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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215929
Report Date: 11/10/2021
Date Signed: 11/10/2021 03:49:05 PM

Document Has Been Signed on 11/10/2021 03:49 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:GARCIA FCC AKA FIRST STEPS DAYCAREFACILITY NUMBER:
566215929
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
11/10/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Sean HarrisTIME COMPLETED:
04:00 PM
NARRATIVE
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On November 10, 2021 at 1:31 PM, Licensing Program Analysts (LPAs) Francisco Pedroza and Dean Thompson conducted an unannounced Annual/Random inspection. LPAs met with licensees Sean Harris and Ashley Garcia and advised them purpose of the inspection. Licensee provided LPAs a tour of the home inside and out. There were four (4) children in care at the time of the inspection.

The licensee is currently using the living room, dining room, kitchen, den, one bathroom, and backyard for children in care. Licensee has one gate preventing children from leaving living room. LPA did not observe any toxin/hazards accessible to children in care. Licensee has the disinfectants stored in the laundry room. LPA observed a 2A10BC fire extinguisher with a purchase date of 7/20/21 mounted on the wall in the hallway readily accessible. Licensee advised to ensure the fire extinguisher is serviced or a new one in purchased every year. LPA observed a fireplace in the living room with a wood wall barrier preventing children from having access. Due to the children sleeping at the time of the inspection the smoke and carbon monoxide detectors were not tested. LPAs observed there was live chickens in the den. Licensee advised that they are going to place the chicken in the coup once they are ready to be outside. LPAs observed age appropriate toys and furniture readily accessible to children in care. The backyard is enclosed by a concrete wall. LPAs observed a trampoline with a safety net. Licensee has an inoperable spa in the backyard. LPA advised licensee to ensure the spa properly latched and children do not have access. LPAs observed age appropriate toys and structures in the backyard readily accessible to children in care. Licensee has goats caged in the backyard. Licensee advised there are no firearms or live ammunition in the home. LPA observed the facility roster. LPA discussed current Safe Sleep and Covid-19 requirements with licensee.

Continued on 809-C
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 11/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/10/2021
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 11/10/2021 03:49 PM - It Cannot Be Edited


Created By: Francisco Pedroza On 11/10/2021 at 03:10 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: GARCIA FCC AKA FIRST STEPS DAYCARE
FACILITY NUMBER: 566215929

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/10/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in two staff were not able to produce a current Pediatric CPR/First Aid card which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/22/2021
Plan of Correction
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Licensee will product a current CPR/Aid card to Community Care Licensing or schedule a class no later than 11/22/2021.
Type B
Section Cited
CCR
102417(g)(7)
Operation of A Family Child Care Home
(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in five (5) out of six (6) children poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/22/2021
Plan of Correction
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Licensee must create files for each of the children enrolled in the daycare no later than 11/22/2021. Licensee advised to submit a written plan of correction (POC) stating measures to be taken in order to follow Title 22 Regulations to prevent the incident from happening again by 11/22/2021.
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:George Mingle
LICENSING EVALUATOR NAME:Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:
DATE: 11/10/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/10/2021


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Document Has Been Signed on 11/10/2021 03:49 PM - It Cannot Be Edited


Created By: Francisco Pedroza On 11/10/2021 at 03:10 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: GARCIA FCC AKA FIRST STEPS DAYCARE
FACILITY NUMBER: 566215929

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/10/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102418(g)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in six (6) out of six (6) children which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/22/2021
Plan of Correction
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Licensee must create files for each of the children enrolled in the daycare no later than 11/22/2021. Licensee advised to submit a written plan of correction (POC) stating measures to be taken in order to follow Title 22 Regulations to prevent the incident from happening again by 11/22/2021.
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:George Mingle
LICENSING EVALUATOR NAME:Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:
DATE: 11/10/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/10/2021


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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: GARCIA FCC AKA FIRST STEPS DAYCARE
FACILITY NUMBER: 566215929
VISIT DATE: 11/10/2021
NARRATIVE
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On November 10, 2021 at 2:02 PM, LPAs observed that licensee could not locate the physical files for the children in care. LPAs advised licensee that every child must have a file with the required state licensing forms and immunization records.

On November 10, 2021 at 2:07 PM, LPAs asked licensee for a current Pediatric Cardiopulmonary Resuscitation certificate. Licensee advised that he has one and had to provided to the local AYSO. He was not able to locate it.

There were three Type B deficiencies cited during today's inspection.

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.

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.

Continued on 809-C
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021
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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: GARCIA FCC AKA FIRST STEPS DAYCARE
FACILITY NUMBER: 566215929
VISIT DATE: 11/10/2021
NARRATIVE
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LPA discussed the safe sleep regulations with licensee [or facility representative] 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.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021
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