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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426210089
Report Date: 03/02/2022
Date Signed: 03/02/2022 12:25:15 PM


Document Has Been Signed on 03/02/2022 12:25 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:ANDALON FAMILY CHILD CAREFACILITY NUMBER:
426210089
ADMINISTRATOR:ROSA ANDALONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 686-1529
CITY:SANTA YNEZSTATE: CAZIP CODE:
93460
CAPACITY:14CENSUS: 4DATE:
03/02/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:31 AM
MET WITH:Rosa Andalon TIME COMPLETED:
12:25 PM
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On March 2, 2022, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Case Management Inspection. Prior to inspection, LPA asked pre screening questions related to COVID 19, Licensee's responses indicate there was no COVID-19 exposure on site. LPA met with Licensee Rosa Andalon and explained the nature of the inspection. There were 4 children present during the inspection.

In the course of a complaint investigation, concern regarding care and supervision was brought up to LPA's attention. During an interview on 2/22/2022 and 2/25/2022, two (2) authorized representatives of former day care children disclosed that a child was observed and found in the unfenced front yard of the Family Child Care Home (FCCH) without an adult supervision. Child's information was unknown.

On March 2, 2022, LPA Reyes interviewed Licensee who stated that there was no incident of an unattended child in the front yard. Licensee affirmed that no similar incident had occurred in her FCCH.

During today's inspection, no deficiency was cited, a Technical Assistance was issued to Licensee. LPA provided and discussed the CCR on Care and Supervision to Licensee.

Notice of Site Visit was posted. LPA conducted an exit interview with Licensee, Rosa Andalon.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:
DATE: 03/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/02/2022
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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