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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216422
Report Date: 03/17/2025
Date Signed: 03/17/2025 04:20:01 PM

Document Has Been Signed on 03/17/2025 04:20 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: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:
03/17/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Griselda VargasTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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On March 17, 2025 at 2:30 PM, Licensing Program Analyst (LPA), Gigi Reyes conducted an unannounced Plan of Correction at the above Family Child Care Home. (FCCH) and met with Licensee, Griselda Vargas and assistant. LPA discussed the purpose of the purpose of the inspection.

LPA and licensee toured the home and LPA observed 12 day care children, including licensee's biological children and 2 staff members present.

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.

On March 3, 2025, during a POC 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. However, Licensee was not cited for a repeat violation at that time. Following a review or records and prior inspection, the FCCH was cited today for the March 3rd, 2025 staffing Ratio and capacity violation. Also FCCH was assessed for a repeat violation referencing citations dated 2/19/2025 and 3/3/2025.
Continued on LIC 8099
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2025
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: 03/17/2025
NARRATIVE
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LPA Reyes informed licensee, Ms. Vargas that this report dated 3/17/2025 documents one (1) Type A citation which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.
Also, LPA Reyes informed the licensee, Ms. Vargas to provide a copy of this licensing report dated 3/19/2025 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

During today's inspection, March 17, 2025, the FCCH was found to be in compliance with the CCR including staffing ratio and capacity. There were total of 12 children, (3 infants, 4 children over 2 years old, and 5 school age children) under the supervision of Licensee and Assistant.

A notice of site visit was given to Licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
.

Exit interview conducted and report was reviewed with the licensee, Griselda Vargas

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/17/2025 04:20 PM - It Cannot Be Edited


Created By: Gigi Reyes On 03/17/2025 at 03:19 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: VARGAS FAMILY CHILD CARE
FACILITY NUMBER: 426216422

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/17/2025
Section Cited
CCR
102416.5(e)

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(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

This requirement is not met as evidenced by:
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During today's inspection, March 17, 2025, the FCCH was found to be in compliance with staffing ratio and capacity. There were total of 12 children, (3 infants, 4 children over 2 years old, and 5 school age children) under the supervision of Licensee and Assistant.
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On March 3, 2025, during a POC inspection, LPA observed 3 infants and 4 children over the age of 2 years old under the sole care of the licensee. This poses a apotential risk to health and safety of children in care.
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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:Maria Mueller
LICENSING EVALUATOR NAME:Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 03/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/17/2025


LIC809 (FAS) - (06/04)
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