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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406214989
Report Date: 08/13/2024
Date Signed: 08/13/2024 03:05:39 PM

Document Has Been Signed on 08/13/2024 03:05 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:RAJ FAMILY CHILD CARE AKA LITTLE OSOS DAYCAREFACILITY NUMBER:
406214989
ADMINISTRATOR/
DIRECTOR:		CHRISTINA RAJFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 578-3810
CITY:LOS OSOSSTATE: CAZIP CODE:
93402
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
08/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Chistina and Chistopher RajTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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On 8/13/24, at 1:00 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Case Management Inspection of the abovementioned Family Child Care Home (FCCH) with regard to an Unusual Incident Report (UIR) received by the Department on the present. LPA met with Christina and Christopher Raj , Licensees of the FCCH and explained the nature and purpose of the inspection. LPA, notes 11 children are present. LPA also notes all children are is different phases of sleep/nap during the time of the inspection.

Circumstances of the UIR involved a child in care, herein C1, going unaccounted for a period of 30-35 minutes in the FCCH and ultimately being found in an excluded area of the home (bedroom). The Licensees provided LPA an account of what transpired and re-enacted the incident. LPA observed the location where C1 was found in the FCCH as well as the common area where child care activities take place in the FCCH. Licensees acknowledged a child safe gate was not positioned in the area where child care activities normally occur. The absence of the child safety gate was discussed as the contributing factor which lead to C1's location being unknown within the FCCH.

The Licensees informed LPA Licensees looked throughout the FCCH for C1. The search for C1 even extended to outside area in proximity to the FCCH. Licensees informed LPA Licensees contacted local law enforcement within five minutes of the initial search of C1. Licensee informed LPA the notification was made to law enforcement to assist in the search of C1 as there was a genuine concern for the safety and well being of the child. The parents of C1 were also notified of the incident.

The Licensees, local law enforcement and neighbors of the FCCH searched the area for C1. Ironically, the Licensees and local law enforcement also searched the exact bedroom where C1 would ultimately be found. As noted in the UIR, C1 was discovered in a bedroom of the home, standing/hiding behind an open door.
The incident was an unfortunate accident which appear to have originated with a child safety gate not being (CONT. 809-C, Page 2)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2024
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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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: RAJ FAMILY CHILD CARE AKA LITTLE OSOS DAYCARE
FACILITY NUMBER: 406214989
VISIT DATE: 08/13/2024
NARRATIVE
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is place. As such, C1 was able to access an excluded area of the FCCH for 30-35 minutes and stand/hide behind an open door.

A Type B Deficiency is being cited based on LPAs' observation/interviews pursuant to Title 22 of the CA Code of Regulations and CCR 102423(a)(2) (refer to LIC 809-D). Licensee was provided a copy of their Appeal Rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility representatives Chistina and Chistopher Raj.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/13/2024 03:05 PM - It Cannot Be Edited


Created By: Elvin Baddley On 08/13/2024 at 02:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: RAJ FAMILY CHILD CARE AKA LITTLE OSOS DAYCARE
FACILITY NUMBER: 406214989

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/27/2024
Section Cited
CCR
102423(a)(2)

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Each child receiving services ...These rights include, but are not limited to, the following: ...To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by: The Licensees failure to put a child safety gate in place, resulting in C1
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Licensees to provided CCLD (elvin.baddley@dss.ca.gov) a written outline explaining how safety precaution will be in place to prevent children in care from going unaccounted for and/or accessing excluded areas of the FCCH.
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being accounted for a period of 30-35 minutes in an excluded area of the FCCH (bedroom), which poses a potential health, safety or personal rights risk to persons 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 Mueller
LICENSING EVALUATOR NAME:Elvin Baddley
LICENSING EVALUATOR SIGNATURE:
DATE: 08/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/13/2024


LIC809 (FAS) - (06/04)
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