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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216445
Report Date: 03/21/2025
Date Signed: 03/21/2025 01:09:57 PM

Document Has Been Signed on 03/21/2025 01:09 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:VILLA FCC AKA AMORES FRIENDS CHILDCAREFACILITY NUMBER:
406216445
ADMINISTRATOR/
DIRECTOR:		HAYDEE VILLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 714-9559
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
03/21/2025
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Martha Villa - AssistantTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On March 21, 2025 at 12:15 PM, Licensing Program Analysts (LPAs) Gigi Reyes and Matthew Sapien conducted an unannounced Case Management -Legal/Non-complaince Inspection at the above Family Child Care Home (FCCH), to deliver an Accusation/Exclusion Action (CDSS No. 7925052005 in the matter of Hannah N. Rubalcava.

LPAs met with Licensee's mother/assistant, Martha Villa and Licensee's father, Jeronimo Villa and discussed the purpose of the inspection. Licensee was not present at the time of the inspection due to a personal appointment. LPAs observed one child at home - Licensee's biological child.

LPAs explained to the assistant the Accusation/Exclusion Action, which prohibits Hannah N. Rubalcava from employment in, presence in and from contact with clients, of any facility licensed by CDSS or certified by licensed foster family agency or resource family home.

A copy of this Accusation shall be provided to the parent/guardian of currently enrolled child by the next business day or immediately upon return as well as the parent/guardian of any enrolled child until the accusation is either dismissed or resolved through the Administrative Hearing or stipulated agreement.

Continued LIC 809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2025
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: VILLA FCC AKA AMORES FRIENDS CHILDCARE
FACILITY NUMBER: 406216445
VISIT DATE: 03/21/2025
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 The following documentation was provided and explained:
  • Accusation CDSS No. 7925052005
  • Acknowledgement of Receipt of Licensing Reports (LIC 9224)

No deficiencies were cited during today's inspection.

A Notice of Site Visit (LIC 9213) was issued and must remain posted for 30 days or a civil penalty of $100 may apply. Appeal Right (LIC 9058) were given to the assistant.

Exit interview was conducted and report was reviewed with assistant, Martha Villa

The inspection and report was translated in Spanish using Focus Language International, Inc.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
LIC809 (FAS) - (06/04)
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