<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216325
Report Date: 05/01/2023
Date Signed: 05/01/2023 01:51:40 PM

Document Has Been Signed on 05/01/2023 01:51 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: 6DATE:
05/01/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:51 PM
MET WITH:Celina CorralTIME COMPLETED:
02:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On May 1st, 2023 at 12:51PM, Licensing Program Analyst (LPA) Rosie Breault made an unannounced visit for the purpose of conducting a Case Management - Incident inspection. LPA met with licensee Celina Coral and discussed the purpose of the visit. At the time of the inspection there were six (6) children and licensee.

On 4/21/2023, licensee contacted Community Care Licensing (CCL) to self-report an incident of a child, aged two and a half years, eloping while in care of licensee. Per licensee on 4/21/2023 at or around 11:45PM, licensee and licensee’s mother noticed a child absent from the lunch area to which other children were cleaning up. Licensee’s mother saw the side gate was open and child had wandered off, crossed a residential street, and was picked up by a man walking on the sidewalk. Licensee stated the gate was more than likely not closed properly due to a family touring the home, leaving the side entrance, and not closing it properly to lock.

The man who picked up child contact 911. Licensee stated she did not know the man and did not recognize him and the child “was happy, he had shoes on, he had not been hit or hurt.” Licensee did not obtain the man’s name or contact information. Licensee and the man waited for Santa Barbara Police to arrive and assess the situation. Licensee contacted child’s parents who indicated the child was going to be picked up by grandparents. At the time licensee contacted Community Care Licensing Department (CCLD), all children had been picked up and licensee provided an Unusual Incident Report (UIR) to CCLD within the regulatory time frame.

This poses an immediate risk to the child in care. Type A Violation and civil penalty of $500.00 has been cited.

Exit interview was conducted, report reviewed, and copy provided. LPA provided licensee Appeal Rights and LIC9224

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: Maryrose Breault
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2023
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 2
Document Has Been Signed on 05/01/2023 01:51 PM - It Cannot Be Edited


Created By: Maryrose Breault On 05/01/2023 at 01:21 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: CORRAL FAMILY CHILD CARE
FACILITY NUMBER: 426216325

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/01/2023
Section Cited
CCR
102417(a)

1
2
3
4
5
6
7
The licensee shall be present in the home and shall ensure that children in care are supervised at all times.
1
2
3
4
5
6
7
Licensee to attend conference at the Santa Barbara Regional Office with the LPA and Licensing Program Manager (LPM) in effort to ensure compliance. Licensee will be notified of date and time via mail.
8
9
10
11
12
13
14
This evidence is met by:

Licensee self reported an incident of a child eloping and crossing a residential street, authorites were called.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Ana Tolentino
LICENSING EVALUATOR NAME:Maryrose Breault
LICENSING EVALUATOR SIGNATURE:
DATE: 05/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2