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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216761
Report Date: 09/10/2025
Date Signed: 09/10/2025 12:25:52 PM

Document Has Been Signed on 09/10/2025 12:25 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:BUENROSTRO FAMILY CHILD CAREFACILITY NUMBER:
426216761
ADMINISTRATOR/
DIRECTOR:		AMALIA BUENROSTROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(928) 710-0767
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
09/10/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:Amalia BuenrostroTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
NARRATIVE
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On 09/10/2025, at 9:05 AM, Licensing Program Analyst (LPA) Bill Billones conducted an unannounced Annual Random inspection of the abovementioned Large Family Child Care Home (FCCH). Upon arrival, Licensee Amalia Buenrostro was not present at the FCCH. LPA observed 6 children in care along with two staff assistants (S2 and S3) providing care and supervision. A 9:15 AM, Licensee arrived at the home and LPA informed them of the purpose of the inspection. LPA in the company of the Licensee toured the interior and exterior of the facility and observed required documents posted in a publicly accessible area of the home. The hours of operation are 5:00 AM to 5:30 PM, Monday through Saturday.

The FCCH is a single-story home with 3 bedrooms, 2 bathrooms, living room, kitchen, dining area, a day care room, laundry room, garage, and enclosed backyard. The FCCH operates out of the living room, kitchen, dining area, 1 bathroom, a day care room used for child care activities, and the backyard. The rest of the home is excluded from child care. The rooms used for day care were observed to be organized and appropriately furnished. Age-appropriate toys and children’s equipment were observed. LPA observed a screen electronic fireplace in the living room, which Licensee stated is not utilized. LPA observed the kitchen area to be free of hazardous items. Knives and personal medication are stored in a locked kitchen cabinet. LPA observed the day care bathroom to be clean and free of hazardous items. LPA observed the off-limits areas, which are made inaccessible by child proof knob covers. LPA observed a locked laundry closet where cleaning supplies are stored. LPA observed the backyard is enclosed with cinder block fencing and a latched wooden gate for emergency exit. LPA observed a seesaw and a meshed trampoline in the backyard along with other age-appropriate outdoor toys. LPA advised Licensee to ensure equipment use is supervised and used within the manufacturer guidelines.

Continued on 809-C
NAME OF LICENSING PROGRAM MANAGER: Ana Tolentino
NAME OF LICENSING PROGRAM ANALYST: Bill-Brian Billones
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/10/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

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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: BUENROSTRO FAMILY CHILD CARE
FACILITY NUMBER: 426216761
VISIT DATE: 09/10/2025
NARRATIVE
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LPA observed the pull alarm is located next to the front entrance. LPA observed a carbon monoxide detector and smoke alarm, which were both tested at 10:04 AM and found to be operable. LPA observed a regulation fire extinguisher (3A40BC) that was last serviced on 12/13/2024. LPA noted last fire drill was conducted and documented on 08/11/2025. Licensee stated no firearms or ammunition are stored on site. No bodies of water were observed.

A sample of children records and staff files were reviewed. Children’s files were found to be complete. Two infant files reviewed did not contain sleep logs, which Licensee stated they did not complete because the infants did not sleep. Licensee was advised to maintain a sleep log to record when the infant did not sleep. LPA reviewed a complete children’s roster. Staff files were not maintained. Licensee’s Pediatric First Aid/CPR expired on 01/22/2025 and Mandated Reporter certificate expired on 02/22/2025. Licensee was reminded to keep training certifications current and updated prior to expirations. One assistant (S2) did not have a valid Mandated Reporter nor a current First Aid/CPR training certificate. LPA noted another assistant (S3) did not have background clearance nor association on the Guardian facility roster as of today's date 09/10/2025. LPA observed S2 and S3 providing care and supervision to day care children.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Continued on 809-C

NAME OF LICENSING PROGRAM MANAGER: Ana Tolentino
NAME OF LICENSING PROGRAM ANALYST: Bill-Brian Billones
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025
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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: BUENROSTRO FAMILY CHILD CARE
FACILITY NUMBER: 426216761
VISIT DATE: 09/10/2025
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

During today’s visit, 1 Type-A deficiency and 2 Type-B deficiencies was cited under Title 22 California Code of Regulations and Health and Safety Code. These deficiencies are listed in the attached 809-Ds.

LPA informed Licensee Amalia Buenrostro that this report dated 09/10/2025 documents 1 Type-A citation, which shall be posted for 30 days as there is immediate risk to the health, safety, or personal rights of children in care.

LPA informed the licensee to provide a copy of the licensing report dated 09/10/2025 that documents any Type A citation 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 (LIC9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days. Appeal rights were provided.

Exit interview conducted and report was reviewed with Licensee, Amalia Buenrostro.

NAME OF LICENSING PROGRAM MANAGER: Ana Tolentino
NAME OF LICENSING PROGRAM ANALYST: Bill-Brian Billones
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/10/2025 12:25 PM - It Cannot Be Edited


Created By: Bill-Brian Billones On 09/10/2025 at 11:05 AM
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: BUENROSTRO FAMILY CHILD CARE
FACILITY NUMBER: 426216761

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/10/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 3 staff present in the FCCH which poses an immediate health, safety or personal rights risk to persons in care. LPA observed one assistant (S3) was not listed on Guardian roster nor cleared. S3 was observed working and interacting with children. Licensee stated S3 worked at facility for a year. S3 left the facility at 10:45 AM to get their fingerprints taken.
POC Due Date: 09/10/2025
Plan of Correction
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Licensee to ensure S3 and any other adult residing and/or is anemployee working with children in the FCCH shall have fingerprint clearance and be associated prior to initial presence in the home. Licensee will provide proof of clearance documentation to Licensing Program Analyst via email at bill.billones@dss.ca.gov before S3 is allowed back in the facility as an employee. LIC9224 form for Type A deficiency will be maintained for each enrolled children for the next 12 months.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Ana Tolentino
NAME OF LICENSING PROGRAM MANAGER:
Bill-Brian Billones
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/10/2025


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Document Has Been Signed on 09/10/2025 12:25 PM - It Cannot Be Edited


Created By: Bill-Brian Billones On 09/10/2025 at 11:05 AM
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: BUENROSTRO FAMILY CHILD CARE
FACILITY NUMBER: 426216761

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/10/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 2 of 2 staff files reviewed which poses a potential health, safety or personal rights risk to persons in care. S1 and S2 did not have current Mandated Reporter training certificates.
POC Due Date: 09/24/2025
Plan of Correction
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Licensee will correct deficiency and submit valid Mandated Reporter training certificates to Licensing Program Analyst Bill Billones via email at bill.billones@dss.ca.gov no later than 9/24/2025.
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 2 of 2 staff files reviewed which poses a potential health, safety or personal rights risk to persons in care.Two staff present on the Guardian facility roster did not have current first aid/cpr training. Both certificates expired on 1/22/2025.
POC Due Date: 09/24/2025
Plan of Correction
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Licensee will correct deficiency and submit current first aid/CPR training certificates to Licensing Program Analyst Bill Billones via email at bill.billones@dss.ca.gov no later than 9/24/2025. Licensee will ensure at least one cleared and associated employeepresent in the day care has a valid first aid/cpr certificate on file.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Ana Tolentino
NAME OF LICENSING PROGRAM MANAGER:
Bill-Brian Billones
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/10/2025


LIC809 (FAS) - (06/04)
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