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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216661
Report Date: 07/26/2023
Date Signed: 07/26/2023 11:18:07 AM

Document Has Been Signed on 07/26/2023 11:18 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:VILLA FCC AKA MOUTIAN VIEW DAYCAREFACILITY NUMBER:
566216661
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
07/26/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Bianca VillaTIME COMPLETED:
11:20 AM
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On 07/26/2023 at 9:00 AM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an announced Pre-licensing Inspection of residence and met with Applicant, Bianca Villa. LPA informed Applicant of the nature and purpose of the inspection. Applicant informed LPA of the intention to maintain operating hours of a Family Child Care Home (FCCH) from 07:00 AM to 6:00 PM, Monday- Friday. The Applicant also informed LPA of the intention to provide care for children 0 months to 13 years of age. There are two (2) adults that lives in the home and two (2) adults have received criminal record clearance.

LPA toured the interior and exterior of the residence with the Applicant. This is a two-story home that consists of three (3) bedrooms, three (3) bathrooms, den, laundry room, living room, kitchen, dining room, garage, and outdoor yard. Applicant reported most day care services will occur in the den, bathroom, and outdoor yard. Children will have access to the living room, dining, and kitchen area for napping purposes only. Meanwhile, the entire second floor that consists of three (3) bedrooms, two (2)) bathrooms and laundry room will be inaccessible to children in care, in addition the garage will also be inaccessible . LPA observed a gate making the den area secure. In addition, LPA observed a baby gate at the bottom of the stairway and a gate at the top of the stairway. All rooms that are off limits were observed to have door safety knobs.

LPA observed the den has spacing and ventilation for the comfort of children in care. LPA observed sharps are stored on top of the refrigerator and on an elevated cabinet in the kitchen. LPA observed medication for the family is stored in an elevated cabinet in the kitchen. LPA observed cleaning compounds are stored in the laundry room and garage, both areas are inaccessible to children in care. The bathroom of the FCCH is observed to be clean and free of toxins. LPA observed all items, equipment, toys and furnishings are in good conditions and age appropriate.

LPA observed a required fire extinguisher (2A10BC) in the home which was serviced on 6/1/23. LPA reminded Applicant of the responsibility to service or purchase a regulation fire extinguisher annually. CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: VILLA FCC AKA MOUTIAN VIEW DAYCARE
FACILITY NUMBER: 566216661
VISIT DATE: 07/26/2023
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 The home has a combination smoke and carbon monoxide detector which were tested at 10:00 AM and found to be operable.

LPA and applicant toured the exterior of the residence. LPA notes the outdoor yard is complete fenced with exit door being secured. The outdoor yard consists of cement and grassing. The home provides natural shading and applicant has added additional shading for the children in care. LPA and applicant discussed active supervision when children are in the outdoor yard. Applicant will provide filtered water for children by means of individual water cups. LPA did not observe any bodies of water.

LPA's record review revealed Applicant completed Preventative Health training on 05/17/2023. Further, Applicant completed Mandated Reporter training on 05/07/2023 and Pediatric CPR/First Aid (EMSA approved) on 05/30/2023. Applicant completed FCCH orientation on 05/08/2023. LPA reminded Applicant of obligation to maintain current training and certifications. LPA reviewed Applicant's control of property document (mortgage deed). LPA notes applicant is current with all required immunizations. Applicant does not have liability insurance for the license as of yet. LPA provided Applicant with Affidavit Regarding Liability Insurance form (LIC 282).

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.

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, 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 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. CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023
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: VILLA FCC AKA MOUTIAN VIEW DAYCARE
FACILITY NUMBER: 566216661
VISIT DATE: 07/26/2023
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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 platform.

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.

Exit interview conducted and report was reviewed with the Applicant, Bianca Villa. The home meets Title 22 Division 12 requirements of a small FCCH license. Effective date of license will be noted as the present, 0726/2023.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023
LIC809 (FAS) - (06/04)
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