426216862-2-7-2024-17-CC-FVEZ-D28VUY-20240207154532

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426216862
Report Date: 02/07/2024
Date Signed: 02/07/2024 03:45:39 PM

Document Has Been Signed on 02/07/2024 03:45 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:	LARA FAMILY CHILD CARE		FACILITY NUMBER:	426216862
ADMINISTRATOR:	MARIA & JACKELINE LARA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 867-3744
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	02/07/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	01:37 PM
MET WITH:	Maria Elena Lara		TIME COMPLETED:	04:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	This is a change of location; previous facility number is 426215870. On 2/7/24, Licensing Program Analyst (LPA) Francisca Velazquez conducted an announced Pre-licensing Inspection and met with Applicant, Maria E. Lara. LPA informed Applicant of the nature and purpose of the inspection. The applicant informed LPA of the intention to maintain operating hours of a Family Child Care Home (FCCH) from 5:30 AM to 5:30 PM, Monday- Friday and 5:00 AM to 2:00 PM on Saturday. The applicant also informed LPA of the intention to provide care for children 0 months to 14 years of age. Applicant was informed changes in licensing hours and/or the ages of children supervised and cared for can be altered upon notifying CCLD in writing of the given modifications and/or changes. The applicant reports there are one (1) adult that live in the home and one (1) adult have received criminal record clearance. LPA toured the interior and exterior of the residence with the Applicant. This is a single level home that consists of living room, dining room, kitchen, pantry/laundry room, play area/den, three (3) bedrooms, two (2) bathrooms and outdoor yard. Applicant reported the children will have access to the kitchen, dining area, play area/den, one (1) bathroom, one (1) bedroom and part of the outdoor yard. Meanwhile, two (2) bedrooms, one (1) bathroom, living room, pantry/laundry room and part of the outdoor yard will be inaccessible to children in care. Per applicant, the bedroom that will be accessible to children will be used as an isolation room for children who are sick or not feeling well. LPA notes that all inaccessible areas are secured by locked knobs, gates and latches. LPA observed that the dining room, kitchen, one (1) bathroom, one (1) bedroom, play area/den and part of the outdoor yard have plenty of spacing and ventilation for the comfort of children in care. LPA observed a fireplace in the living room that is made inaccessible by two gates. LPA observed sharps are stored in an elevated cabinet in the kitchen. Cleaning compounds are stored in pantry/laundry room in elevated cabinets. Medication for the family is stored in an elevated cabinet in the kitchen. CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024

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: LARA FAMILY CHILD CARE	FACILITY NUMBER: 426216862
	VISIT DATE: 02/07/2024

NARRATIVE

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LPA notes all these areas are inaccessible to children in care. The bathroom that will be used by children was observed to be clean and free of toxins. LPA observed items, equipment, toys, and furnishings for the children in care that are in good condition and age appropriate.

LPA observed a required fire extinguisher (2A10BC) in the home which was purchased on 1/28/24. LPA reminded Applicant of the responsibility to service or purchase a regulation fire extinguisher annually. The home has a combination smoke and carbon monoxide detector that was tested at 2:20 PM and was operable.

LPA observed the outdoor yard to be completely fenced. LPA observed all the exit gates are all secured. LPA and Applicant discussed additional shading during the summer months. LPA and Applicant discussed active supervision when children are outdoors. LPA observed a large permanent shed in the outdoor yard. LPA observed the shed is locked and requires a key to open. Additionally, there is a gate making the area inaccessible to children in care. Applicant reported filtered water will be accessible by means of a water jug and individual cups for each child. LPA notes no bodies of water were observed. Applicant reported there are no guns and ammo in the home.

LPA's record review revealed Applicant’s Mandated Reporter training was completed on 9/28/21 and Pediatric CPR/First Aid (EMSA approved) was completed on 1/2/24. LPAs reminded Applicant of obligation to maintain current training and certifications. Applicant does not have liability insurance for the license as of yet. LPAs provided Applicant with Affidavit Regarding Liability Insurance form (LIC 282). Applicant received clearance from the Santa Maria Fire Department on 1/30/24.

Applicant 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.

The applicant owns the home. The applicant provided proof of control of property. The applicant is co-owner of the home along with Applicant’s sibling who helped Applicant qualify for the home. Applicant provided affidavit clarifying this information along with sibling’s current living address as proof of residence. CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024

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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LARA FAMILY CHILD CARE	FACILITY NUMBER: 426216862
	VISIT DATE: 02/07/2024

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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 reviewed with applicant, the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

LPA discussed the safe sleep regulations with applicant, 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 applicant 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.

On this date, 2/7/23, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicant, informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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

CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024

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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LARA FAMILY CHILD CARE	FACILITY NUMBER: 426216862
	VISIT DATE: 02/07/2024

NARRATIVE

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Exit interview conducted and report was reviewed with the applicant, Maria Elena Lara in Spanish.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https:// www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The home meet Title 22 of CCR requirements for a Large Family Child Care license. Effective date of license is 2/7/24.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024

LIC809 (FAS) - (06/04)

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