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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566211306
Report Date: 01/14/2022
Date Signed: 02/17/2022 12:56:36 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
12/01/2021 and conducted by Evaluator Laura Villanueva
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20211201142100
FACILITY NAME:MARQUEZ FAMILY CHILD CAREFACILITY NUMBER:
566211306
ADMINISTRATOR:SILVIA MARQUEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 415-8018
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:14CENSUS: 2DATE:
01/14/2022
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Silvia MarquezTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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9
Licensee is not supervising day care children adequately
Licensee smokes during daycare hours
Unfingerprinted adult assisting with care
INVESTIGATION FINDINGS:
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This is an amendment of report issued on 1/14/2022

On February 17, 2022 at 12:03 PM, Licensing Program Analyst (LPA) Dean Thompson made an unannounced visit to close a complaint investigation regarding allegations listed above. LPA met with licensee Silvia Marquez and explained the purpose of the visit. Prior to entering the facility, LPA asked the licensee pre-screening questions related to COVID-19. Licensee responses suggest no COVID exposure on site. LPA and licensee conducted a tour of the facility inside and outside. LPA did not observe any children in care at the time of the inspection.

****Contunued on LIC 809C****

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Dean ThompsonTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2022
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 6
Control Number 17-CC-20211201142100
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: MARQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 566211306
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
CCR
1
2
3
4
5
6
7
No Deficiences/Deficiences created in error on 1/14/2022
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5
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7
HSC
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5
6
7
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3
4
5
6
7
8
9
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11
12
13
14
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9
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13
14
Type A
HSC
1
2
3
4
5
6
7

1
2
3
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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: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Dean ThompsonTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 17-CC-20211201142100
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: MARQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 566211306
VISIT DATE: 01/14/2022
NARRATIVE
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Allegations made include, Licensee is not supervising day care children adequately, Licensee smokes during day-care hours, and an Unfingerprinted adult assisting with care.

This investigation included three unannounced inspections, interviews with the complainant, licensee, the assistant, parents, and day-care children. Parent interviews denied observing children unsupervised nor received any unusual reports from their children or the licensee. Licensee and assistant were present and in ratio during inspections by LPAs.

Licensee denied smoking in the presence of children and informed that her adult son smokes after day-care hours when he returns from work which he limits smoking to the garage. LPA did not observe anyone smoking at the home or on the premises during visits conducted.

Children interviewed denied observing licensee or anyone smoking while present, parents as well.

Records review indicates two assistants have been fingerprinted and associated to the facility. Parent interviews confirmed licensee provides care with one and sometimes two assistants.

Findings based on observation, record review, interviews with the licensee, parents, and children in care, Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) is UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00.

Exit interview conducted, appeal rights were given, and report was reviewed with the licensee Sylvia Marquez.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Dean ThompsonTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 17-CC-20211201142100
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: MARQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 566211306
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
CCR
1
2
3
4
5
6
7
No Deficiencies/ Deficiencies created in error
1
2
3
4
5
6
7


8
9
10
11
12
13
14
8
9
10
11
12
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14
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2
3
4
5
6
7
1
2
3
4
5
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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: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Dean ThompsonTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 6