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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216723
Report Date: 11/19/2024
Date Signed: 11/19/2024 12:15:35 PM

Document Has Been Signed on 11/19/2024 12:15 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CAPUCHINO FCC AKA LITTLE ANGELES DAYCAREFACILITY NUMBER:
566216723
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
11/19/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Maria CapuchinoTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On November 19, 2024 10:30 AM, Licensing Program Analyst (LPA) Laura Carone made an unannounced visit to conduct an Annual/Random Inspection. LPA met with licensee, Maria Capuchino and explained the purpose of the inspection. LPA and Licensee toured the interior and exterior of the home. Licensee and Assistant were caring for 5 children at the time of the inspection. Licensee is requesting a capacity increase to a large license. Fire clearance was granted on 11/12/2024 with no restrictions.

The home is a 5-bedroom, 2- bath, single story home. The applicant will use the living room, kitchen, 2-bathrooms, 1-bedroom, and backyard for the child care. The garage and 4-bedrooms will not be utilized and will be designated off limits for childcare. LPA observed a screened fireplace in the living room inaccessible to children. LPA did not observe any toxins/hazardous items accessible to children. The backyard is fully enclosed with a fenced wall. Cleaning agents, disinfectants are stored in a locked high cabinet in the kitchen. Kitchen knives are stored out of reach. The bathrooms to be used for children in care was observed to be clean. LPA observed one dog in the backyard. Applicant reported that the dog's vaccinations are up to date.

A regulation 2A10BC fire extinguisher was observed with a service date of 10/08/2024. Applicant is reminded to service or purchase the fire extinguisher yearly. LPA observed a smoke/carbon monoxide detector mounted on a wall next to the kitchen. All adults in the home are fingerprint cleared. LPA observed the home to be orderly. No bodies of water were observed on site. Applicant stated that there are no guns or ammunition in the home.

Applicant's Pediatric First Aid/CPR certificate is valid until 03/02/2026. Applicant's Mandated Reported Training is valid until 05/09/2025. LPA reviewed mortgage statement to verify control of property.

Licensee last completed an emergency disaster drill on 09/11/2024. All required forms including Notification

CONTINUED ON LIC809-C

SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Laura Carone
LICENSING EVALUATOR SIGNATURE: DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/19/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CAPUCHINO FCC AKA LITTLE ANGELES DAYCARE
FACILITY NUMBER: 566216723
VISIT DATE: 11/19/2024
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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. All children records were reviewed and found to be complete.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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

Licensee was reminded that all adults 18 and over living or working in the home, 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.



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)/ (800) 514-0383
(TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the
ADA, available at: https://www.ada.gov/resources/child-care-centers/.

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-andresources/
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. Consumer Product Safety Commission (CPSC) website at

CONTINUED ON LIC809-C

SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Laura Carone
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CAPUCHINO FCC AKA LITTLE ANGELES DAYCARE
FACILITY NUMBER: 566216723
VISIT DATE: 11/19/2024
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 https://www.cpsc.gov/ and recommended they their purchased equipment.

During the exit interview, the licensee, Maria Capuchino, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A large child care license for a capacity 14 children is effective today. LPA reviewed and provided licensee with a capacity chart. No deficiencies cited. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Maria Capuchino.. Visit was conducted in Spanish.
SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Laura Carone
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
LIC809 (FAS) - (06/04)
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