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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215866
Report Date: 01/07/2025
Date Signed: 01/07/2025 02:12:08 PM

Document Has Been Signed on 01/07/2025 02:12 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CORREA FAMILY CHILD CAREFACILITY NUMBER:
426215866
ADMINISTRATOR/
DIRECTOR:		ESPERANZA CORREAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 268-1854
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
01/07/2025
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:11 PM
MET WITH:Esperanza CorreaTIME VISIT/
INSPECTION COMPLETED:
02:10 PM
NARRATIVE
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On January 7, 2025, at 1:11 PM, Licensing Program Analysts (LPAs) S. Mendoza-Ceja and B. Billones conducted an unannounced Case Management Inspection. LPAs met with Licensee, Esperanza Correa and discussed the purpose of the inspection. LPAs observed Licensee Esperanza Correa and her assistant Vishnu Garcia were providing care to 5 children.

During today's inspection, LPAs delivered and discussed with Licensee Esperanza Correa the Stipulation and Waiver; and Order CDSS No. 6423215103 OAH 2023120056 which was Adopted and Ordered on August 2, 2024.

The Order states 1) Revocation: Stayed with Probation: Respondent's license is revoked upon the Department's adoption of the Stipulation as its Order. The revocation of the license shall be STAYED, for three (3) years during which the Respondent shall be granted probationary license subject to the limitations and conditions of the Stipulation and Waiver Order dated August 2, 2024.

This Stipulation and Waiver Order dated August 2, 2024 shall be provided to parents. Parents shall sign an acknowledgment indicating they have received a copy of the Stipulation and Waiver Order. The parental acknowledgement shall be maintained in the corresponding child's file as well as the parent/guardian of any newly enrolled children and shall be made available to the Department upon request. The following documentation was provided and explained:

· Stipulation and Waiver, and Order
· Acknowledgement of Receipt of Licensing Reports (LIC 9224)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Sylvia Ceja
LICENSING EVALUATOR SIGNATURE: DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CORREA FAMILY CHILD CARE
FACILITY NUMBER: 426215866
VISIT DATE: 01/07/2025
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No deficiency was cited today. A Notice of Site Visit was issued. Appeal Rights were given to Licensee.

Exit interview was conducted and report was reviewed with Licensee Esperanza Correa.

The Stipulation and Waiver Order and Report were translated in Spanish by Licensee's assistant Vishnu Garcia.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Sylvia Ceja
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025
LIC809 (FAS) - (06/04)
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