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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215847
Report Date: 05/16/2023
Date Signed: 05/16/2023 09:01:11 AM

Document Has Been Signed on 05/16/2023 09:01 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:ALVARADO FCC AKA NALLTA'S FAMILY CHILDCAREFACILITY NUMBER:
426215847
ADMINISTRATOR:DIANA ALVARADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 363-5421
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
05/16/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Diana AlvaradoTIME COMPLETED:
09:15 AM
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On 5/16/23, at 8:20 AM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Case Management Legal/Non-compliance inspection of the facility. The purpose of today's inspection was to review and deliver the following legal documents to Licensee Diana Alvarado, Decision and Order CDSS No. 6423010101B, effective 5/22/23.

LPA met with Licensee and explained the nature of the visit. LPA notes eight children are in care at the time of the inspection. LPA provided the Decision and Order to the Licensee. The aforementioned notes the revocation of license as well as the exclusions of Licensee (two years) and Pedro Contreras (AKA Pedro Contreras Cervantes) (remainder of life) from all licensed facilities, effective 5/22/23. Further, the Decision and Order notes the Licensee's ability to request to set aside default.

In error, LPA informed Licensee the effective date of the Decision and Order was 5/10/23. The noted date reflects the date the Decision and Order was issued rather than the effective date. LPA apologized for the error and affirmed the effective date for the Decision and Order as 5/22/23.

A Notice of Site Visit (LIC 9213) along with Appeal Rights (LIC 9058) were given to the Licensee. Licensee is reminded Notice of Site Visit must remain posted to 30 days or a civil penalty of $100 may apply.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2023
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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