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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 406210335
Report Date: 11/07/2023
Date Signed: 11/08/2023 01:40:33 PM

Substantiated


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
08/10/2023 and conducted by Evaluator Elvin Baddley
COMPLAINT CONTROL NUMBER: 17-CC-20230810145619
FACILITY NAME:APODACA FCC AKA BUSY BEE DAYCAREFACILITY NUMBER:
406210335
ADMINISTRATOR:MARY APODACAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 481-8498
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY:14CENSUS: DATE:
11/07/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Mary ApodacaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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1. Licensee not following infant safe sleep practices.
INVESTIGATION FINDINGS:
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On 11/7/23, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced inspection to deliver the findings for a Complaint pertaining to the abovementioned allegation. LPA met with Mary Apodaca, Licensee of the Family Child Care Home (FCCH), and advised of the purpose of the inspection. It should be noted LPA observed seven children on site along with an Assistant providing care and supervision.

The investigation included observations, record reviews, interviews and two unannounced site inspections. As noted above, the specific allegation of the Complaint is the Licensee did not following infant safe sleep practices

LPA was able to corroborate the allegation of the Complaint through record reviews and interviews. Specifically, C1 did not have a completed Individual Sleep Plan (LIC 9227). The aforementioned is an integral part of safe sleep practices and a need for children in care given regulation.
(CONT. 9099-C, Page 2)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2023
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 5
Control Number 17-CC-20230810145619
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: APODACA FCC AKA BUSY BEE DAYCARE
FACILITY NUMBER: 406210335
VISIT DATE: 11/07/2023
NARRATIVE
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Based on LPA's observation, record reviews and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation, (Title 22 Division 12 and 102425(c) is being cited).

A closing interview was conducted with Licensee. Licensee was provided and advised of their right to appeal (LIC 9058). A copy of this report was reviewed and provided to the Licensee.

The Notice of Site Visit (LIC 9213) was also provided to the Licensee as required by H&S Code Section 1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 17-CC-20230810145619
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: APODACA FCC AKA BUSY BEE DAYCARE
FACILITY NUMBER: 406210335
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/21/2023
Section Cited
CCR
102425(c)
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(c) An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file. This requirement was not met as an Individual Sleep Plan (LIC 9227) was not completed for C1.
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Licensee to complete LIC 9227 for C1 and provide proof of the completed from to CCLD (elvin.baddley@dss.ca.gov) by 11/21/2023, by the close of business.
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This poses a potential health, safety or personal rights risks to persons 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 MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
08/10/2023 and conducted by Evaluator Elvin Baddley
COMPLAINT CONTROL NUMBER: 17-CC-20230810145619

FACILITY NAME:APODACA FCC AKA BUSY BEE DAYCAREFACILITY NUMBER:
406210335
ADMINISTRATOR:MARY APODACAFACILITY TYPE:
810
ADDRESS:2565 FOWLER LN.TELEPHONE:
(805) 481-8498
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY:14CENSUS: DATE:
11/07/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Mary ApodacaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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1. Licensee did not ensure infants in care were supervised appropriately.
INVESTIGATION FINDINGS:
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On 11/7/23, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced inspection to deliver the findings for a Complaint pertaining to the abovementioned allegation. LPA met with Mary Apodaca, Licensee of the Family Child Care Home (FCCH), and advised of the purpose of the inspection. It should be noted LPA observed seven children on site along with an Assistant providing care and supervision.

The investigation included observations, record reviews, interviews and two unannounced site inspections. As noted above, the specific allegation of the Complaint is the Licensee did not ensure infants in care were supervised appropriately.

LPA was unable to corroborate the allegation of the Complaint. Contrary to the Complaint, the Licensee and Assistant ensured proper care and supervison of children in care by being proximity to children during activities and maintained constant sight on the children both inside the FCCH and outside.
(CONT. 9099-C, Page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 17-CC-20230810145619
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: APODACA FCC AKA BUSY BEE DAYCARE
FACILITY NUMBER: 406210335
VISIT DATE: 11/07/2023
NARRATIVE
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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 Licensee. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Elvin BaddleyTELEPHONE: (805) 635-4697
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5