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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216247
Report Date: 04/16/2024
Date Signed: 04/16/2024 05:20:47 PM

Document Has Been Signed on 04/16/2024 05:20 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:CERVANTES FAMILY CHILD CARE AKA SUNSHINE TOTSFACILITY NUMBER:
426216247
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
04/16/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:15 PM
MET WITH:Brenda Betancourt TIME VISIT/
INSPECTION COMPLETED:
05:35 PM
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On 4/16/2024, Licensing Program Analyst (LPA) Martina Jimenez, conducted an unannounced Case Management inspection to follow up on the inspection conducted on 3/27/2024, to confirm that Raul Betancourt was removed from the facility because his criminal record clearance has not cleared.

Upon LPAs arrival, LPA observed the licensee and a man get into a gray van and drive away. LPA asked the licensee who was the man? The licensee stated it was the gardener Cruz (unknown last name).

LPA met with Brenda Betancourt, Assistant, the purpose of the inspection was discussed. The licensee, Engracias Cervantes, arrived at 3:25 P.M, during the inspection. The purpose of the inspection was discussed and together LPA and licensee, tour the home inside and outside of the home. LPA observed the master bedroom closet was empty at the time of the inspection. In the bathroom, LPA observed female hygiene supplies. LPA observed 1 infant and 4 children in care and 1 staff at the time of inspection.

CONTINUES ON LIC809C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2024
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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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: CERVANTES FAMILY CHILD CARE AKA SUNSHINE TOTS
FACILITY NUMBER: 426216247
VISIT DATE: 04/16/2024
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LPA advised the licensee's boyfriend, Raul Betancourt, criminal record clearance has not cleared. The licensee stated that Raul Betancourt, left the facility when informed that his criminal record clearance has not been granted on 3/27/2024.

LPA interviewed licensee who stated Raul Betancourt is not in the home. LPA asked licensee for Mr. Betancourt's current address, the licensee stated Mr. Betancourt is depressed and licensee does not know Mr. Betancourt's current address. Licensee states that licensee last spoke with Mr. Betancourt, on 4/14/2024, but does not have a current address. Licensee states the last date licensee had in person contact with Mr. Betancourt was 4/14/2024, at Home Depot, in Santa Maria.

Licensee has been informed that Raul Betancourt may not be in the facility until his a criminal background clearance has been granted.

The inspection visit was conducted in Spanish and report was translated in Spanish by LPA Jimenez. A notice of site visit was given to applicant, and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with the licensee, Engracias Cervantes.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
LIC809 (FAS) - (06/04)
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