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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426212122
Report Date: 07/26/2024
Date Signed: 07/31/2024 12:57:51 PM


Document Has Been Signed on 07/31/2024 12:57 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:CARDOSO FAMILY CHILD CAREFACILITY NUMBER:
426212122
ADMINISTRATOR:BLANCA CARDOSOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 925-5378
CITY:SANTA MARIASTATE: CAZIP CODE:
93455
CAPACITY:14CENSUS: 6DATE:
07/26/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:25 PM
MET WITH:Blanca CardosoTIME COMPLETED:
06:15 PM
NARRATIVE
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On 07/26/2024 at 2:20 PM, Licensing Program Analyst, (LPA) Martina Jimenez conducted an unannounced Case Management, for the purpose of initiating a complaint investigation. LPA met with Blanca Cardoso, Licensee, Elida Nambo, assistant, Marin Cardoso, assistant, Josue Cardoso, Licensee's son, and Alexandria Cardoso, daughter-in-law. LPA explained the purpose of the inspection.

At 2:20 PM, LPA observed one (1) infant and six (6) children in care, which six (6) children were napping in the living room and family room at the time of the inspection. The infant was in licensee arms. The children's ages vary from one year old through five years old. LPA notes the stairs to have a safety gate at the bottom of the stair that was unsecured and open at the time of the inspection.

Today, deficiencies cited under Title 22 Division 12 Appeal rights given. Upon receipt of this report, licensee shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report. Exit interview and review of report was conducted in Spanish by LPA Jimenez with Blanca Cardoso, licensee. Notice of site visit and appeal rights were provided to licensee.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2024
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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Document Has Been Signed on 07/31/2024 12:57 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: CARDOSO FAMILY CHILD CARE
FACILITY NUMBER: 426212122

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/29/2024
Section Cited
CCR
102417(g)(3)

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The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: Where children less than five years old are in care, stairs shall be fenced or barricaded. At 2:20 PM, LPA observed one (1) infant and six (6) children in care,
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Licensee stated that she will submit a plan of correction on how licensee will prevent future incidents CCLD by 7/29/2024, via email: Martina.Jimenez@dss.ca.gov.
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 which six (6) children were napping in the living room and family room at the time of the inspection. The infant was in licensee arms. The children's ages vary from one year old through five years old. LPA notes the stairs to have a safety gate at the bottom of the stair that was unsecured and open at the time of the inspection.
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 This possess an immediate health and safety risk to children 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: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2024
LIC809 (FAS) - (06/04)
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