Standard 102419(d)(1)
MinorBased on observation, interview, and record review, the licensee did not comply with the section cited above in C3 is missing the signed LIC995 which poses/posed a potential health, safety or personal rights risk to persons in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
Licensee will request parent to sign the LIC995 and send proof to LPA. Business card is left with contact information. Maria Mueller Joaquin Mendez DATE: 12/17/2025 DATE: 12/17/2025 Page: 3 of 6 CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200 GOLETA, CA 93117 FACILITY NUMBER: 426217483 VISIT DATE: 12/17/2025 cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. LPA observed the FCCH to be orderly and clean. LPA reviewed children's records. The records are current and possessed emergency contact information and immunization records, among other relevant licensing documents and forms. However, C2 is missing the signed LIC995. The Licensee's records were also viewed and found to be complete. · The Licensee has current Pediatric First Aid and CPR which expires, 11/06/2027. · Applicant completed the Mandated Reporter Training 11/13/2025 and expires 11/13/2027. · Applicant has proof of immunization per SB 792 against influenza, pertussis, and measles. · LPA observed a regulation fire extinguisher in the FCCH, which was last serviced on 1/28/2025. LPA reminded the Licensee to service or purchase a regulation fire extinguisher yearly. · When reviewing records LPA notes fire/disaster drill logged 10/10/2025 with (8) children present. LPA reminded the licensee that the disaster drills must be conducted every 6 months per regulation. The Licensee does not currently provide medication or Incidental Medical Services (IMS) to current children in care. IMS policy was discussed. For IMS information see PIN 22-02CCP. 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. 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. No prohibited equipment will be allowed or used in the home. No baby bouncers, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into that category are Continue on LIC809C DATE: 12/17/2025 DATE: 12/17/2025 Page: 4 of 6 CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200 GOLETA, CA 93117 FACILITY NUMBER: 426217483 VISIT DATE: 12/17/2025 not permitted in the facility. 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. 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. Because the applicant Ofelia Mendoza Gonzalez rents the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149). During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility. LPA completed a RSO profile in FAS on December 16, 2025. On August 25, 2025, the Licensee submitted documentation for a FCCH change of capacity. The Licensee is seeking to change the FCCH’s capacity from 8 (Small FCCH) to 14 (Large FCCH). The Santa Maria Fire Department granted fire clearance following an inspection completed at FCCH on October 13, 2025. Fire Clearance is granted with the special conditions noted below. Special condition: the large family day-care was approved with the condition of maintaining the lime tree trimmed at all times. Upon conducting my initial fire inspection, the lime tree needed to be trimmed or removed to allow the proper means egress to evacuate in case of emergency. The lime tree is on the way from the secondary evacuation exit. Today, a type B deficiency was cited under Title 22 Division 12 Appeal rights given. See LIC809D. A plan of correction is requested from the licensee and must be sent to LPA Mendez by the end of business Continue on LIC809C DATE: 12/17/2025 DATE: 12/17/2025 Page: 5 of 6 CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200 GOLETA, CA 93117 FACILITY NUMBER: 426217483 VISIT DATE: 12/17/2025 day 12/26/2025. The home meets Title 22 of CCR provisional requirements for a Large Family Childcare license effective today. Effective date of license is today December 17, 2025. A notice of site visit was given to applicant and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with the licensee, Ofelia Mendoza Gonzalez in the licensee’s preferred language, Spanish. DATE: 12/17/2025 DATE: 12/17/2025 Page: 6 of 6
Standard 102419(d)(1)
- State severity
- Type B
- Corrected at visit
- Not recorded
- Correction due
- Dec 26, 2025
- Technical assistance
- Not recorded
- Finding source ID
- ca:426217483:2025-12-17:102419(d)(1):1
- Visit source ID
- ca:426217483:2025-12-17:other