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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215847
Report Date: 01/26/2023
Date Signed: 01/26/2023 02:04:07 PM

Document Has Been Signed on 01/26/2023 02:04 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:ALVARADO FCC AKA NALLTA'S FAMILY CHILDCAREFACILITY NUMBER:
426215847
ADMINISTRATOR:DIANA ALVARADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 363-5421
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
01/26/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Diana AlvaradoTIME COMPLETED:
02:05 PM
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On January 26, 2023 at 1:20 PM Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Case Management inspection. LPA met with licensee, Diana Alvarado and discussed the purpose of the inspection. LPA asked pre screening questions related to COVID-19 and licensee's responses indicate there are no COVID-19 exposure on site. LPA and Licensee toured the interior and exterior of the home. There were 8 children present at the time of the inspection.

The purpose for this inspection is to deliver the Accusation CDSS No. 6423010101 and CDSS No. 6423010101B

A copy of the Accusation Summary indicates the Departments intent of License Revocation and Exclusion Action against an Adult individual in the home.

LPA explained to Licensee that a copy of this Accusation will be provided to the parent/guardian of currently enrolled child by the next business day or immediately upon return and to the parent/guardian of newly enrolled child until the accusation is either dismissed or resolved through the administrative hearing or stipulated agreement. A signed Acknowledgement of Receipt of Accusation (LIC 9224), or other written statement, must be placed in the child's file for verification

LPA provided the Accusation and Acknowledgement of Receipt of Licensing Reports (LIC 9224)

No deficiency was cited today. A Notice of Site Visit was issued. Appeal Right were given

Exit interview was conducted and report was reviewed with Licensee, Diana Alvarado

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
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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