426214269-4-3-2026-17-CC-FHEZ-DSSUDR-20260403152957

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426214269
Report Date: 04/03/2026
Date Signed: 04/03/2026 03:30:15 PM

Document Has Been Signed on 04/03/2026 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:	ACOSTA FCC AKA LITTLE ANGEL'S DAYCARE		FACILITY NUMBER:	426214269
ADMINISTRATOR/ DIRECTOR:	GABRIELA ACOSTA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 623-8555
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93458
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 1	DATE:	04/03/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:53 PM
MET WITH:	Gabriela Acosta		TIME VISIT/ INSPECTION COMPLETED:	03:35 PM

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On April 3rd, 2026, at 01:50 PM, Licensing Program Analysts (LPAs) Fernando Hernandez & Izak Diaz conducted an unannounced Annual Random inspection at the above Family Childcare Home (FCCH). The FCCH operating hours are Monday to Saturday from 7:30 AM to 05:00 PM. Licensee provides care for children from 0 to 10 years of age. During the inspection, LPAs met with Licensee Gabriela Acosta who reports (2) adults live in the home who have all received a criminal record clearance. Alongside the Licensee we toured the interior and exterior of the home. At the time of inspection, the Licensee was caring for (1) child.

LPAs note the residence is a two-story home. The accessible area(s) in the home includes the (1) bathroom, dining room, kitchen, enclosed backyard, and living room for daily activities and napping. LPAs notes kitchen knives are kept elevated on kitchen refrigerator inaccessible to children in care. LPAs also observed a child safety gate at the bottom of the stairs to ensure the entire 2^nd floor is inaccessible to children in care. LPAs notes the detergents and cleaning supplies are kept in the inaccessible garage. LPAs observed the garage door to have a child safety lock to ensure area is off-limits to children in care. LPAs notes all inaccessible areas were observed to have child safety locks and gates to ensure inaccessibility for children in care. The required licensing forms are posted in a prominent location. LPAs observed age-appropriate toys and equipment, inside the home. LPAs notes the children’s bathroom was observed to be free of toxins. The Licensee confirmed there are firearms and ammunition within the home, LPAs verified ammunition and firearms are stored and locked separately. LPAs observed no bodies of water.

CONTINUED ON LIC809-C PAGE 2

NAME OF LICENSING PROGRAM MANAGER: Susana Martinez
NAME OF LICENSING PROGRAM ANALYST: Fernando Hernandez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/03/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026

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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Document Has Been Signed on 04/03/2026 03:30 PM - It Cannot Be Edited

Created By: Fernando Hernandez On 04/03/2026 at 02:56 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: ACOSTA FCC AKA LITTLE ANGEL'S DAYCARE	FACILITY NUMBER: 426214269
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/03/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(1)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on (observation), the licensee did not comply with the section cited above in fire extinguisher was last serviced on 03/27/2024 which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/10/2026
	Plan of Correction
1 2 3 4	Licensee will submit to LPA proof of service/purchase for the regulated fire extinguisher via email Fernando.Hernandez@dss.ca.gov

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on (observation) & (record review), the licensee did not comply with the section cited above in Licensee did not maintain proof of completion of Pediatric CPR and First Aid training as required by Title 22. Documentation reviewed indicates training was completed online only and did not include the required in-person, hands on component which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/10/2026
	Plan of Correction
1 2 3 4	LPA will submit proof of completion for Pediatric CPR and First Aid including the in-person/hands on component to LPAs email Fernando.Hernandez@dss.ca.gov

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Susana Martinez
NAME OF LICENSING PROGRAM MANAGER:

	Fernando Hernandez
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/03/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026

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: ACOSTA FCC AKA LITTLE ANGEL'S DAYCARE	FACILITY NUMBER: 426214269
	VISIT DATE: 04/03/2026

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LPAs reviewed the facility file and found that the licensees Pediatric CPR and First Aid certificate indicates training was completed online only and did not include the required in-person, hands on component, a Type B deficiency will be cited based on observation & record review. Additionally, LPAs reviewed licensees’ current Mandated Reporter Training Certificate expires on 08/20/26. LPAs reminded that it is their responsibility to renew the certificates every two years. The regulation fire extinguisher (2A10BC) was observed with a service date of 10/03/2024, a Type B deficiency as Licensee did not have an annually serviced/purchased regulated fire extinguisher at the time of inspection. LPAs informed licensee it is their responsibility to annually service or purchase regulated fire extinguisher. LPAs tested a smoke detector at 02:08 PM and found it functional, LPAs note at the time of the inspection that a carbon monoxide detector was not present, a Technical Violation will be cited based on observation (please see LIC9102AN for further information). LPAs note licensees last fire/disaster drill was conducted last on 04/03/2026.

LPAs reviewed 1 out of 1 child’s records to be complete. LPAs reviewed infant sleep log to be complete. LPAs reviewed children’s Roster to be complete.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee, was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

CONTINUED ON LIC809-C PAGE 3

NAME OF LICENSING PROGRAM MANAGER: Susana Martinez
NAME OF LICENSING PROGRAM ANALYST: Fernando Hernandez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/03/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026

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: ACOSTA FCC AKA LITTLE ANGEL'S DAYCARE	FACILITY NUMBER: 426214269
	VISIT DATE: 04/03/2026

NARRATIVE

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LPAs discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPAs also informed licensee, the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see PIN 22-02-CCP. A Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

During the exit interview, the LICENSEE, Gabriela Acosta confirmed that there are no Registered Sex Offenders living in the facility and LPAs completed the RSO profile in FAS.

During today’s inspection (2) Type B deficiencies & (1) Technical Violation were cited based on observation and record review (please see LIC809-D & LIC9102AN pages for further information).

A Notice of Site Visit was issued and must be posted for 30 days.

Appeal rights were given.

Exit interview conducted and report was reviewed with the Licensee Gabriela Acosta.

NAME OF LICENSING PROGRAM MANAGER: Susana Martinez
NAME OF LICENSING PROGRAM ANALYST: Fernando Hernandez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/03/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026

LIC809 (FAS) - (06/04)

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