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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216403
Report Date: 09/17/2024
Date Signed: 09/17/2024 03:50:55 PM

Document Has Been Signed on 09/17/2024 03:50 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:BARRON FCC AKA BARRON FAMILY DAYCAREFACILITY NUMBER:
426216403
ADMINISTRATOR/
DIRECTOR:		FRANCISCA BARRONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 315-5366
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
09/17/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:55 PM
MET WITH:Francisca BarronTIME VISIT/
INSPECTION COMPLETED:
02:50 PM
NARRATIVE
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On 09/17/2024 a Case Management Inspection was conducted by LPA German Negrete who met with the Licensee Francisca Barron, LPA advised the purpose of today's inspection is to complete a case management incident report, due to a incident that was self reported to the Department on 7/12/2024. LPA observed Licensee and assistant providing care to 3 children and 3 infants. LPA requested a tour of the home. Licensee escorted LPA through the home inside and outside.

LPA visited the home on 8/9/2024 and interviewed Licensee, and Licensee stated how on the day of the incident Licensee departed from the Family Child Care Home(FCCH) with children in care to pick up Licensee’s own children from summer camp. Licensee arrived at the aforementioned FCCH with 5 day-care children and 3 of her own children(8 children total) . Upon arrival parents began picking up children, Licensee went inside the home and assisted parents during pick up. According to Licensee, during this time Child #1 was left unattended in a parked vehicle for approximately 5 minutes. As parents arrived and then another arrived, Licensee assisted daycare children for pick up.

During the course of the investigation LPA reviewed children files, LPA conducted staff interview, parent interviews, and LPA reviewed children sign in and sign out sheets.

Parent interviews revealed most parents would recommend this day care. Also most parents stated they approve the care and supervision. Furthermore all parents interviewed stated , when conducting pick up, the front door has always been closed and or locked.

LPA reviewed the LIC624(unusual Incident report) which was received via email on 7/12/2024.

Through the aforementioned LIC624, and the telephone intake report that was completed on 7/12/2024, LPA was able to cross reference both reports(LIC624, intake report) with parent statements. and LPA confirmed the licensee did leave Child#1 in a locked parked van. Also the department determined the front door was closed, therefore the Licensee could not observe the parked van where the child was inside and unsupervised. And due to these details the Department has found Licensee in Violation of Title 22 C.C.R Section 102417 (k)(1).

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE: DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2024
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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Document Has Been Signed on 09/17/2024 03:50 PM - It Cannot Be Edited


Created By: German Negrete On 09/17/2024 at 01:59 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: BARRON FCC AKA BARRON FAMILY DAYCARE
FACILITY NUMBER: 426216403

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/21/2024
Section Cited
CCR
102417(k)(1)

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All vehicle occupants must be secured in an appropriate restraint system.

(1) Children shall not be left in parked vehicles
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Correct Immediately. Submit a written plan of correction to Licensing for review by 09/21/2024 via email.
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This regulation was not met.. Based on observation, interview with Licensee and record review, the licensee did not comply with the section cited above on 7/12/2024 when Licensee left Child#1 insude a parked vehicle unsupervised.
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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:Ana Tolentino
LICENSING EVALUATOR NAME:German Negrete
LICENSING EVALUATOR SIGNATURE:
DATE: 09/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/17/2024


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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: BARRON FCC AKA BARRON FAMILY DAYCARE
FACILITY NUMBER: 426216403
VISIT DATE: 09/17/2024
NARRATIVE
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Licensee will be receiving a type A citation(See LIC809-D).

Exit Interviewed conducted with Licensee.

A notice of site visit was provided.

Appeal rights were given.

Form LIC9224 was provided.

FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN $100.00 CIVIL PENALTY
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024
LIC809 (FAS) - (06/04)
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