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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215851
Report Date: 03/06/2026
Date Signed: 03/06/2026 11:37:00 AM

Document Has Been Signed on 03/06/2026 11:37 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:ALVARADO FAMILY CHILD CAREFACILITY NUMBER:
406215851
ADMINISTRATOR/
DIRECTOR:		PERLA PAOLA ALVARADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 602-7435
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93401
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
03/06/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:46 AM
MET WITH:Perla AlvaradoTIME VISIT/
INSPECTION COMPLETED:
11:55 AM
NARRATIVE
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On March 6, 2026, Licensing Program Analysts (LPAs) Elizabeth George and Bill Billones conducted an unannounced Case Management inspection at the above mentioned facility. LPAs toured the home with the licensee. No children were in care at the time of the visit.

During the course of the investigation, LPAs attempted to contact the licensee multiple times over the past several weeks by telephone and email. The licensee did not respond to these attempts. Today, the licensee stated her cell phone had been broken and she needed to replace it. LPAs determined the licensee failed to maintain telephone service, which constitutes a technical violation. In addition, the licensee’s failure to respond to repeated attempts by the Department to make contact constitutes conduct inimical to the health, safety, and personal rights of children in care. A Type B citation is being issued for conduct inimical related to failure to respond to Department communications.

During the visit, the licensee disclosed that her 18 year old son resides in the home and assists with the children. The adult does not have a criminal record clearance or exemption associated with the facility. Any adult residing in or working in the home must have a valid criminal record clearance prior to presence in the home. This poses an immediate potential health and safety risk to children in care. A Type A citation is being issued for allowing an adult without criminal clearance to reside in the home and assist in the facility.

LPAs also requested the children’s roster. The licensee was unable to provide the roster during the inspection. This is required documentation that must be maintained and available for review at all times. A Type B citation is being issued for failure to maintain a children’s roster.
continued on 809-C
NAME OF LICENSING PROGRAM MANAGER: Ana Tolentino
NAME OF LICENSING PROGRAM ANALYST: Elizabeth George
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: ALVARADO FAMILY CHILD CARE
FACILITY NUMBER: 406215851
VISIT DATE: 03/06/2026
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LPAs conducted a file review. The licensee’s Mandated Reporter certification was reviewed and found to have expired in February 2024. A Type B citation is being issued for failure to maintain a current Mandated Reporter certification.

Based on the information gathered during today’s inspection, One Type A and three Type B deficiencies are being cited under Title 22 Regulations and Health and Safety Code, which can be found on the attached LIC809-D's. One technical violation is being cited.

LPAs informed the Licensee that this report dated 3/6/26 includes one Type A citation, which must be posted for 30 consecutive days. LPAs also informed the Licensee that a copy of this report dated 3/6/26 documenting the Type A citation must be given to all currently enrolled parents/guardians by the next business day or the next day children are in care, and to all newly enrolled parents/guardians for 12 months. A signed LIC 9224, or other written acknowledgment, must be placed in each child’s file for one year.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the
main door for 30 days. Exit interview conducted, appeal rights were provided, and report was reviewed with Licensee Perla Alvarado.
NAME OF LICENSING PROGRAM MANAGER: Ana Tolentino
NAME OF LICENSING PROGRAM ANALYST: Elizabeth George
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/06/2026 11:37 AM - It Cannot Be Edited


Created By: Elizabeth George On 03/06/2026 at 10:39 AM
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: ALVARADO FAMILY CHILD CARE
FACILITY NUMBER: 406215851

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/06/2026
Section Cited
HSC
1596.871(c)(1)(A)

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Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.
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The licensee will ensure that her adult son, who resides in the home, completes the criminal record clearance process immediately. The licensee will submit a criminal record clearance application and Livescan fingerprints, to the Department by March 9, 2026. The adult son will not have contact with children in care until the clearance is granted and associated to the facility.
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This requirement is not met as evidenced by:

Licensee stated 18 yr old son lives in the home and assists with the chidlren in care. The licensee's son answered the door during a previous inspection and stated he lived in the home.
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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.
Ana Tolentino
NAME OF LICENSING PROGRAM MANAGER:
Elizabeth George
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/06/2026 11:37 AM - It Cannot Be Edited


Created By: Elizabeth George On 03/06/2026 at 10:50 AM
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: ALVARADO FAMILY CHILD CARE
FACILITY NUMBER: 406215851

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/20/2026
Section Cited
CCR
102402(a)(3)

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Conduct in the operation or maintenance of a family day care home which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California.
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The licensee will maintain active and reliable telephone service and respond promptly to all Department phone calls, texts, emails, and inspection attempts. The licensee agrees to be accessible and to ensure timely communication going forward. The licensee is also required to submit a written statement confirming how she will maintain communication with the Department. This can be emailed to elizabeth.george@dss.ca.gov no later than March 20, 2026.
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This requirement is not met as evidenced by:
LPAs attempted multiple inspections, left business cards at the door, made repeated phone calls, sent text messages, and emailed the licensee. The licensee did not respond to any of these attempts.
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Type B
03/13/2026
Section Cited
HSC1596.841

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Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.
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Licensee to complete Children's Roster and keep current and up to date. Completed Roster can be emailed to elizabeth.george@dss.ca.gov no later then March 13, 2026.
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This requirement is not met as evidenced by:

Licensee did not have a Roster of children enrolled.
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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.
Ana Tolentino
NAME OF LICENSING PROGRAM MANAGER:
Elizabeth George
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/06/2026 11:37 AM - It Cannot Be Edited


Created By: Elizabeth George On 03/06/2026 at 11:10 AM
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: ALVARADO FAMILY CHILD CARE
FACILITY NUMBER: 406215851

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/13/2026
Section Cited
HSC
1596.8662(b)(3)

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(3) On and after January 1, 2018, a person who becomes an administrator or employee of a licensed child day care facility shall complete the mandated reporter training...complete renewal mandated reporter training every two years following...
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Licensee to complete Mandated Reporter Training and send certifcation to elizabeth,george@dss.ca.gov no later than March 13, 2026.
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This requirement is not met as evidence by:

Mandated Reporter certification expired Feb 2024.
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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.
Ana Tolentino
NAME OF LICENSING PROGRAM MANAGER:
Elizabeth George
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2026


LIC809 (FAS) - (06/04)
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