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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216489
Report Date: 03/08/2023
Date Signed: 03/08/2023 12:05:42 PM

Document Has Been Signed on 03/08/2023 12:05 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:RODRIGUEZ FCC AKA SUNNYSIDE DAYCAREFACILITY NUMBER:
566216489
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
03/08/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Noemi RodriguezTIME COMPLETED:
12:30 PM
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On March 8, 2023 at 10:35 AM Licensing Program Analyst (LPA) Laura Villanueva made an unannounced visit to conduct a Case Management-Licensee Initiated. LPA met with licensee, Naemi Rodriguez and explained the purpose of the inspection. Prior to entering the facility, LPA conducted a COVID-19 risk assessment. All answers indicated no exposure to COVID-19. LPA and Licensee toured the interior and exterior of the home. Licensee was caring for 4 children at the time of the inspection.

The home is a 3 -bedroom, 2 bath, 1 story. The licensee will use the entire home for child care mainly in the 2 side by side playrooms(sun rooms). The entry to the garage is through a locked side door of the house that is inaccessible to children in care. LPA observed age appropriate toys, teaching materials, and furnishings available for children in care in good condition and free of hazards. All adults in the home are fingerprint cleared. LPA did not observe any toxins/hazardous items accessible to children. Licensee states that there are no firearms and ammunition in the home. A regulation 2A10BC fire extinguisher was observed with a purchase date of 12/27/22. Licensee is reminded to service or purchase the fire extinguisher yearly.

No bodies of water were observed on site. Detergents and cleaning compounds are stored on a high shelf in the hall closet keeping items out of reach of children. The bathrooms to be used for children in care was observed to be clean and sanitary. LPA observed a carbon monoxide and a smoke alarm detector in the hallway. Fire clearance was completed on 3/3/23.

Licensee's Pediatric First Aid/CPR certificate is valid until 9/22/24. AB 1207 Mandated Reporter Training was completed on 1/5/23. The last fire drill was completed 3/8/23. All required forms including Notification of Parent's Rights are prominently posted for parent's or authorized representatives to view. A roster of children in care was observed current and complete. .

CONTINUED ON 809-C








SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2023
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: RODRIGUEZ FCC AKA SUNNYSIDE DAYCARE
FACILITY NUMBER: 566216489
VISIT DATE: 03/08/2023
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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 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 made aware of the responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov.



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/inspection-process.


A large child care license is granted effective today 3/8/23. Licensee is required to comply with the terms and limitations stated on the license.

Exit interview conducted and report was reviewed with Licensee, Noemi Rodriguez.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC809 (FAS) - (06/04)
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