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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216679
Report Date: 09/18/2024
Date Signed: 09/18/2024 12:14:46 PM

Document Has Been Signed on 09/18/2024 12:14 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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:GONZALES FCC AKA LOVEOSAURUS FAMILY CHILD CAREFACILITY NUMBER:
426216679
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 4DATE:
09/18/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:43 AM
MET WITH:Jessica Gonzales TIME VISIT/
INSPECTION COMPLETED:
12:20 PM
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On September 18, 2024 Licensing Program Analyst (LPA) Giovani Gonzalez conducted an unannounced Annual/Random inspection at the above-mentioned Family Child Care Home (FCCH). LPA notes this inspection will serve to conduct a change of capacity as well. LPA met with Licensee Jessica Gonzales and informed them the purpose of the inspection. At the time of the inspection there were 4 children present.

LPA observed the interior of the home to have sufficient space and ventilation for children in care. LPA observed age appropriate toys and equipment for children in care. LPA observed the kitchen to be made inaccessible to children in care with a child proof gate. Licensee informed LPA they keep sharps and medication in an elevated cabinet of the kitchen which is inaccessible to children. LPA observed the upstairs area is made inaccessible to children via a child proof gate. Licensee informed LPA they keep the majority of the cleaning compounds upstairs and the some of them is kept in a locked kitchen cabinet. LPA observed the bathroom to be used for children to be clean and free of hazards.

LPA observed required documents to be posted on the wall near the entrance of the FCCH. A combination smoke and carbon monoxide detector was tested at 10:33AM and found in working order. LPA observed the FCCH to have a regulation fire extinguisher which was serviced 8/28/2023. LPA reminded Licensee to either service or purchase a regulation fire extinguisher annually. Licensee stated there are no fire arms in the FCCH.

LPA observed the back patio to be completely enclosed. LPA observed age appropriate toys and equipment for children in care. LPA observed a corner of the patio be made inaccessible to children with a gate. LPA observed the exit way to be secured.


CONTINUED PAGE 2
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/18/2024
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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: GONZALES FCC AKA LOVEOSAURUS FAMILY CHILD CARE
FACILITY NUMBER: 426216679
VISIT DATE: 09/18/2024
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LPA reviewed children's records which were found to be current and complete. LPA observed Safe Sleep 15 - minute checks for the infant to be current (last entry 9/17/2024).LPA reminded Licensee that it is their responsibility to ensure that children's records are complete. LPA reviewed assistant's records to be complete as well. LPA observed Licensee's and assistant's Mandated Reporter Training to be current (Licensee completed 2/13/2023). Further, Licensee's CPR/First Aid was completed on 10/23/2022. LPA reminded Licensee that it is their responsibility to ensure all training and certifications are current. The last emergency drill was conducted on 5/16/2024.

Licensee requested a change of capacity on 8/12/2024. The Santa Maria Fire Department granted the FCCH a fire clearance on 9/5/2024, with the note that the secondary exit at the dining area must be clear of any obstruction during child care operation. During the today's inspection LPA did not observe the exit way to be obstructed. The licensee has not obtained a signed Property Owner/Landlord Consent form (LIC9149). Without this consent, the applicant understands that, once approved for a Large FCCH, they can operate with a maximum capacity of 12 children.

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 [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, 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.

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.

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SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024
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
CENTRAL COAST-CHILD, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: GONZALES FCC AKA LOVEOSAURUS FAMILY CHILD CARE
FACILITY NUMBER: 426216679
VISIT DATE: 09/18/2024
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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/.

Licensee was informed of the MyChildCarePlan.org website; 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.

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

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Jessica Gonzales. Effective date of the Large Family Child Care Home license is noted as the present 9/18/2024.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Giovani Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024
LIC809 (FAS) - (06/04)
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