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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216422
Report Date: 03/03/2025
Date Signed: 04/10/2025 11:10:05 AM

Document Has Been Signed on 04/10/2025 11:10 AM - 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:VARGAS FAMILY CHILD CAREFACILITY NUMBER:
426216422
ADMINISTRATOR/
DIRECTOR:		GRISELDA VARGAS MADRIGALFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 363-0994
CITY:SANTA MARIASTATE: CAZIP CODE:
93455
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
03/03/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:53 PM
MET WITH:Griselda VargasTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
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This is an amended report, updated to include a citation for a repeat violation of the CCR 102416.5(e)

On March 3, 2025 at 1:53 PM, Licensing Program Analyst, (LPA) Gigi Reyes conducted an unannounced Plan of Correction Inspection at the above Family Child Care Home (FCCH). LPA met with Licensee Griselda Vargas and discussed the purpose of the inspection. LPA and licensee toured the home.

On February 19, 2025, the FCCH was cited for Staffing Ratio and Capacity violation, as there were 13 children (2 infants, 5 children over 2 years old and 6 school age children) were under the care of licensee alone.

During today's inspection, LPA observed 3 infants and 4 children over the age of 2 years old under the sole care of the licensee. Due to the facility's failure to correct the previously cited violation, a civil penalty was assessed.

At the time of the inspection, Licensee's assistant arrived with 2 school-age children who were picked up from school and 1 infant bringing the facility into compliance. Two ((2) additional school aged children were dropped off, bringing a total capacity of 12 children ( 4 infants , 4 children over 2 years old and 4 school aged children) under the care of Licensee and assistant.
NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Gigi Reyes
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: VARGAS FAMILY CHILD CARE
FACILITY NUMBER: 426216422
VISIT DATE: 03/03/2025
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On the other hand, LPA observed that Notice of Site Visit and the Evaluation Report containing type A violation issued on 2/19/2025 are posted in the home. Signed acknowledgement forms from parents are on file.

LPA discussed and reviewed the violation with the licensee. A copy of this report and the civil penalty assessment was provided.

An exit interview was conducted and report was reviewed with the licensee, Griselda Vargas.
NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Gigi Reyes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2025
LIC809 (FAS) - (06/04)
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