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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426211141
Report Date: 11/13/2025
Date Signed: 11/13/2025 12:45:49 PM

Document Has Been Signed on 11/13/2025 12:45 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:RUIZ FAMILY CHILD CAREFACILITY NUMBER:
426211141
ADMINISTRATOR/
DIRECTOR:		IRMA RUIZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 346-2868
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
11/13/2025
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:54 AM
MET WITH:Irma RuizTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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An informal meeting was held today with Licensing Program Managers (LPMs) Maria Mueller and Ana Tolentino, Licensing Program Analyst (LPA) Joaquin Mendez to discuss the deficiencies cited in this Family Child Care Home. Licensee Irma Ruiz and Viridiana Ruiz (daughter of the licensee) were present in the meeting.

The following were discussed:
· 11/05/2025- The following deficiencies were cited:
102417(g)(4) LPA observed various chemicals, medicines, and hygiene products are found accessible.

102417(g)(1) Licensee could not provide a purchase receipt for her fire extinguisher

102417(g)(10) Licensee did not comply with the section cited above in a baby walker is in the accessible area to children.

1596.8662(b)(1) Licensee and S1 are missing the mandated training reporter training certificate. Continue on 809C
NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Joaquin Mendez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2025
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: RUIZ FAMILY CHILD CARE
FACILITY NUMBER: 426211141
VISIT DATE: 11/13/2025
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1597.622(a)(1) The licensee could provide immunization for S1, which poses/posed a potential health, safety or personal rights risk to persons in care. All deficiencies
which poses an immediate health, safety or personal rights risk to persons in care.

· On 2/26/2024 The following were deficiencies were cited:
102417(g)(9)- Licensee did not comply with the posting or completing the emergency disaster plan in the FCCH

102417(g)(9)(A) Emergency disaster drill was last conducted on August 3, 2022,

102416.3(a)(6)- LPA observed large additional room attached to the home and currently under construction. The licensee advised LPA that licensee did not notify CCLD of the room additional nor did the licensee obtain building permits for the room.
· 1/01/2022- 1596.8662(b)(1)-Licensee and Assistant were unable to provide the mandated reporter certification, which poses/posed a potential health, safety or personal rights risk to persons in care.

102417(g)(4) LPA observed on the kitchen counter Clorox disinfecting wipes, glass cleaner and dog feces in the backyard accessible to children in care. Which poses an immediate health, safety or personal rights risk to persons in care.
Continue on LIC809C
NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Joaquin Mendez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: RUIZ FAMILY CHILD CARE
FACILITY NUMBER: 426211141
VISIT DATE: 11/13/2025
NARRATIVE
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  • 102416.3(a)(6) The licensee advised LPA that licensee did not notify CCLD of the room additional nor did the licensee obtain building permits for the room addition, the licensee did not comply with the section cited above,

As a result of this discussion, Licensee, agreed to the following:
1. Effective November 13, 2025, the Family Childcare Home (FCCH) will be placed on compliance plan.

2. Increased unannounced inspections to the FCCH will be required.

3. Attend in person FCCH orientation. Licensee was provided the information for the next in person training in SLO November 20th, 2025.


4. Submit a written statement of compliance with Title 22, describing how licensee will ensure full compliance with the regulations
5. Submit in writing how licensee will maintain the proper care and supervision
6. Submit in writing how licensee will protect children’s personal rights
7. Submit in writing steps to take to ensure required certifications and maintain current immunization records are completed before allowing any adult to work or be present in the home.
8. Submit in writing how licensee will avoid using areas without approval from CDSS during any future change of the home.

9. Referral to CDSS Technical Support Program(TSP). TSP flyer was provided to Licensee and will contact LPA Mendez if FCCH decides to avail of the services. Continue on 809C

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Joaquin Mendez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: RUIZ FAMILY CHILD CARE
FACILITY NUMBER: 426211141
VISIT DATE: 11/13/2025
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 10. Request Resource and Referral in Santa Maria for training. Tel no. 805-925-7071

The Licensee, Irma Ruiz agreed to operate in compliance with Title 22, Division 12, CCR at all times.

Licensee agreed to submit all the required plan of corrections to LPA Mendez by the end of business day, December 01, 2025. Business card was provided.

Upon receipt of this report, licensee shall post this at the FCCH, and provide copies 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. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with Irma Ruiz. The meeting was discussed in Spanish translated by LPM Tolentino and LPA Mendez.

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Joaquin Mendez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC809 (FAS) - (06/04)
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