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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216325
Report Date: 10/13/2022
Date Signed: 10/13/2022 02:47:59 PM

Document Has Been Signed on 10/13/2022 02:47 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:CORRAL FAMILY CHILD CAREFACILITY NUMBER:
426216325
ADMINISTRATOR:CELINA M. CORRALFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 259-9816
CITY:SANTA BARBARASTATE: CAZIP CODE:
93105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/13/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:21 PM
MET WITH:Celina CorralTIME COMPLETED:
02:50 PM
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On October 13, 2022 at 1:21PM, Licensing Program Analyst (LPA) met with applicant Celina Corral for the purposes of a pre-licensing inspection. Covid 19 prescreening was assessed and no exposure on site. Entire FCCH is outdoor of residence with no access to home. Applicant states parents live in the home who are fingerprinted and cleared. Side yard gate would be used at the FCCH entrance. Applicant has installed a 12X18 (per facility sketch) Lowe's circular shed in the backyard to host children. Insulation of ceiling shed is held up by wire and is giving in a small section. Entrance to shed has roughly 1-2 inch lip which poses a tripping hazard. Shed has age appropriate toys and furnishings, along with a changing table; however no smoke detector / carbon monoxide / or fire extinguisher present in shed. Applicant states this will be primary area. There is ample ventilation however no source of heat. Out of the shed, applicant has age appropriate toys and structures; however poisons, toxins, cleaning supplies are within reach of children. A large flat screen TV is on the patio with cords extending and, within reach of children and angled that may be rained on. Upon entry, a chord is extending from window of a home across the pathway and accessible for children to pull on. In the rear of the yard is the applicants studio apartment where she indicates she will be taking children to the bathroom only, with bedroom, living room and kitchen sectioned off. This unit is not attached to the shed and is across the yard. Carbon monoxide/smoke detector is present only in applicant's studio and there is a fire extinguisher located outdoor of the studio affixed to the exterior of the studio. An additional studio is next door to applicants which is the residence of her brother (fingerprinted and cleared). Advised applicant license can not be granted at this time.

Licensure is pending review of Licensing Program Manager (LPM)

Exit interview conducted with applicant.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Maryrose Breault
LICENSING EVALUATOR SIGNATURE: DATE: 10/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2022
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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