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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216775
Report Date: 06/20/2025
Date Signed: 06/20/2025 03:30:47 PM

Document Has Been Signed on 06/20/2025 03:30 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:SILVA FCC AKA FRANNY & VICKI DAYCAREFACILITY NUMBER:
406216775
ADMINISTRATOR/
DIRECTOR:		FRANCES SILVAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 423-4465
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 13DATE:
06/20/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Frances SilvaTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
NARRATIVE
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On 6/20/25 at 1:45 PM, Licensing Program Analyst (LPA) Matthew Sapien conducted an unannounced case management (deficiencies) visit of the abovementioned FCCH. This visit is to follow up on an annual random inspection conducted at the FCCH on 6/10/25. LPA met with Frances Silva, Licensee of the FCCH, and explained the nature and purpose of the inspection. The LPA, in the company of Licensee, toured the interior and exterior of the FCCH. At the time of the inspection, LPA observed 3 day care children present, none of whom were infants. In addition to the Licensee, LPA observed one minor volunteer (age was verified through a driver's license). Licensee also informed LPA that 10 other day care children are currently on a local field trip with one staff assistant (cleared and associated) and one parent volunteer (amount of children verified through sign in and sign out sheets).

During the 6/10/25 visit, LPA Matthew Sapien observed the Licensee, one staff assistant (cleared and associated), and one volunteer. Due to the volunteer appearing to be in middle to late adolescence, LPA inquired on the age of said volunteer with the Licensee. The Licensee provided a verbal answer to the inquiry. LPA also requested the Licensee to provide confirmation of the volunteer's date of birth through a formal document. Formal records of the volunteer's date of birth were unable to be provided to the LPA during the time of the visit. Due to this fact, LPA requested the Licensee and volunteer to each complete a Declaration form (LIC 855) stating the volunteer's date of birth, how long the volunteer has been assisting for, and any other pertinent information. LPA also requested the Licensee to submit some form of birth record on behalf of the volunteer by 6/20/25 before the close of business day (5:00 PM).

On 6/19/25, around 9:00 PM, the Licensee stated that herself and the volunteer would not be able to provide the Department with birth records proving the volunteer is under the age of 18.

Due to this fact, 2 Type A deficiencies were cited under Title 22 of the California Code of Regulations and (CONT. 809-C, Page 2)

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Matthew Sapien
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2025
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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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: SILVA FCC AKA FRANNY & VICKI DAYCARE
FACILITY NUMBER: 406216775
VISIT DATE: 06/20/2025
NARRATIVE
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Health and Safety Codes during today's visit (see LIC 809-D). Upon receipt of this report, the Licensee shall post and provide copies of this licensing report to parents and guardian of children in care at the facility and to parent and guardians of children newly enrolled at the facility during the next 12 months. Licensee must provide the Acknowledgement of Receipt of Licensing Reports (LIC 9224) for each child in care and have each parent sign the form that they have received a copy of today's report.

A notice of site visit was given and must remain posted for 30 days. Appeal rights were also given and signature on this form acknowledges receipt of these rights. Exit interview was conducted and report was reviewed with the Facility Representative, Frances Silva.

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Matthew Sapien
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/20/2025 03:30 PM - It Cannot Be Edited


Created By: Matthew Sapien On 06/20/2025 at 01:45 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: SILVA FCC AKA FRANNY & VICKI DAYCARE
FACILITY NUMBER: 406216775

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/23/2025
Section Cited
HSC
102370(e)

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102370 - Criminal Record Clearance...(e) Violation of Section 102370(d) will result in a citation of a deficiency and an immediate assessment of civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days by the Department.
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The Licensee must submit a copy of the live scan form (LIC 9163) to the Department (matthew.sapien@dss.ca.gov) by 6/23/25 before the close of business day (5:00 PM) and the individual cannot be on the premises until the fingerprints are cleared.
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Based on interview and declarations completed on 6/10/25, it was relayed that the volunteer was under 18 years old. On 6/19/25, the Licensee admitted she was not forthwright with the Department. This poses an immediate risk to the health and safety of children in care.
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Type A
06/23/2025
Section Cited
HSC1596.855(3)

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1596.855 - Denial, suspension or revocation of license; grounds; application of remedies; temporary suspension pending hearing; exclusion from licensure without right to petition for reinstatement...(3) Conduct that is inimical to the health, morals, welfare, or...
This requirement was not met as evidence by:
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The Licensee must submit a written document to the Department (matthew.sapien@dss.ca.gov) by 6/23/25 before the close of business day (5:00 PM) on how future incidents as this one will be avoided. Fortwrightness and future hiring processes must be addressed in the document.
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Based on interview and declarations completed on 6/10/25, it was relayed that the volunteer was under 18 years old. On 6/19/25, the Licensee admitted she was not forthwright with the Department. This poses an immediate risk to the health and safety of 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.
Maria Mueller
NAME OF LICENSING PROGRAM MANAGER:
Matthew Sapien
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2025


LIC809 (FAS) - (06/04)
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