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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566217373
Report Date: 03/21/2025
Date Signed: 03/21/2025 11:04:33 AM

Document Has Been Signed on 03/21/2025 11:04 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:ACOSTA FAMILY CHILD CAREFACILITY NUMBER:
566217373
ADMINISTRATOR/
DIRECTOR:		ACOSTA, ALICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 667-7310
CITY:SANTA PAULASTATE: CAZIP CODE:
93060
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
03/21/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Alicia AcostaTIME VISIT/
INSPECTION COMPLETED:
11:18 AM
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Change of location for a large FCC prior # 566215146

On 03/21/25 at 9:30 AM, Licensing Program Analyst (LPAs) Veronica Diaz and Cynthia Alvarez conducted an announced Pre-licensing inspection. LPAs informed the licensee Alicia Acosta the purpose of the inspection and together toured the home inside and outside. Licensee was not caring for children at the time of the inspection. Licensee stated they are a 24 hour childcare, however they normally provide care Monday thru Sat from 5:30am to 7:00pm.

The home is a 5- bedroom, 4-bath, home. The licensee will use the family room turned into day-care activity and play area, kitchen, 1 Bedroom, 1 bathroom, and backyard for the childcare. Inaccessible areas will be the garage, 4 bedrooms, 3 bathrooms and as listed in facility sketch as designated area off limits for childcare. LPAs did not observe any toxins/hazardous items accessible to children in the home today. The backyard is fully enclosed with a fenced wall. Cleaning agents and disinfectants are going to be stored under kitchen sink with child safety lock for daily cleaning only and the garage will have all other cleaning agents and disinfectants, inaccessible. Kitchen knives will be stored on a top cabinet in the kitchen out of reach of children. The bathroom to be used for children in care was observed to be clean, sanitary and free of toxins/hazardous items accessible to children.

Continued on 809-C

SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2025
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: ACOSTA FAMILY CHILD CARE
FACILITY NUMBER: 566217373
VISIT DATE: 03/21/2025
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A regulation 2A10BC fire extinguisher was observed with a service date of 10/06/24. Applicant is reminded to service or purchase the fire extinguisher yearly. LPAs had applicant test smoke and carbon monoxide detector which were found operational at 10:03am. All adults in the home are fingerprint cleared. LPAs 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.

Licensee Pediatric First Aid/CPR certificate is valid until 4/17/26 and assistant is valid until 04/17/26. Licensee Mandated Reported Training is valid until 02/07/26 and assistant is valid until 02/07/26.

Applicant provided proof of control of property. Applicant owns the home.

Licensee 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.

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.

Continued on 809-C

SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
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: ACOSTA FAMILY CHILD CARE
FACILITY NUMBER: 566217373
VISIT DATE: 03/21/2025
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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-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

LPA discussed and provided Guidelines to Safe Sleep and Effects of Lead Exposure leaflets. Applicant was provided information from PIN 20-24-CCP - Recently Approved Safe Sleep Regulations In Effect and LIC 9227 (Infant Sleeping Plan). Applicant was informed baby walkers, jumpers, bouncers, exersaucers, or any similar article are not permitted on the premises during day care hours. Applicant 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.

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Continued on 809-C

SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
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: ACOSTA FAMILY CHILD CARE
FACILITY NUMBER: 566217373
VISIT DATE: 03/21/2025
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On this date 03/21/25, 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 disclosure; 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.

Licensee was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. 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-carelicensing/ subscribe and select the Child Care option to receive email communication.

A Large family child care license is effective today, March 21, 2025

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

Exit interview conducted and report was reviewed with the applicant, Alicia Acosta

SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
LIC809 (FAS) - (06/04)
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