER: 426214390
VISIT DATE: 07/11/2024
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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was reminded that all adults 18 and over living or working in the home, 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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page 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 https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. LPA observed a safe sleep log being documented for infants in care every 15 minutes. LPA observed an infant sleeping in a bassinet located in the dining room area. LPA advised Licensee that bassinets are not allowed in the home.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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 are available at: https://www.ada.gov/resources/child-care-centers/.



During the inspection LPA observed child's medication to be located in a tote bag in an area that is accessible to children. Licensee stated that the bag had been taken out for a couple minutes. Given the fact that the medication was located at the bottom of the tote bag and hard to reach, LPA determined there was no immediate risk. LPA reminded Licensee to ensure that medication is stored in area that is inaccessible to children and to also check for expiration dates.

Continued on 809-C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024
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: GASTELUM FCC AKA LITTLE LADY BUG DAYCARE
FACILITY NUMBER: 426214390
VISIT DATE: 07/11/2024
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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE Maria Lourdes Gastelum, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

During today's inspection one Type B deficiency is being issued for using a bassinet for sleep. Deficiency can be found on the attached 809-D.

LPA provided a copy of Safe Sleep Frequently Asked Questions in Spanish and highlighted page 10 indicating bassinets cannot be used in the FCCH.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the licensee Maria Lourdes Gasatelum.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024
LIC809 (FAS) - (06/04)
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