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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216316
Report Date: 07/24/2023
Date Signed: 07/24/2023 10:47:12 AM

Document Has Been Signed on 07/24/2023 10:47 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:CASTANEDA FAMILY CHILD CAREFACILITY NUMBER:
426216316
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
07/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:03 AM
MET WITH:Alejandra Castaneda-SilvaTIME COMPLETED:
10:55 AM
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On 7/24/2023, at 8:03 AM, Licensing Program Analysts (LPAs) Martina Jimenez and German Negrete, conducted an unannounced Required Annual Inspection .LPAs met with Alejandra Castaneda-Silva, licensee, and Cruz Bautista-Leon, assistant/husband, the purpose of the inspection was discussed with the licensee and together we toured the inside and outside of the home. LPAs observed 2 infants and 4 children in care at the time of the inspection

The main day care areas are living room, dining room, kitchen, hallway bathroom. LPAs observed two (2) knives on the kitchen counters accessible to children in care. LPAs observed the day care area to be clean and orderly. LPAs observed age appropriate books, toy, games, tables and chairs. LPAs observed the off-limits areas which include the 4 bedrooms and 1 bathrooms secured with doorknob covers. The backyard is completely fenced. LPAs observed age appropriate toys, bikes, play structure and playhouses.

No bodies of water were observed. Licensee stated that there are no weapons/ammunition in the home. Licensee stated she does not hold a foster family license. Sampling of children's records were reviewed. The fire extinguisher was observed and was serviced July 12, 2023. There is a functioning carbon monoxide detector and smoke alarm that meets statutory requirements, were tested at 8:26 am, and functioning at the time of the inspection. Licensee is current with immunization required per SB 792. The last Safety drill was conducted July 5, 2023. Licensee is current with CPR and First Aid which expires November 8, 2023. Licensee completed the Mandated Reporter Training on October 11, 2021, that is required per AB 1207.

This Report Continues on LIC809C & LIC809D
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 07/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: CASTANEDA FAMILY CHILD CARE
FACILITY NUMBER: 426216316
VISIT DATE: 07/24/2023
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Licensee is not providing Incidental Medical Services. Incidental Medical Services (IMS) policy was discussed. 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: htttp://www.ada.gov/childqanda.htm

LPAs reviewed the handout "A Child Care Provider's Guide to Safe Sleep" (PIN 20-24) and Effects of Lead Exposure. LPAs provided a Handout for Reporting Child Abuse and Neglect Training provided online at www.ccld.ca.gov.



Santa Maria Fire Department denied the fire clearance on July 20, 2023, due to unpermitted modification to opening in dining area to create a separate dwelling unit, split home.

Today’s visit was conducted in Spanish by LPA Jimenez. . Today, deficiency cited under Title 22 Division 12, Spanish Appeal rights given. Upon receipt of this report, licensee shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report LIC 809 and LIC 809 D.

The inspection visit was conducted in Spanish and report was translated in Spanish by LPAs Jimenez. LPAs observed licensee post the Notice of Site visit FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023
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Document Has Been Signed on 07/24/2023 10:47 AM - It Cannot Be Edited


Created By: Martina Jimenez On 07/24/2023 at 09:37 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CASTANEDA FAMILY CHILD CARE
FACILITY NUMBER: 426216316

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPAs observed two (2) knives on the kitchen counters accessible to children in care at the time of the inspection, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/25/2023
Plan of Correction
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Licensee removed the two (2) knives at the time of the inspection. Licensee will submit a written statment on how licensee will prevent future incidents from occurring to CCLD by 7/25/2023, via email: [email protected]
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Martina Jimenez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/24/2023


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