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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426206654
Report Date: 08/30/2019
Date Signed: 08/30/2019 12:32:20 PM

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:FERREIRA FAMILY CHILD CAREFACILITY NUMBER:
426206654
ADMINISTRATOR:VIRGINIA FERREIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 354-0958
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:14CENSUS: 8DATE:
08/30/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Virginia FerreiraTIME COMPLETED:
12:40 PM
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Licensing Program Analysts (LPAs) Christian Patterson and Juvenal Moctezuma made an unannounced Case management- other inspection to deliver investigation findings of an incident that was self reported on 12/17/2018. LPAs explained the reason of the inspection and a tour of the home was conducted. LPAs observed licensee and her assistant caring for 8 children. All 8 children were observed to be napping in the living room.

The investigation included interviewing adults, children, and parents of children currently and no longer enrolled. there is not a preponderance of evidence to prove that the self reported incident did or did not occur, therefore, the allegation was deemed Unsubstantiated.

No deficiencies were cited. The LIC9213 (Notice of Site Visit) was posted during the visit.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian PattersonTELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019
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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