<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 406217521
Report Date: 01/22/2026
Date Signed: 01/22/2026 12:44:42 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/05/2025 and conducted by Evaluator Gigi Reyes
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20251205120032
FACILITY NAME:PELAYO FAMILY CHILD CAREFACILITY NUMBER:
406217521
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
01/22/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Nora PelayoTIME COMPLETED:
12:55 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee’s conduct poses a risk to the health and safety of children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/22/2026 at 11:00 AM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced inspection to deliver the finding of the above complaint allegation. LPA met with Licensee Nora Pelayo,and explained the purpose of the inspection. LPA and Licensee toured the home, LPA observed three (3) children in care.

On 12/5/2025, the Department received a complaint alleging the licensee’s conduct poses a risk to the health and safety of children. The investigation included interviews with the licensee and complainant, and review of Santa Maria Police Department (SMPD) documentation.The investigation determined that on 11/26/2025, the licensee was present during an incident at a Santa Maria residence. Evidence confirms the licensee knowingly accompanied Adult 1 despite being aware Adult 1 was angry and upset.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 17-CC-20251205120032
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: PELAYO FAMILY CHILD CARE
FACILITY NUMBER: 406217521
VISIT DATE: 01/22/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The licensee stated licensee's intent was to prevent escalation; however, the incident required law enforcement intervention. SMPD records show the incident involved a verbal altercation and theft, resulting in a grand theft citation for Adult 1.

Although the licensee was not charged and the incident did not occur during daycare hours, licensee was present and aware of criminal conduct. Licensee's decision to accompany Adult 1 and remain during an event involving criminal activity and police intervention demonstrates poor judgment and constitutes conduct inimical to the health, safety, and personal rights of children in care. Based on a preponderance of evidence, the allegation that the licensee’s conduct poses a risk to the health and safety of children in care is SUBSTANTIATED.

During today's inspection, Type A deficiency was cited under Health and Safety Code.
LPA Reyes informed licensee Nora Pelayo that this report dated 1/22/2026 documents one (1) Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA Reyes informed the licensee, Nora Pelayo to provide a copy of this licensing report dated 1/22/2026 hat documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report.

Exit interview conducted and report was reviewed with Licensee, Nora Pelayo. The inspection and review of report was translated in Spanish with the use of Multilingual interpreting Services and with the use of Translate Application platform .

Appeal Rights were given and explained.
Notice of Site Visit was issued and must remain posted for 30 days.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 17-CC-20251205120032
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: PELAYO FAMILY CHILD CARE
FACILITY NUMBER: 406217521
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/22/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/23/2026
Section Cited
HSC
1596.885(c)
1
2
3
4
5
6
7
The department may deny, suspend, or revoke any license upon the licensee’s conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services.... This requirement was not met as evidenced by
1
2
3
4
5
6
7
Licensee shall submit a written statement to the Department by 1/23/2026 acknowledging understanding of professional conduct expectations and outlining steps to ensure sound judgment in personal and professional situations
8
9
10
11
12
13
14
On 11/26/2025, the licensee knowingly accompanied Adult 1 to a residence while aware Adult 1 was angry and upset. The situation escalated into criminal activity requiring law enforcement intervention. Although the licensee was not charged, her presence and awareness of the unlawful conduct reflect poor judgment. This poses an immediate risk the health, safety, and personal rights of children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3