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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426210011
Report Date: 11/03/2022
Date Signed: 11/03/2022 02:09:48 PM


Document Has Been Signed on 11/03/2022 02:09 PM - 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:CENDEJAS FAMILY CHILD CAREFACILITY NUMBER:
426210011
ADMINISTRATOR:POMPOSA CENDEJASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 925-7925
CITY:SANTA MARIASTATE: CAZIP CODE:
93455
CAPACITY:14CENSUS: 3DATE:
11/03/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Pomposa CendejasTIME COMPLETED:
02:30 PM
NARRATIVE
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On November 3, 2022 at 12:00 PM, Licensing Program Analysts (LPAs) Francisca Velazquez and Francisco Pedroza conducted an unannounced Plan of Correction Inspection (POC) and met with Elida Cendejas, daughter and assistant of Licensee. LPAs observed 3 children present during the inspection. Licensee was out of the facility picking children up for care. The purpose of the inspection was discussed. LPA’s started the tour of the facility without the licensee present. LPA notes that Licensee, Pomposa Cendejas arrived at the facility at 12:15 PM with 5 school-age children.

LPA’s conducted POC inspection following-up on previous citations issued on October 27, 2022, under an Annual Required inspection. LPAs toured the home inside and out. LPAs observed the home to be clean and free of toxins. LPAs observed a current fire extinguisher and observed the door to the laundry room to be locked and secured. In the outdoor yard, LPAs observed the patio, shed and garden to be locked and secured. LPAs did not observe the individual, Alfredo Cendejas in the home whom previously indicated he resided in the facility garage with his spouse. During the tour of the home, LPA’s observed Alfredo Cendejas still have belongings and it appeared that he still resided in the garage. Based on LPAs observation and interview with Licensee whom confirmed, Alfredo Cendejas is currently living in the facility and has not moved out since the last inspection on October 27, 2022. Licensee understands that Alfredo Cendejas is pending fingerprint clearance and cannot live in the home or have contact with the children in care. Licensee stated that Alfredo has started the fingerprint process and will move out of the home until clearance is granted and stated that if he had anything to hide he would not have gone to get fingerprinted. CONT 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2022
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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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: CENDEJAS FAMILY CHILD CARE
FACILITY NUMBER: 426210011
VISIT DATE: 11/03/2022
NARRATIVE
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Licensee also stated that licensee will ensure the individual will not be present or living in the day care until the criminal record clearance has been completed.

During today's visit, deficiency was cited due to Alfredo Cendejas living in the home without fingerprint clearance since the previous inspection on October 27, 2022.

THIS REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS. LPA observed the "Notice of Site Visit" posted. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 11/03/2022 02:09 PM - It Cannot Be Edited

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: CENDEJAS FAMILY CHILD CARE
FACILITY NUMBER: 426210011

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/04/2022
Section Cited

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(d) All individuals subject to a criminal record review pursuant to ... shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or
This requirement is not met as evidenced by:
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Based on observation and interview with Licensee, the licensee did not comply with the section cited above in that Alfredo Cendejas continues to live in the home and is currently not fingerprint cleared, which poses an immediate health, safety or personal rights risk 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: Francisca VelazquezTELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2022
LIC809 (FAS) - (06/04)
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