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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216168
Report Date: 08/06/2024
Date Signed: 08/06/2024 04:54:58 PM

Document Has Been Signed on 08/06/2024 04:54 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CORREA FCC AKA ALYSSA'S CHILD CAREFACILITY NUMBER:
426216168
ADMINISTRATOR/
DIRECTOR:		ALYSSA CORREAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 966-1964
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
08/06/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:20 PM
MET WITH:Alyssa CorreaTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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On 8/6/24, at 4:20 PM, Licensing Program Analysts (LPAs) Joaquin Mendez and Elvin Baddley conducted an unannounced Case Management (Legal) Inspection of the abovementioned Family Child Care Home (FCCH). LPAs met with Licensee, Alyssa Correa, and discussed the nature and purpose of the inspection. LPAs and Licensee toured the interior and exterior of the home in its entirety. LPAs observed 2 children present along with one staff member providing care and supervision.

The purpose for this inspection is to deliver Stipulation and Waiver, and Order, CDSS No.6423215102.

A copy of the Stipulation and Waiver, and Order was provided to the Licensee which indicates a revocation of license is stayed for three years, during which the Licensee shall be placed on a probationary period subject to the following limitations and conditions:

1. Licensee (Respondent) shall operate the facility in strict compliance with the regulations and statutes governing the operation of a FCCH.

2. During the period of probation, the Department in its sole discretion may conduct unannounced site visits for the purpose of determining whether there is full compliance with the regulations and statutes governing the operation of a FCCH.

3. Licensee (Respondent) shall ensure that all individuals working, residing or volunteering in the facility shall obtain criminal record clearances or exemptions prior to their initial presence in the facility and shall maintain proof of such criminal record clearances or exemptions at the facility.

4. Licensee (Respondent) shall maintain current personnel records of each employee at the facility and ensure that all employees have a current certificate of CPR and first aid training on file at the facility.
(CONT. 809-C, Page 2)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2024
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 3
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: CORREA FCC AKA ALYSSA'S CHILD CARE
FACILITY NUMBER: 426216168
VISIT DATE: 08/06/2024
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5. This Stipulation shall be posted in a conspicuous place at the facility for the duration of the probationary period.

6. Licensee (Respondent) is required to maintain an accurate, complete and current client roster which must be made available to the Department upon request. In addition, every child on the roster must have an accurate and complete file present at the facility. Respondent shall not care for children who are not on the facility's roster.

7. Licensee (Respondent) is expecting to care for more than four children, Licensee (Respondent) shall stagger the schedules of her assistants, so an assistant is present at the earliest expected drop-off time and latest expected pick­ up time. Licensee (Respondent) shall not care for more than four children unless an assistant is present.

8. Licensee (Respondent) shall always operate within ratio and capacity limits, with the exception of having no more than two infants in care at any given time.

9. Licensee (Respondent) shall not drive a child to or receive another child from another family child care home or child care center with the intention of keeping a facility within ratio or capacity. Respondent shall not drive children to a public place, (e.g., a park) to avoid being out-of-ratio or capacity or to avoid licensing staff.

10. Licensee (Respondent) shall maintain current personnel records of each employee pursuant to California Code of Regulations, Title 22 Regulation sections 80066 and 102416.1.

11. Licensee (Respondent) shall ensure that the facility is clean, safe, sanitary an in good repair at all times.

12. Licensee (Respondent) shall continue to follow the safe sleep regulations and train all staff on safe sleep requirements annually. Respondent shall provide all children with compliant sleeping areas.

13. For the duration of the probationary period, (Licensee) Respondent shall inform all current and prospective parent of children in the facility of the facility's probationary license by providing to the parents a
(CONT. 809-C, Page 3)
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CORREA FCC AKA ALYSSA'S CHILD CARE
FACILITY NUMBER: 426216168
VISIT DATE: 08/06/2024
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this Stipulation and the attached Accusation. Parents shall sign an acknowledgment indicating they have received a copy of the Stipulation and the attached Accusation. This parental acknowledgement shall be maintained in the corresponding child's file and shall be made available to the Department upon request.

A copy of this Accusation shall be provided to the parent/guardian of 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 through the administrative hearing or stipulated agreement. The following documentation was provided and explained:

· Stipulation and Waiver, and Order
· Acknowledgement of Receipt of Licensing Reports (LIC 9224)

No deficiency was cited today. A Notice of Site Visit was issued. Appeal Right were given to Licensee.

Exit interview was conducted and report was reviewed with Licensee Alyssa Correa in Spanish/English.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC809 (FAS) - (06/04)
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