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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426215565
Report Date: 06/24/2021
Date Signed: 06/24/2021 10:22:29 AM



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
04/01/2021 and conducted by Evaluator Sylvia Mendoza-Ceja
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20210401164451
FACILITY NAME:CHACON FAMILY CHILD CAREFACILITY NUMBER:
426215565
ADMINISTRATOR:EDIS Y. CHACONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 636-3211
CITY:SANTA BARBARASTATE: CAZIP CODE:
93103
CAPACITY:14CENSUS: 6DATE:
06/24/2021
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Edis Chacon and KarinaTIME COMPLETED:
10:30 PM
ALLEGATION(S):
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Personal Rights: Licensee did not allow a school age children to nap
Food Service: Licensee only serves the children cereal

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) S. Mendoza-Ceja conducted an unannounced inspection. Prior to entering the home, the Pre- Screening questions related to COVID-19 were asked. The complaint was initiated on April 6,2021. The investigation included obtaining the child care roster, obtaining complainant's statement, interviewing Licensee, parents of children in care, and some of the day care children.

-Parent Interviews did not corroborate complainant's statement. Parent's indicated they are satisfied with the care and supervision and that their children's needs are met. Parents interviewed revealed their children eat Posole, rice, beans, eggs, chicken and beef soup, lentils, fruit and yogurt. In regards to napping, none of their parents had concerns, one parent stated her children were told to "keep it down" when children are napping.

-Licensee Chacon denied the above allegations. She stated she provides variety of foods for breakfast at 8:30am (eggs, pancakes, eggs and ham, cheese ham, fruit, and milk), 2 snacks at 10:00am and 2:00pm (yogurt, fruit, cookies, oatmeal), lunch at 12:00pm (chicken soup, beef soup, pasta (1 day per week), lentils, beans, and of course vegetables, and dinner at 4:00pm, beans, cheese tortilla (flour or corn), chorizo with beans, ham with tortilla). In regards to napping, Licensee stated she has asked the school age children if they want to nap, but they say no. Licensee stated there was one family that was upset with her and she gave the family a two week notice to find an alternate day care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 17-CC-20210401164451
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: CHACON FAMILY CHILD CARE
FACILITY NUMBER: 426215565
VISIT DATE: 06/24/2021
NARRATIVE
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During the inspection, LPA observed Licensee and her assistant serve children breakfast waffles, eggs, blueberries, including a bottle for infant.

The above allegations are unsubstantiated, based on LPA's interviews with Licensee, parents of children in care, and record review. Although these allegations may have occurred, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore, the allegation is unsubstantiated. An exit interview was conducted with Licensee.

Licensee shall post the "Notice of Site Visit for 30 days"

Language Link was used for Spanish translation.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2