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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426211223
Report Date: 11/16/2023
Date Signed: 11/27/2023 03:42:28 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
11/07/2023 and conducted by Evaluator Martina Jimenez
COMPLAINT CONTROL NUMBER: 17-CC-20231107120826
FACILITY NAME:ESPARZA FCC AKA JUST FOR KIDSFACILITY NUMBER:
426211223
ADMINISTRATOR:MARTINA ESPARZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 714-4671
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:14CENSUS: DATE:
11/16/2023
UNANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:Martina EsparzaTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Licensee operating childcare with Inactive license.
INVESTIGATION FINDINGS:
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This is an amended report for the inspection conducted on 11/16/23

On 11/16/2023, at 9:46 AM, Licensing Program Analyst (LPA) Martina Jimenez conducted an unannounced inspection of the Family Child Care Home (FCCH) to initiate complaint allegation regarding licensee, Martina Esparza was operating her childcare even though the status of her license is INACTIVE.
LPA met with Martina Esparza, Licensee and Juanita Perez, assistant/mother of the FCCH and explained the nature and purpose of the investigation. LPA observed no children present at the time of the inspection. LPA and licensee toured the interior and exterior of the home.

On 11-28-2022, LPA conducted a case management inspection and Licensee submitted LIC 9211- Request of Inactive Child Care License from 11-28-2022 to 11/28/2023.

Licensee informed LPA, the last day she provided care was June 2021. The license was placed on Inactive Status effective 11-28-2022.

This report continues on LIC9099C & LIC9099D




Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
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-20231107120826
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: ESPARZA FCC AKA JUST FOR KIDS
FACILITY NUMBER: 426211223
VISIT DATE: 11/16/2023
NARRATIVE
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Licensee agreed to comply with all the conditions for Inactive License such as she will not provide childcare for which a license is required until her license is activated, promptly pay her annual license fee, and inform CCL of any changes with the date licensee requested to place her license to Inactive prior to reopening the family childcare home by submitting a new LIC 9211.

On 11-7-2023, Licensee called Santa Barbara Regional Office and spoke to the Officer on Duty to ask about exempt care. Licensee was informed that she can only care for one family that is not related to her.

Licensee states that she took care of six (6) children from 3 different families, that are not related to her. Licensee states on November 7, 2023, was the last day she took care of the children. Today, Licensee also requested to activate her license.

Based on LPAs observation, interview with licensee, and record reviews conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be Substantiated. Health and Safety Code H&S 1596.8535 is cited on the attached 9099 D.

Upon receipt of this report, Licensee shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee will provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report LIC 9099 and LIC 9099 D.

Today’s visit was conducted in Spanish by LPA Jimenez. This report was translated in Spanish b LPA Jimenez. Today, deficiency cited under Title 22 Division 12, Spanish Appeal rights provided to licensee.



A Notice of site visit was given to Martina Esparza, licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with licensee, Martina Esparza.

This report must be filed in the facility file and made available for public review for 3 years. LPA observed the "Notice of Site Visit" posted. Failure to post the Notice of Site Visit for 30 days may result in a $100.00 Civil Penalty.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 17-CC-20231107120826
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: ESPARZA FCC AKA JUST FOR KIDS
FACILITY NUMBER: 426211223
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/17/2023
Section Cited
HSC
1596.8535
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Inactive Status of License: The investigation revealed that Licensee provided child care during an approved inactive status. LPAs observation, interview with licensee, and documents reviewed revealed FCCH is operating childcare while the family childcare home license is inactive status, Unlicensed.
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Licensee will submit a written POC on how licensee will prevent future incidents from occurring to CCLD by 11/17/2023, via email: Martina.Jimenez@dss.ca.gov
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This poses an immediate risk to health, safety or personnel rights of persons 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.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3