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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215425
Report Date: 02/19/2020
Date Signed: 02/19/2020 04:36:49 PM

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:VILLALPANDO FCC AKA LOS SOLESITOS DAY CAREFACILITY NUMBER:
566215425
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
02/19/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Claudia VillalpandoTIME COMPLETED:
04:10 PM
NARRATIVE
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On February 19. 2020 at 3:10 PM Licensing Program Analyst (LPA) Laura Villanueva made an unannounced visit to the home. LPA explained the purpose of the visit. LPA was at the home to conclude a complaint investigation. LPA observed a bouncer and an exersaucer in the living room. C2 was in one and the other was empty. LPA reminded Licensee that bouncers and exersaucers are prohibited at licensed family child care homes. On the 1/9/20 visit, LPA advised Licensee to remove a bouncer that was present in the living room. Licensee stated that the child's mother brought the bouncer, and she would be asking her to take it home. LPA also observed C1 in a play pen with a bottle propped and covered with blankets. LPA asked Licensee for children's files that are present during the visit. Licensee could not locate C1's file. LPA reminded Licensee that the same issue had occurred on the previous visit with another new child. LPA advised Licensee that a citation will be issued for the bouncer/exersaucer, C1 not in safe sleep position, and no file for C1.

California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 809D.”)

Appeal rights given with a copy of the report.



THIS REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS.

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: VILLALPANDO FCC AKA LOS SOLESITOS DAY CARE
FACILITY NUMBER: 566215425
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/19/2020
Section Cited

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(a) Each child receiving services from a family child care home shall have certain rights...These rights include, but are not limited to, the following:
(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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This requirement was not met as evidenced by: LPA observed an infant C1 covered in a blanket and with a bottle propped in a play pen located in the living room which poses a potential health, and safety personal rights risk to children in care.
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Type B
02/19/2020
Section Cited

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(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to:
(d) The home shall provide safe toys, play equipment and materials.
This requirement is not met as evidenced by:
LPA observed C2 in baby bouncer and an empty exersaucer in the living room
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which poses a potential health, safety or personal rights 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: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:
DATE: 02/19/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/19/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: VILLALPANDO FCC AKA LOS SOLESITOS DAY CARE
FACILITY NUMBER: 566215425
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/19/2020
Section Cited

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An emergency information card shall be maintained for each child and shall include the child's full name, telephone number...
and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement was not met as evidenced by:
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Licensee did not have any information for child C1 which poses poses a potential health, safety and personal rights risk to the 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: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Laura VillanuevaTELEPHONE: (805) 722-5138
LICENSING EVALUATOR SIGNATURE:
DATE: 02/19/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/19/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3