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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215585
Report Date: 03/24/2022
Date Signed: 03/24/2022 01:16:16 PM


Document Has Been Signed on 03/24/2022 01:16 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:ALAMILLO FAMILY CHILD CAREFACILITY NUMBER:
566215585
ADMINISTRATOR:MARRY ALAMILLOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 983-0695
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY:14CENSUS: 7DATE:
03/24/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Marry AlamilloTIME COMPLETED:
01:30 PM
NARRATIVE
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On March 14, 2022 at 12:45 PM, Licensing Program Analysts (LPAs) Betzayra Cervantes and Rona Chavez made an unannounced inspection to initiate the investigation of the above allegation(s). LPA met with licensee Marry Alamillo and explained the purpose of the inspection. LPA asked the licensee pre-screening questions related to COVID-19. Licensee's responses suggest no COVID exposure on site. LPA and licensee conducted a tour of the facility inside and outside. Licensee and assistant were caring for 7 children at the time of the inspection, four (4) of which were infants.

LPA interviewed licensee, reviewed children files, and requested a copy of the facility children's roster along with parent contact information. During file review, licensee did not have a child file for Child #5. Licensee stated that today was C5's first day at the daycare and the parent has not provided the required enrollment paperwork. Licensee called C5's parent and the child was picked up under the presence of LPAs and was picked up at 12:04 PM. Licensee stated that she will not accept the child until parent provides the enrollment paperwork.

One Type B deficiency cited during this visit (see LIC 809-D). A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Marry Alamillo.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra CervantesTELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:
DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2022
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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Document Has Been Signed on 03/24/2022 01:16 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: ALAMILLO FAMILY CHILD CARE
FACILITY NUMBER: 566215585

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/31/2022
Section Cited

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Operation of a Family Child Care Home: (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to:
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(7) An emergency information card shall be maintained for each child ... in an emergency, the name and telephone number of...the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement was not met as evidenced by the licensee not having a child file available for review for Child #5.
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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) 562-0411
LICENSING EVALUATOR NAME: Betzayra CervantesTELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:
DATE: 03/24/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2022
LIC809 (FAS) - (06/04)
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