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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406217619
Report Date: 09/23/2026
Date Signed: 09/23/2026 11:06:51 AM

Document Has Been Signed on 09/23/2026 11:06 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:CAZARES FAMILY CHILD CAREFACILITY NUMBER:
406217619
ADMINISTRATOR/
DIRECTOR:		CAZARES, ROCIOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 835-6190
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
09/23/2026
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Rocio CazaresTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
NARRATIVE
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On 9/23/26, at 9:20 AM, Licensing Program Analysts (LPAs) Matthew Sapien and Joaquin Mendez conducted an unannounced Case Management Inspection (Legal/Non-Compliance) at the abovementioned Family Child Care Home (FCCH) in order to deliver an Exemption Denial in the matter of Brandon J. Luqueno. LPAs met with Facility Representative, Rocio Cazares, and toured the FCCH throughout. At the time of the inspection, LPAs observed 2 children in care, along with one additional adult providing care and supervision for children in care (cleared and associated).

LPAs explained to the Facility Representative the Exemption Denial letter which states Brandon J. Luqueno may not work or be present in an agency licensed by the Department, may not reside or be regularly present in a Resource Family Home and is prohibited from being registered on the Home Care Aide and TrustLine Registries. This individual is also prohibited from having contact with clients, potential clients or confidential client information of any agency, including Home Care Organizations, licensed by the Department.

The following documentation was provided and explained:

· Exemption Denial (Background Check ID: 7932422)
· Confirmation of Removal: Brandon J. Luqueno
· Addendum to Notification of Parent's Rights (LIC 995B)

A copy of the Confirmation of Removal and the Addendum to the Notification of Parent's Rights (LIC 995B) must be given to parents that have children currently enrolled at the FCCH. The Confirmation of Removal must be (CONT. LIC 809-C (Page 2)
Maria Mueller
Matthew Sapien
DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2026
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: CAZARES FAMILY CHILD CARE
FACILITY NUMBER: 406217619
VISIT DATE: 09/23/2026
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returned to the Department within five days by the Licensee. The Licensee may choose to appeal this decision by submitting a written request for appeal to 744 P Street, M.S. T9-15-62, Sacramento, CA, 95814 or by emailing the appeal request to guardian@dss.ca.gov by 10/7/26.

Facility Representative provided the following information regarding the aforementioned individual:

·Facility Representative informed LPAs that Brandon J. Luqueno does not permanently live in the house or visit the household at this time.

During today's inspection, no citations were issued.

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 Rights (LIC 9058) were also given to the Facility Representative, Rocio Cazares.

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

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
LIC809 (FAS) - (06/04)
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