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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215393
Report Date: 03/01/2022
Date Signed: 03/01/2022 10:59:50 AM

Document Has Been Signed on 03/01/2022 10:59 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:HOUSER FCC AKA LITTLE LIZZY'S DAYCAREFACILITY NUMBER:
426215393
ADMINISTRATOR:ELIZABETH HOUSERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 332-9690
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
03/01/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Elizabeth Houser TIME COMPLETED:
10:31 AM
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
On 3/1/2022 at 10:00 AM, an unannounced Case Management inspection was conducted by Licensing Program Analysts (LPAs) Elvin Baddley and Francisca Velazquez and met with Licensee, Elizabeth Houser.

The purpose for this inspection is to provide the Licensee with a copy of an Accusation for case CDSS No. 7821336002 indicating that Rafael Castellanos has been denied criminal record exemption. LPAs conducted a complete tour of the interior and exterior of the home and did not observe Rafael Castellanos in the home. Licensee stated that Rafael Castellanos is her partner and currently lives with his father at 1049 W. Camino Colegio Santa Maria, CA 93458. Licensee provided LPAs a copy of Rafael Castellanos California Driver's license card. Licensee stated that she has resubmitted an application for Rafael Castellos with Guardian and is waiting for a response.

A copy of the Accusation Summary indicating the Departments intent to exclude Rafael Castellanos shall be provided to the parent/guardian of any currently enrolled child by the next business day or immediately upon return as well as the parent/guardian of any enrolled child until the accusation is either dismissed or resolved thorough the administrative hearing or stipulated agreement. The following documentation was provided and explained.
CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 03/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/01/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: HOUSER FCC AKA LITTLE LIZZY'S DAYCARE
FACILITY NUMBER: 426215393
VISIT DATE: 03/01/2022
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
  • Accusation
  • Acknowledgement of Receipt of Licensing Reports (LIC 9224)
  • A copy of the Appeal Rights (LIC 9058 FAS 01/16) were given and explained.
  • Licensee’s signature on this form acknowledges receipt of these rights.


Exit interview conducted with Licensee, Elizabeth Houser .

Notice of Site Visit has been posted (LIC9213).



The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2