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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426215866
Report Date: 10/27/2023
Date Signed: 10/27/2023 03:53:32 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/24/2023 and conducted by Evaluator Francisca Velazquez
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20230724095032
FACILITY NAME:CORREA FAMILY CHILD CAREFACILITY NUMBER:
426215866
ADMINISTRATOR:ESPERANZA CORREAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 268-1854
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:14CENSUS: 12DATE:
10/27/2023
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Esperanza CorreaTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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1.) Child sustained injuries while in care
INVESTIGATION FINDINGS:
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On 10/27/23, Licensing Program Analysts (LPAs) Francisca Velazquez and Elvin Baddley made an unannounced inspection to the Family Child Care Home (FCCH) in order to deliver the findings with regard to the above allegation. LPAs met with Vishnu Garcia, Assistant of the FCCH and explained the nature of the inspection. LPAs and Assistant toured the interior and exterior of the FCCH. LPA notes there were twelve (12) children present during this inspection being cared by three (3) assistants. Assistant, informed LPAs that Licensee is out and will be arriving to the FCCH shortly. LPAs note, Licensee arrived at 3:35 PM to the FCCH.

The investigation included two unannounced inspections, interview with the complainant, interview with the licensee, interview with C1’s assigned social worker, record review and interviews with children and parents of currently enrolled children and previously enrolled children in the FCCH.

CONT 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 17-CC-20230724095032
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CORREA FAMILY CHILD CARE
FACILITY NUMBER: 426215866
VISIT DATE: 10/27/2023
NARRATIVE
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Parent and children’s interviews did not corroborate the allegation of C1 sustained injuries while in care. Parent interviews revealed that when children get injured at the FCCH, parents are notified of the incident that led to the injury.

Additionally, interview with licensee revealed C1 was playing when C1 fell and injured himself. Licensee reported C1 feel on a toy when C1 fell, and licensee reported it was an accident.

Further, during parent interviews, families reported being satisfied with the care and supervision their children receive at the FCCH.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A Notice of Site Visit (LIC 9213) and Appeal Rights (LIC 9058) were provided to the Licensee. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2