426206654-10-22-2020-17-CC-MMUR-BUYTF7-20201102134100

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 426206654
Report Date: 10/22/2020
Date Signed: 10/22/2020 04:23:43 PM

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
09/10/2020 and conducted by Evaluator Martina Jimenez

COMPLAINT CONTROL NUMBER: 17-CC-20200910150928

FACILITY NAME:	FERREIRA FAMILY CHILD CARE		FACILITY NUMBER:	426206654
ADMINISTRATOR:	VIRGINIA FERREIRA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 354-0958
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY:	14	CENSUS: 14	DATE:	10/22/2020
		UNANNOUNCED	TIME BEGAN:	02:25 PM
MET WITH:	Virginia Ferreira		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Facility operating over capacity and out of ratio.

INVESTIGATION FINDINGS:

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At 2:25 PM, Licensing Program Analysts (LPAs) Martina Jimenez and Francisca Velazquez, made an unannounced visit to deliver the finding of the above allegation on September 11, 2020. LPA Jimenez asked Licensee Pre- Screening questions related to COVID-19. Licensee's responses to the Pre-screening questions suggest no COVID-19 exposure on site. LPAs met with the Licensee Virginia Ferreira and explained the purpose of the visit then toured the center.

On 9/11/2020 @ 2:07 PM, LPAs arrived to initiate the complaint investigation. LPAs observed Virginia Ferreira, Licensee and Moises Ferreira, Licensee Assistant/Husband caring for a total of 15 children. LPAs interviewed Licensee and 2 children in care, who stated 2 additional children were picked up from the day-care prior to LPAs arrival on September 11, 2020.

Based on LPA observations, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter number 102416.5(d)2, are being cited on the attached LIC 9099D.

This Report Continues on LIC 9099C & LIC 9099D

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 17-CC-20200910150928

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: FERREIRA FAMILY CHILD CARE	FACILITY NUMBER: 426206654
	VISIT DATE: 10/22/2020

NARRATIVE

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An exit interview was conducted with Licensee. Appeal Rights were given and explained to the Licensee. LPA discussed and explained the FCCH's required plan of correction.

Licensee was provided the Acknowledgement of Receipt (LIC 9224). Parents shall receive a copy of 9099, 9099C, and 9099D. Each parent/guardian shall sign an LIC 9224 with copies maintained in each child's file. Every parent enrolling a new child in the FCCH shall receive a copy of the report and sign a LIC 9224 for the next twelve months. A copy of this report was reviewed and provided to the Licensee.

This report was translated in Spanish by Francisca Velazquez.

LPA provided the Licensee a Notice of Site (LIC 9213) visit which was posted in the LPA's presence.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2020

LIC9099 (FAS) - (06/04)

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Control Number 17-CC-20200910150928

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: FERREIRA FAMILY CHILD CARE	FACILITY NUMBER: 426206654
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/22/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/23/2020 Section Cited CCR 102416.5(d)(2)	1 2 3 4 5 6 7	For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (2) More than twelve and up to fourteen children only	1 2 3 4 5 6 7	Licensee stated that she will submit a written plan on or before 10/23/20 regarding how Licensee will maintain the required staff to child ratio at all times. Plan to be submitted via email. Martina.Jimenez@dss.ca.gov
	8 9 10 11 12 13 14	if the criteria in Section 1597.465 of the Health and Safety Code are met. This requirement is not met as evidenced by LPAs observation, on 9/11/2020, LPAs observed Licensee caring for 15 children. The statements from Licensee and 2 children in care revealed that Licensee was providing care to fifteen (15) children and two (2) additional children which were picked up from the day-care prior to LPAs arrival, which poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2020

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2020

LIC9099 (FAS) - (06/04)

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