426216160-4-7-2026-17-CC-ATOO-DT8NBH-20260417101909

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 426216160
Report Date: 04/07/2026
Date Signed: 04/07/2026 10:57:38 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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
02/04/2026 and conducted by Evaluator German Negrete

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20260204123050

FACILITY NAME:	PEREZ FAMILY CHILD CARE		FACILITY NUMBER:	426216160
ADMINISTRATOR:	MARYPAZ PEREZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 863-3416
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	14	CENSUS: 11	DATE:	04/07/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Mayrapaz Perez		TIME COMPLETED:	10:55 AM

ALLEGATION(S):

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Children in care sustained unexplained injuries due to staff neglect/lack of supervision

INVESTIGATION FINDINGS:

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On 4/7/2026, Licensing Program Analyst (LPA) German Negrete conducted an unannounced inspection to deliver the findings of the above-mentioned complaint allegation. LPA met with Licensee Mayrapaz Perez and explained the purpose of the inspection. LPA and Licensee conducted a tour of the home inside and out. At the time of the inspection, LPA observed Licensee and Assistant providing care and supervision to 11 children in care.

The investigation included reviewing children roster, conducting interviews with parents, Licensee and assistants. LPA observations from unannounced inspections were also included in this investigation.

Regarding the allegation: Children in care sustained unexplained injuries due to staff neglect/lack of supervision. LPA interviewed Licensee. The interview revealed Licensee stated she takes adequate steps to ensure constant care and supervision. Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 17-CC-20260204123050

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: PEREZ FAMILY CHILD CARE	FACILITY NUMBER: 426216160
	VISIT DATE: 04/07/2026

NARRATIVE

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Licensee stated she always has at least one assistant present to support the FCCH in providing care in supervision.

LPA also conducted two assistant interviews. Both assistants stated they have not observed a child receive a injury do to lack of supervision. Both assistants stated, the Licensee always has at least one assistant, supporting the Licensee in providing care and supervision to children in care.

LPA conducted parent interviews of currently enrolled children. Interviews revealed parents have not observed unexplained or explained injuries on their child(ren). Parents also stated their child(ren) have stated positive comments regarding the above mentioned FCCH. All of the parents stated they would recommend the FCCH.

LPA conducted two unannounced inspections. During the unannounced inspections LPA completed a tour inside and outside of the FCCH, and LPA documented observations. LPA did not observe any child that received a injury during the aforementioned inspections.

Although the above allegation may have or may have not occurred or may be valid, there is not a preponderance of evidence to substantiate that the alleged violation did or did not occur. Therefore, the allegation is determined to be unsubstantiated.

Exit Interview conducted and report was read and a copy was issued to Licensee.

Notice of sight visit and Appeal rights were provided to Licensee.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026

LIC9099 (FAS) - (06/04)

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