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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216252
Report Date: 03/23/2023
Date Signed: 03/23/2023 02:54:43 PM

Document Has Been Signed on 03/23/2023 02:54 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:ELIZONDO FCC AKA STEPPING STONES FAMILY DAY CAREFACILITY NUMBER:
426216252
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
03/23/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Veronica ElizondoTIME COMPLETED:
03:09 PM
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On March 23rd, 2023, at 1:01PM Licensing Program Analyst (LPA) Rosie Breault made an unannounced Annual/Random inspection. LPA met with licensee Veronica Elizondo and advised of nature and purpose of inspection. Additionally, licensee submitted a request for increase of capacity which will be addressed during the inspection. At the time of the inspection there were four (4) children present, 3 adults (licensee and sons) – all fingerprint cleared. Licensee provided LPA a tour of the facility both inside and out. Hours of operation are from 6:00AM-6:00PM

LPA observed all required licensing documents posted prominently in the entrance of the family child care home. This is a one story home with 3 (three) bedrooms and two (2) bathroom, living room, craft room, dining room, kitchen, nap room, playroom, and outdoor front play yard. Parents drop off children through the side yard gate. Children do not have access to all bedrooms and master bath (made inaccessible by locks on doors). Cleaning supplies and combustibles are stored elevated, locked, and inaccessible to children in care. LPA observed age-appropriate toys and furniture readily accessible to children in care. Licensee provides napping cots with children’s bedding and personal items individually stored in labeled cubbies. LPA observed a 2A10BC fire extinguisher with purchased date of 3/7/2023 mounted on the wall in the kitchen readily accessible. Licensee advised to ensure the fire extinguisher is serviced or a new one in purchased every year. Last emergency drill was conducted on 2/17/2023 at 9:30AM. Carbon monoxide and smoke alarms were tested at 1:13PM and were functioning at the time of inspection. The outdoor play yard is enclosed with a fence and no bodies of water are present. Licensee stated no firearms or ammunition are present on the property. Licensee stated no incidental medical services are being provided at this time.


CONTINUED ON LIC809C
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE: DATE: 03/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2023
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: ELIZONDO FCC AKA STEPPING STONES FAMILY DAY CARE
FACILITY NUMBER: 426216252
VISIT DATE: 03/23/2023
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LPA observed the facility roster was current. A sampling of children records was reviewed and found to be current. LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements. Licensee's Pediatric CPR/First-Aid certificate is current and valid until 2/18/2025. Licensee's Mandated Reporter certificate is current and valid until 3/22/2025. LPA discussed current Safe Sleep and Covid-19 requirements with licensee. LPA observed required Sleep Logs and Needs and Services Plans to be present and current.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Home Section 102417. 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: http://www.ada.gov/childqanda.htm.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.



CONTINUED ON LIC809C
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2023
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: ELIZONDO FCC AKA STEPPING STONES FAMILY DAY CARE
FACILITY NUMBER: 426216252
VISIT DATE: 03/23/2023
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Licensee was reminded that all adults 18 and over living or working in the home, 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 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 [facility representative] 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.

Fire clearance was granted by the Lompoc Fire Department on 03/02/2023 with total capacity of fourteen (14) children. Fire Marshal stated day care room that has been established in the sunroom is allowed, as sunroom was previously permitted in 1981.

There were no deficiencies cited during today's inspection.

This home meets Title 22 Division 12 for a Large Family Child Care, effective today 03/23/2023.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817

Exit interview conducted, report was reviewed with the licensee, copy provided.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2023
LIC809 (FAS) - (06/04)
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