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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216283
Report Date: 06/29/2022
Date Signed: 06/29/2022 04:22:37 PM

Document Has Been Signed on 06/29/2022 04:22 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:ALAPIZCO FAMILY CHILD CAREFACILITY NUMBER:
426216283
ADMINISTRATOR:LAURA ALAPIZCOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 314-4548
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
06/29/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Laura AlapizcoTIME COMPLETED:
04:30 PM
NARRATIVE
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On 6/29/22, at 1:30 PM, Licensing Program Analyst (LPA) Elvin Baddley conducted an unannounced Case Management Inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Laura Alapizco, Licensee of the FCCH and explained the purpose of the inspection.

LPA toured the interior and exterior of the FCCH with the LIcensee. LPA notes 12 children where in care at the time of the inspection along with along with an Assistant (cleared and associated). At 1:40 PM, LPA observed C1 napping in a crib laying, atop of a fitted sheet and loose blanket. The crib was in the family room of the FCCH. LPA informed LIcensee of the need to keep the crib free of items when a child is napping. LPA reviewed facility record and also notes C1 is an infant.

Type B deficiency is being cited based on LPA’s observation and record reviews pursuant to Title 22 of the CA Code of Regulations (refer to LIC 809-D). Licensee was provided a copy of their appeal rights.

A Notice of Site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee Laura Alapizco..

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 06/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/29/2022
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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Document Has Been Signed on 06/29/2022 04:22 PM - It Cannot Be Edited


Created By: Elvin Baddley On 06/29/2022 at 04:02 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ALAPIZCO FAMILY CHILD CARE
FACILITY NUMBER: 426216283

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/06/2022
Section Cited
CCR
102425(b)

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Cribs or play yards shall be free from all loose articles and objects.
Based on LPA observation and record review, the Licensee did not comply with the section cited as C1 was observed in a crib laying atop of a fitted sheet and a loose blanket.
This poses a potential health, safety or
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LIcensee to remove all loose articles and objects from play yards/cribs in the FCCH.

Licensee to provide CCLD with a plan to ensure crib are free of loose articles and objects by 7/6/22.
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personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Elvin Baddley
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2022


LIC809 (FAS) - (06/04)
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