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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426216350
Report Date: 09/27/2023
Date Signed: 09/27/2023 03:13:52 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/03/2023 and conducted by Evaluator Francisca Velazquez
COMPLAINT CONTROL NUMBER: 17-CC-20230703140840
FACILITY NAME:WARD FCC AKA LIL' SAFARI CHILD CAREFACILITY NUMBER:
426216350
ADMINISTRATOR:ASHLEY WARD / CINDY SOQUIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 354-3469
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:14CENSUS: 9DATE:
09/27/2023
UNANNOUNCEDTIME BEGAN:
01:29 PM
MET WITH:Cindy SoquiTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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1.) Licensee doesn’t reside in home.
INVESTIGATION FINDINGS:
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On 9/27/23, Licensing Program Analyst (LPA) Francisca Velazquez made an unannounced inspection to the Family Child Care Home (FCCH) in order to complete the investigation of the above allegation. LPA met with Cindy Soqui, Co-licensee of the FCCH, and explained the nature of the inspection. LPA notes nine (9) children are on site at the time of the inspection, along with an Co-licensee and assistant providing care and supervision.

The investigation included two unannounced visits, record reviews, interview of the co-licensee and interview of A1. Children in care were not interviewed. The allegation of the complaint referenced Licensee doesn’t reside in home. The investigation revealed corroborating information regarding the allegation. Namely, A1 who lives in the home disclosed that Co-licensee and A1 are the only individuals that live in the home since moving into this residence on or around July 2022.

Based on LPA’s observation and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. CONt 9099-C and 9099-D
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 17-CC-20230703140840
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: WARD FCC AKA LIL' SAFARI CHILD CARE
FACILITY NUMBER: 426216350
VISIT DATE: 09/27/2023
NARRATIVE
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 California Code of Regulation, (Title 22 Division 12 and 102352(h)(1), is being cited on the attached LIC 9099 D).

Today, deficiency cited under Title 22 Division 12 Appeal rights given. Upon receipt of this report, licensee shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report.

A closing interview was conducted with the co-licensee. Co-licensee was provided and advised of their Right to Appeal (LIC 9058). LPA informed Co-licensee of the need to provide a plan of correction to CCLD as well as the time which the plan of correction needs to be submitted to CCLD.

The Notice of Site Visit (LIC 9213) was provided to the Co-licensee as required by H&S Code Section 1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 17-CC-20230703140840
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: WARD FCC AKA LIL' SAFARI CHILD CARE
FACILITY NUMBER: 426216350
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/28/2023
Section Cited
CCR
102352(h)(1)
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102352(h)(1)- "Home" means the licensee's residence as defined by Government Code Section 244. This requirement was not met as evidenced by:
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Co-licensee has submitted an updated application in order to remove Ashley Ward from the current license. RO can not find the application and co-licensee does not have a copy of documents submitted. Co-licensee will submit a complete updated application and will
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Based on LPA's observations and interview with A1, it was disclosed that Co-licensee and A1 are the only indiviudals that have lived in the home since moving into the residence, which is at or about July 2022. This is an immeidate risk to the health, safety and personal rights of children in care.
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collaboratively work with LPA to ensure the license is updated to reflect the co-licensee that lives in the home.
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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.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3