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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215870
Report Date: 05/01/2023
Date Signed: 05/05/2023 10:26:58 AM

Document Has Been Signed on 05/05/2023 10:26 AM - 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:LARA FAMILY CHILD CAREFACILITY NUMBER:
426215870
ADMINISTRATOR:MARIA ELENA LARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 867-3744
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
05/01/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Anayelli Mera LaraTIME COMPLETED:
04:15 PM
NARRATIVE
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On 05/01/2023 at 12:30 PM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced Case Management inspection at the above Family Child Care Home (FCCH). LPA met with Licensee’s daughter and assistant, Anayelli Mera Lara and discussed the purpose of the inspection. Assistant, Anayelli provided LPA the tour of the home. LPA notes, assistant sibling, Shelly Lara arrived 15 minutes after the initiation of this inspection.

At 11:45 AM, LPA was notified that licensee was not present at the home. LPA observed assistant providing care and supervision for eight children. At 12:00 PM, LPA observed one (1) more child that was in assistant’s bedroom. There was a total of nine children when LPA initiated inspection.

At 12:15 PM, LPA requested children files for all children present at the FCCH. Out of the nine children present, assistant found two (2) children files. LPA conducted children file review and found both children files to be incomplete. Facility roster was also not readily available for review.

At 12:25 PM, LPA and assistant toured the outdoor yard and found fabuloso, the laundry room and shed containing hazardous materials and dog feces accessible to children in care. During today's visit, assistant locked the laundry room, shed and removed the fabuloso to an off-limit area in the home.

At 1:25 PM, LPA requested both assistant’s files and both were unavailable for review. Per assistants, they do not know where the files are at.

During today's inspection, Type A and Type B deficiencies were cited under Title 22 Division 12. Appeal Rights were given and discussed. Civil penalty was issued and discussed with assistant.

CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 05/05/2023 10:26 AM - It Cannot Be Edited


Created By: Francisca Velazquez On 05/01/2023 at 01:53 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LARA FAMILY CHILD CARE
FACILITY NUMBER: 426215870

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/02/2023
Section Cited
CCR
102416.5(a)(e)

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(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
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Licensee agrees to ensure staffing capacities are maintained at all times and will submit a summary advising CCL how she will meet this requirement at all time. Summary will be submitted via email by 5/2/23 via email to [email protected]
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At 11:45 am, LPA observed one (1) assistant providing care and supervision to 9 children, which poses an immediate risk to the health, safety or personal rights risk to persons in care.
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Type A
05/02/2023
Section Cited
CCR102417(g)(4)

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(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger
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Assistant locked laundry room and shed. In addition, fabuloso was move to be inaccessible to children in care. Licensee agrees to pick up canine feces and ensure the outdoor is safe and healthy and send pictures by 5/2/23 via email to [email protected]
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if readily available to children shall be stored where they are inaccessible to children.

LPA observed outdoor yard to have Fabuloso, bleach, laundry room open, shed that is open with hazardous items
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which is an immediate risk to the health, safety or personal rights to persons in care.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:
DATE: 05/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2023


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Document Has Been Signed on 05/05/2023 10:26 AM - It Cannot Be Edited


Created By: Francisca Velazquez On 05/01/2023 at 03:03 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LARA FAMILY CHILD CARE
FACILITY NUMBER: 426215870

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/08/2023
Section Cited
CCR
102416.1(d)

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(d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.
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Licensee to submit proof of all personnel records and require certifications via email to [email protected] by 5/8/23.
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During inspection, personnel files were not available for review. Per assistant, licensee has stored personnel files and assistants do not know where there are at which is a potential risk to the health and safety of children in care.
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Type B
05/08/2023
Section Cited
CCR102421(a)

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(a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).
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Licensee to submit proof of all children files along with infant sleep logs via email to [email protected] by 5/8/23.
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During inspection, children files were not available for review. Out of the nine children present, two files were accessible for review and both were incomplete which is a potential risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:
DATE: 05/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2023


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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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LARA FAMILY CHILD CARE
FACILITY NUMBER: 426215870
VISIT DATE: 05/01/2023
NARRATIVE
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LPA informed licensee’s daughter and assistant, Analyelli Mera Lara that today’s report documents one (1) Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, licensee’s daughter and assistant, Anayelli Mera Lara was informed to provide a copy of this licensing report dated 05/01/2023 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Notice of site visit was issued. LPA discussed Technical Support Program (TSP) with assistant and encouraged participation. Assistant was informed that there will be a meeting in the Regional Office at a future date to discuss today's deficiencies.

Report was reviewed and exit interview was conducted with licensee’s daughter and assistant, Anayelli Mera Lara.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023
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