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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216304
Report Date: 04/28/2022
Date Signed: 04/28/2022 01:29:36 PM

Document Has Been Signed on 04/28/2022 01:29 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:NARANJO FAMILY CHILD CAREFACILITY NUMBER:
426216304
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
04/28/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Ana NaranjoTIME COMPLETED:
01:35 PM
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This is a change of location, previous facility number 426216246.

On April 28, 2022 at 11:00 AM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an announced change of location Pre-licensing inspection. LPA spoke to licensee Ana Naranjo and conducted a COVID-19 risk assessment. All answers indicated no exposure to COVID-19. LPA discussed the nature and purpose of the inspection. Licensee and LPA toured the facility inside and outside. LPA notes that Licensee's adult child and minor child was present in the home during the time of the inspection.

The home is a 4 bedroom, 3 bathroom, two-story home. The licensee will be utilizing one bedroom which serves as the main day care playroom, one bathroom, living room, dining room, and backyard for the day care. In the living room, LPA observed a fireplace that is covered by large furniture, making it inaccessible. The three (3) bedrooms and two (2) bathrooms are off limits and made inaccessible to children in care by door safety knobs or baby gates. LPA observed a small baby gate on the first step of the stairway making the entire second floor inaccessible for children in care. LPA observed two child safety gates at the entrances of the kitchen, making the entire kitchen off limits. LPA observed that the backyard is completely fenced. In the backyard, the children's play area was observed to be free of hazards and toxins. LPA observed one (1) shed that is locked and inaccessible to children. LPA observed that shade is provided by means of a canopy. Filtered drinking water is made available by means of water jugs and disposable cups or individual water cups. All adults in the home are fingerprint cleared.

LPA did not observe any toxins/hazardous items accessible to children. A regulation 2A10BC fire extinguisher was observed on the kitchen with a service date of 01/17/22. Licensee is reminded to service or purchase the fire extinguisher yearly. LPA had licensee test smoke and carbon monoxide detectors at 11:52 am and were found operational.

CONT 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/28/2022
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 2
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: NARANJO FAMILY CHILD CARE
FACILITY NUMBER: 426216304
VISIT DATE: 04/28/2022
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LPA observed the home to be orderly. No bodies of water were observed on site. No toxins nor hazards are accessible to children in care. Detergents and cleaning compounds are stored out of reach of children in the garage which is inaccessible to children. The bathroom to be used for children in care was observed to be clean and sanitary.

Licensee's Pediatric First Aid/CPR certificate is valid until 11/03/2023. Licensee's Mandated Reported Training certificate is valid until 12/09/2023. LPA verified control of property through lease agreement . The Licensee states that there are no firearms or ammo in the home.

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 [email protected]. 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, 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 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.

No deficiencies cited during this visit. License to operate a Small Family Child Care facility is effective today, 04/28/2022. Once licensed, the applicant is required to comply with the terms and limitations stated on the license.

Exit interview was conducted with licensee, Ana Naranjo. A copy of this report was reviewed and provided to the licensee.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

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

DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
LIC809 (FAS) - (06/04)
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